Transcription of Withdrawal Request Form - MassMutual
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Withdrawal Request Form - MassMutual
Withdrawal Request Form403(b) Notary RequiredUse this form if you want to Request from your plan account: a cash payment a direct rollover of your vested account to another eligible retirement plan or IRA Withdrawal of rollover monies, if the plan permits transfer to purchase Permissive Service Credit under a governmental defined benefit plan, if the plan permits direct payment of Qualified Health Insurance Premiums, if the plan permits Do not use this form if you want to Request : your required minimum distribution (RMD) (use the Required Minimum Distribution Request Form.)
403(b) Notary Required. Use this form if you want to request from your plan account: • a cash payment • a direct rollover of your vested account to another eligible retirement plan or IRA • withdrawal of rollover monies, if the plan permits
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