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SSN: XXX-XX-1234 Name: DOE, JOHN DOB: 01/01/1975
Plan Number: 565011 Plan: ABC RETIREMENT SAVINGS PLAN 1

Loan Request

Marital Status Single
This Plan requires spousal consent. If the participant is married, paperwork is required for this transaction.
Loan Type: General
Loan Amount: $5,000.00
Loan First Repayment Date (mm/dd/yyyy):
Semi-Monthly Payment Amount: $210.37
Interest Rate: 5.8500%
Loan Repayment Period: 12 months
Loan Payment Frequency: Semi-Monthly
Distribution Method: Normal Mail

Delivery Options

  Check here to send all payments by expedited delivery for an additional fee of $50.00
Check
   Send this distribution check payable to the participant to the address below.
Check here for Foreign Address
* Address
 
 
* City
* State
* Zip Code
Country

ACH

The participant would like to have their withdrawal directly deposited into their account in 2 to 3 business days. Below is the participant's account information.

Account Type Checking
Routing Number 565011789
Account Number achtest1234

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Send to Participant Actions:
Send Distribution Forms to Participant
Send via US mail
Send via fax
Send via Participant Website
Participant's Preference for Distribution Forms:
Send via US mail