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Get Lincoln GLC-01363 2017-2024

____________________________________ Checking Account Number:___________________________________________________________________________ (BENEFITS MAY BE DELAYED IF CLAIM FORM IS NOT FULLY COMPLETED) Please sign this page and the authorization on page two of this form to avoid delays in processing (PLEASE see FRAUD NOTICES attached) Lincoln Financial Group is the marketing name for Lincoln National Corporation and its affiliates. GLC-01363 Page 1 of 6 5/17 Authorization For Release Of.

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