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the 403B Redemption Disclosure Form and the 402(f) Notice. I do certify that I have received sufficient prior notification of my options to have my distribution paid directly to a 403(b) Custodian/ Trustee and thus, avoid the 20% tax withholding.

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COMMON TRANSACTION REQUEST - NON FINANCIAL …

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Unitholders will receive redemption/ dividend proceeds directly into their bank account via Direct Credit/ NEFT/ECS facility. I/We want to receive the redemption / dividend proceeds (if any) by way of a cheque / demand draft instead of direct credit / credit through NEFT system / credit through ECS (only for dividend) into my / our bank account.

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after receipt of this completed submission form. Visa prepaid card can be used everywhere Visa debit cards are accepted. If Visa prepaid card is not received after 8 weeks, call 1-888-980-6141 (TTY: 711) to inquire about status. MetaBank® or Visa does not sponsor or endorse the Big O Tires Credit Card or this offer. Big O Tires, LLC

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