How to use or fill out e14622 with our platform
- Click ‘Get Form’ to open e14622 in the editor.
- Begin by selecting the type of request you are making. Options include Policy Loan, Application or Disbursement of Dividends, and Surrender. Each option corresponds to specific sections of the form.
- Fill in the Owner’s Information section. Ensure you provide accurate details such as the policy number, insured's name, and owner's contact information.
- If applicable, complete the Policy Loan section by indicating the amount you wish to borrow and any premium payments due.
- For disbursement requests, specify how you want dividends applied or withdrawn in the relevant section.
- Complete the Tax Withholding section by providing your Taxpayer Identification Number and making any necessary elections regarding tax withholding.
- Finally, ensure all required signatures are provided in the Signatures section before submitting your form.
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