Nmi settlement fund 2026

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The document is an authorization form for the NMI Settlement Fund, allowing an applicant to request a refund of contributions or a lump sum death benefit. It includes sections for direct deposit information, a release of liability for the fund, and acknowledgment by a notary public or fund staff. The form requires the applicant's signature and date.

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Click ‘Get Form’ to open the NMI Settlement Fund document in the editor.
Begin by entering your name in the designated field at the top of the form. This identifies you as the applicant.
In the authorization section, specify how you would like your refund disbursed. Choose between direct deposit to a savings or checking account and provide the necessary account details, including Account Number and Bank Routing Number.
If opting for a savings account, attach a copy of your savings statement or passbook. For checking accounts, include a pre-printed deposit ticket or a copy of a check.
Sign and date the application at the bottom to validate your request. Ensure that all information is accurate before submission.
If required, have your signature acknowledged by a notary public or fund staff member, completing any additional fields as necessary.

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