Follow the steps to complete your Nassau Life OL4369 form online.

1. Click the ‘Get Form’ button to obtain the Nassau Life OL4369 form and open it in your online editor.
2. Begin with Section A for account information. Enter your policy or contract number, print the insured or annuitant's full name, and provide a daytime telephone number. If applicable, enter your advisor's telephone number.
3. Proceed to Section B for your payment method. Select either the penalty-free amount or specify an amount. For variable products, indicate the specific investment options and amounts if you want to withdraw from specific areas.
4. In Section C, acknowledge that you have filled out and submitted the Federal/State Income Tax Withholding Election form (OL4753) alongside this form.
5. For Section D, if applicable, confirm your eligibility for withdrawals as per the Internal Revenue Code for tax-sheltered annuities. Check the appropriate box indicating your reason for the withdrawal.
6. Move to Section E, where you will complete the signature requirements. This includes printing your full name and providing dates for your signatures as required based on ownership (individual, joint, trust, or entity).
7. Once all sections are completed, review the form for any errors or missing information before saving your changes.
8. Finally, you can save the completed form, download it for your records, print it for submission, or share it as needed.

Complete your Nassau Life OL4369 form online for a seamless submission process.