Transcription of Primerica Shareholder Services
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Primerica Shareholder Services
Client Services :(800) 544-5445 Primerica Shareholder Box 9662 Providence, RI 02940-9662 Primerica Shareholder Services4400 Computer DriveWestborough, MA 01581 Please send to:Regular MailOvernight | or DISTRIBUTION the attached 403B DISTRIBUTION the the completed, signed form to: SECTION 1 - DISTRIBUTION AMOUNT- Please indicate the amount you wish to distribute from your account. You have three choices: All Shares To distribute all shares held in a specified fund position with this account number or you may choose all fund positionsbe redeemed. Unless otherwise specified, the account(s) will be closed and all options ( Systematic Withdrawal Plan) will bediscontinued. Dollars To distribute a specific dollar amount from a specified fund position with this account number or you may choose all fundpositions be distributed. Shares To distribute a specific number of shares from a specified fund position with this account number or you may choose allfund positions be distributed.
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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