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  • Pacific Life W50006 2019

Get Pacific Life W50006 2019

M All Overnight Deliveries: 6750 Mercy Rd, 4th Floor, RSD Omaha, NE 68106 Financial Professionals: (800) 722-2333 CONTACT INFORMATION (for New York only) Pacific Life & Annuity Company P.O. Box 2829 Omaha, NE 68103-2829 Phone: (800) 748-6907 Fax: (800) 586-0096 Web Site: www.PacificLife.com All pages of this form must be returned. Print clearly in dark ink and avoid highlighting. Use this form to request a one-time withdrawal from your fixed annuity contract or to request preauthorized withdr.

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How to fill out the Pacific Life W50006 online

Filling out the Pacific Life W50006 form online can seem daunting, but this guide will provide clear, supportive instructions tailored for users of all experience levels. Whether you are requesting a one-time withdrawal or setting up preauthorized withdrawals, our step-by-step breakdown will help you navigate each section with ease.

Follow the steps to successfully complete the withdrawal request form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. In the General Information section, clearly print the owner’s name, daytime telephone number, and annuity contract number if known.
  3. For a one-time withdrawal, indicate the selected amount in the One-Time Withdrawal section, choosing your preferred option, such as withdrawing the maximum amount or a specific dollar amount. Remember the minimum withdrawal amount is $500.
  4. If requesting preauthorized withdrawals, complete the relevant section by selecting a withdrawal option and specifying the frequency, start date, and duration of the withdrawals. Make sure to define the amount or percentage as required.
  5. Complete the Income Tax Withholding section, selecting if you want taxes withheld and the specific percentage if applicable. If no choice is made, the default tax withholding will apply.
  6. Fill out the Check Amount section to specify if you want either a gross or net amount processed, noting that net is not applicable for full surrenders.
  7. If applicable, mark the Disability section to assert the withdrawal is due to a disability and include a Disability Certification form signed by a physician.
  8. In the Alternate Delivery/Payee Instructions section, indicate if the check should be made to an alternative payee or mailed to a different address, if necessary.
  9. For Electronic Funds Transfers (EFTs), provide the necessary banking information and attach a voided check or deposit slip.
  10. If filling out for a TSA/403(b) contract, ensure the employer or third-party administrator signs the authorization section.
  11. Finally, sign and date the bottom of the form, ensuring that if there are joint owners, both must sign. Any required signatures for amounts over $250,000 or for checks to alternate addresses must be original.
  12. Once completed, review all sections for accuracy, save changes, and prepare to submit the form as required.

Complete your withdrawal request form online today to ensure timely processing.

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