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Om an IRA account for which you intend to seek an exception under IRC 72(t) to the 10% penalty withholding otherwise required from your distributions. Do not use this form to establish required minimum distributions from your account. To assist you in preventing an impermissible modification, your account may be restricted from future purchases until you request that we remove this restriction. Hartford Funds will report these distributions on IRS Form 1099-R to you and the IRS as an early di.

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