Follow the steps to fill out the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out your policy or certificate number in the designated field. Ensure that this information is accurate to avoid any processing delays.
3. Next, provide the full name of the insured or annuitant in the appropriate section. This identifies the person covered by the policy.
4. In the owner section, enter the full name of the person who owns the policy. Include a phone number to allow for any necessary follow-up.
5. Select the type of full surrender request you wish to pursue. You can choose to terminate your policy/certificate, or indicate that you have lost your policy/certificate.
6. Decide on federal income tax withholding. Indicate whether you want federal income tax withheld from the taxable portion of your annuity withdrawal or policy surrender value.
7. Before signing, read the IRS statement provided to understand how the financial transaction may affect your tax responsibilities.
8. Both the insured or annuitant and the owner need to sign and date the form where indicated. If applicable, the assignee and spouse should also provide their signatures.
9. Finally, review the completed form for accuracy. Once satisfied, you can save changes, download, print, or share the completed form as needed.

Take action now by completing the Western Reserve Life Annuity Distribution Form online for a smoother withdrawal process.