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IRA Distribution Request Form - TD Ameritrade

Page 1 of 6 TDA 588 F 02/22 Return Options:Electronically via Message Center: Log in and go to Client Services > Message Center to attach the fileRegular Mail: PO Box 2760, Omaha, NE 68103-2760 Overnight Mail: 200 South 108th Avenue Omaha, NE 68154-2631 Fax: 866-468-6268*TDA588*1 Account Owner InformationDate of Social Security Number:Primary Phone Number:IRA Distribution Request FormQuestions? Call a Portfolios Specialist, at 888-310-7921, Monday through Friday from 8:30 to 8 ET (excluding market holidays).Certain IRA distributions may be requested on the website. Please visit for more Traditional, Roth, SEP, and SIMPLE IRAs* Only* Simplified Employee Pension, and Savings Incentive Match Plan for Employees Individual Retirement Accounts For use with accounts using advisory services fromTD Ameritrade Investment Management, LLCA ccount Number: Full Legal N

Substantially equal periodic payments (Under IRS Code Section 72(t)(2)(A)(iv)) – Note: Please see your tax advisor for guidance. (Review Section 6 of this document prior to submitting this request.) C. Disability - Account Owner must meet disability requirements as outlined in Internal Revenue Code 72(t). (Account Owner must

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