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Get Prudential Direct Deposit Authorization Form

E from me stating otherwise and until Prudential has had a reasonable chance to act upon it. If I am unable to complete this form, a duly appointed representative (guardian or attorney) may arrange for my retirement plan checks to be deposited directly into my bank account by completing and signing the form as an authorized representative. The authorized representative must provide Prudential with a copy of the document granting the authority to act in this capacity. Signature X_________________.

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