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OutgOing rOllOver/transfer/exchange request fixeD/variaBle ...
Use this form to request a rollover, transfer, or exchange from your 403(b), Roth 403(b), 401, 401(k), or Pension plan to another company. Please follow the checklist to avoid delays in processing your request. A distribution is a tax reportable event that may not be reversed. RETURN COMPLETED FORMS Section 1: CONTRACT OWNER INFORMATION
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