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  • Partial Withdrawal Form - Se2

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Partial Withdrawal Form Protective Life Insurance Company (PLICO/the Company) Insurance Services PO Box 758557 Topeka, KS 666758557 18004579047 Fax to: 7852284539 Contract Number Owner SSN/TIN Owner.

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How to fill out the Partial Withdrawal Form - SE2 online

Filling out the Partial Withdrawal Form - SE2 online can be an important step for users looking to manage their insurance withdrawals effectively. This guide provides clear, step-by-step instructions to help ensure the form is completed accurately and efficiently.

Follow the steps to complete your Partial Withdrawal Form - SE2 online.

  1. Click the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
  2. Complete the owner information section, including the contract number, owner SSN/TIN, owner name, annuitant name, and daytime phone number. Ensure that all details are accurate and clearly legible.
  3. In Section 1, choose the withdrawal option by selecting either 'Partial cash withdrawal to owner and/or annuitant' or 'Partial transfer/rollover to another carrier'. Enter the withdrawal amount, keeping in mind the minimum of $500.00 or select the available options for annual free amounts.
  4. Indicate the type of withdrawal as either 'Gross Withdrawal' or 'Net Withdrawal'. Make sure to understand the implications of each option, particularly regarding tax withholding.
  5. Move to Section 2 and state how funds are to be withdrawn. Choose between prorata (proportionate) or specify the individual funds with corresponding percentages or dollar amounts that total 100%.
  6. If applicable, fill out Section 3 for any asset transfers to another carrier, including both the current account type and the new account type at the accepting carrier.
  7. Complete Section 4 by selecting the reason for distribution, applicable to qualified contracts only. Ensure you have the appropriate certifications for financial hardship if selected.
  8. Fill out Section 5 regarding Required Minimum Distribution (RMD) if eligible. Follow the instructions regarding the distribution year and withholding options.
  9. In Section 6, specify your tax withholding preferences. Choose one of the options regarding federal income tax withholding and provide any necessary specifics.
  10. In Section 7, select your preferred method for receiving the amount. Fill out the required information if you choose Electronic Funds Transfer or Wire Transfer.
  11. If you have any special instructions, complete Section 8 with necessary details.
  12. Lastly, ensure all necessary signatures are provided in Section 9. This includes the owner, joint owner (if applicable), participant, plan administrator, and any required consents.
  13. Review all sections for accuracy and completeness. After ensuring everything is in order, save changes, download, print, or share the form as needed.

Begin filling out your Partial Withdrawal Form - SE2 online today for a smoother experience!

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We will only accept responsibility for forms that are faxed, e-mailed, or mailed in ance with the above instructions. Fax this form to: 1-413-226-4054 Retain this original and the fax machine's confirmation statement for your files.

Mailing Address: Overnight Address: MassMutual MassMutual Annuity Service Center Hub Annuity Service Center Hub PO Box 9067 1295 State Street Springfield MA 01102-9067 Springfield, MA 01111-0001 Use this form to submit an additional payment for IRA Questions: (800) 272-2216 and Non-Qualified contracts only.

Failure to repay your loan will be considered a distribution on the unpaid balance and you will owe taxes (at your marginal income tax rate). If you are younger than age 59-1/2, you will also owe a 10 percent early withdrawal penalty on the amount you have not paid back.

Withdrawals are taken proportionally from your contract value in your selected investment choices. Minimum withdrawal amount is $100. Remaining contract balance: Evolution must be at least $2,000; Transitions Select must be at least $2,000. Withdrawals may be subject to a contingent deferred sales charge (CDSC).

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