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Get Security Benefits 32-77944-13 2012

Er ________________________________________ ________________ Title Date (mm/dd/yyyy) 6. Required Minimum Distribution (if applicable) Only complete this section if you must satisfy your Required Minimum Distribution (“RMD”) prior to transferring/rolling your funds. The RMD must be completed by Security Benefit prior to requesting this transfer of funds. Generally this is required if you are age 70½ or older this year and are unemployed. Please consult your financial representative. Please.

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