Transcription of Life Surrender Request - 11090
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Life Surrender Request - 11090
11090R6-20 Page 1 of 5 life Surrender Request 1. Insured InformationMember IDContract numberEmailName2. Surrender Type a. Value Distribution Full Surrender (this will close the contract and terminate coverage) Partial Surrender (Universal life /Variable Universal life only)$ Loan$b. Loan c. Dividend Surrender /Change (Traditional life only) Dividend/Surplus Refund Release$ Dividend/Surplus Refund Option Change3. Delivery of Payment Check Direct Deposit Complete bank information for direct depositFull name of bank account owner(s)Full name of bankChecking SavingsAccount typeRouting numberAccount number Apply to another Thrivent contract/account.
• Refer to your prospectus for information on how Variable Universal Life loans affect the subaccounts or fixed account, if available. • A loan may result in the termination of the Death Benefit Guarantee, Lapse Protection Balance or No Lapse Guarantee, as applicable.
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