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- Click ‘Get Form’ to open the Midland National Partial Surrender Request form in the editor.
- Begin by filling out the Account Information section. Enter your Contract Number, Contract Owner's name (First Name, Middle Initial, Last Name), and if applicable, the Joint Owner's name. Ensure that you provide a complete mailing address including street, city, state, and zip code.
- In the Partial Surrender Information section, select either '10% Penalty-Free Withdrawal' or specify another amount for withdrawal. Make sure to enter the net amount clearly.
- For Method of Payment, choose how you would like to receive your funds. You can opt for regular mail or specify alternate payment options such as overnight delivery or Electronic Funds Transfer. Fill in all required details accurately.
- Complete the Election of Withholding section by indicating whether you want Federal/State income taxes withheld from your payment. Provide your Taxpayer Identification Number (TIN) and ensure all signatures are completed where necessary.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2005 | 4.9 Satisfied (41 Votes) |
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