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  • Transaction Routing Form - Midamerica

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403(b) Retirement Savings Plan DATE STAMP 402 S. Kentucky Ave., Suite 500, Lakeland, FL 33801 866.873.4240 / (FAX) 863.688.4466 www.midamerica.biz Questions? Call our Service Center at 1-866-873-4240.

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How to fill out the Transaction Routing Form - MidAmerica online

Completing the Transaction Routing Form - MidAmerica is essential for facilitating various requests related to your retirement savings plan. This guide provides a step-by-step walkthrough to help you accurately fill out the form online.

Follow the steps to complete the form effectively.

  1. Press the ‘Get Form’ button to access the Transaction Routing Form - MidAmerica and open it in your preferred editor.
  2. Begin by filling in the 'Employee Data' section. Ensure to complete all required fields including employer name, your full name, social security number, date of birth, address (street or PO Box), daytime and evening phone numbers, email address, and agent details.
  3. Proceed to the 'Transaction Information' section. Select the appropriate transaction type from the options provided such as 403(b) contract exchange, loan request, or distribution request. Follow any specific instructions related to the transaction type you've selected.
  4. If you selected a loan request, fill out the specific details including account type, investment provider, requested loan amount, and repayment time. Indicate if you have any existing loans and provide relevant loan provider names.
  5. In the distribution request area, indicate the type of distribution you are applying for and complete any required fields that accompany this request. This may include substantiation documentation for financial hardship or confirmation of age.
  6. In the 'Special Instructions' section, you may include any important notes that pertain to your request. Ensure that these instructions are clearly articulated.
  7. Finally, sign and date the form in the designated areas. Ensure that all required paperwork from your investment provider is included before submission.
  8. Submit the completed Transaction Routing Form along with any necessary additional documents to MidAmerica Administrative & Retirement Solutions, Inc. either by mail or fax as indicated in the instructions.

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