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Request for Full or Partial Surrender Form - Americo

Request for Full or Partial Surrender Form - Americo

www.americo.com

Reason for Surrender (Required for 403b plans) Please select only one reason. 59½ Separation From Service Disability Financial Hardship Withdrawal: Also complete the 403B Financial Hardship form (Page 3). Request for 10% Penalty Free Partial Surrender/Transfer (Annuity and 457 Plans Only)

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42 Broadway SURRENDER FORM nyc.gov/consumers

42 Broadway SURRENDER FORM nyc.gov/consumers

www1.nyc.gov

SURRENDER FORM If you currently hold a Horse Drawn Cab license issued by the Department of Consumer Affairs (DCA) and would like to surrender it for a refund and/or request a transfer of your

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Life Insurance : Max Life Insurance Company in India 2021

Life Insurance : Max Life Insurance Company in India 2021

www.maxlifeinsurance.com

Policy Surrender Form INSURANCE PLEASE FILL THE FORM IN CAPITAL LETTERS Policyholder's Name. Policy No. Mobile No. Nationality: Indian Foreign National p 10 NRI E-mail ID. I accept to receive all further communication from Max Life Insurance through E-mail ID on y (strike if you wish tocontinue with hard copy).

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SURRENDER FORM - Southwest Metro Animal Rescue

SURRENDER FORM - Southwest Metro Animal Rescue

www.swmetroanimalrescue.org

surrender form surrender form to be completed prior to exam return to: southwest metro animal rescue and adoption society p.o. box 493 chaska, minnesota 55318 952-368 paws (7297) personal information date_____name_____

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