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Withdrawal Request - John Hancock Financial

IntroductionInstructionsUse this form to Request either a full surrender or a partial Withdrawal from your nonqualified or IRA annuity contract. Please use form number 130701, if your annuity is a section 403(b) contract, or if it is held as part of a qualified retirement plan under section 401, an annuity plan under section 403(a), or an eligible deferred compensation plan under section 457(b). (All section references are to the Internal Revenue Code.)IMPORTANT: We recommend that you review your variable annuity contract and/or prospectus with your Financial advisor for further details regarding the impact of about this form ? 1-800-344-1029 Contact us: 7 FAX 1-617-663-3160 8 See the end of this document for return instructionsBe advised that taking withdrawals reduces your contract value and may adversely affect your contract s guaranteed benefits. Withdrawals also have tax consequences. Withdrawals from a variable annuity product with a Guaranteed Minimum Withdrawal Benefit may reduce that benefit: For AnnuityNote products, any unscheduled Withdrawal may reduce or eliminate the Lifetime Income Amount.

Use this form to request either a full surrender or a partial withdrawal from your . nonqualified or IRA annuity contract. Please use form number 130701, if your annuity is a section 403(b) contract, or if it is held as part of a qualified retirement

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