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Traditional IRA Distribution Request Instructions

IRA-010 09-12 Traditional IRA Distribution Request Instructions To Request a full or partial Distribution of funds, complete a Traditional IRA Distribution Request form. Please submit forms to Millennium Trust by: Mail: Millennium Trust Company Attn: Distribution Department 2001 Spring Road, Suite 700 Oak Brook, IL 60523 E-mail: or FAX: Submission Options Questions? All requests requiring a Signature Guarantee must be received by mail. Section A: Account Information Complete personal information for identification purposes. For name change, please submit legal documentation. For address change, please submit an Address Change Request Form (OPR-009). Section B: Distribution Type Select the reason for Distribution and attach documentation as requested.

IRA-010 09 -12 Traditional IRA Distribution Request Instructions To request a full or partial distribution of funds, complete a Traditional IRA Distribution Request form. Please submit forms to Millennium Trust by:

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