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Get Millennium Trust Company IRA Distribution Request 2012

:  Total distribution of my entire account and close account. (Section C1 must be completed.)  Partial distribution of $  Systematic Payment (Please complete Section D.) Please note: If funds are not available at the time of systematic distribution, your check or ACH will not be issued as scheduled. 1. List: (e.g. name of asset, number of shares, Investment Account # (Futures, Forex, Brokerage, etc.), indicate if the asset should be sold or re-registered.) Please Note: Cash inves.

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