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Get Valic Rollover Transfer Out Form 2019

To: VALIC Document Control P.O. Box 15648, Amarillo, TX 79105-5648 Call 1-800-448-2542 for assistance. 1. Client Information Name: SSN or Tax ID: Daytime Phone: ( ) Date of Birth: Group Name/Number: 2. ROLLOVER/TRANSFER OUT REQUEST Indicate if you are requesting a Rollover or Transfer by check.

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