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Redemption Request
Instructions
This form is used to:
· Redeem any amount from a qualified (IRA) on non-qualified mutual fund account. A medallion signature guarantee may
be required of all owners.
Read and understand the instructions before completing this form.
Important notes:
· If this form is incomplete or not legible when returned, your request may be delayed.
· Once this transaction has been processed, it cannot be reversed.
· Read and understand the entire form and instructions before completing. Questions regarding this form may be directed
to the Customer Interaction Center at: 800-847-4836.
· Monday - Friday 7:00AM 9:00PM Central Time
· Saturday 9:00AM 1:00PM Central Time
· Send completed forms:
Fax to: 866-278-8363 (Requests with a medallion signature guarantee must be sent via mail, a Fax
will not be accepted.)
Or mail to:
Thrivent Investment Management, Inc.
PO Box 219348
Kansas City, MO 64121-9348
· For your own security, do not e-mail the completed forms to Thrivent. E-mailed forms will not be accepted.
· Market close is 3:00PM Central Time. If your request is received in good order prior to 3:00PM Central Time, your
request will be processed at that day's market close. If it's received after 3:00PM Central Time, your request will be
processed at the next business day's market close.
Page 1 Fund/Account Number
· Enter Fund and Account Number(s) to be redeemed.
· Multiple accounts can be identified on one form if the account registration is the same. If account registrations are
different, a new form must be completed.
Page 1 Redemption Choice
· Check only one box to designate your selection: Shares, Dollars, Percentage or Entire Balance.
· Provide specific number of shares, dollar amount or percentage amount for your selection.
Page 1 Is this a Death Distribution
· Check yes or no to indicate if this is a distribution of funds due to death of an existing account owner(s).
· If box is checked "yes", the Beneficiary/Transfer on Death Beneficiary/Death Recipient Information section on page 2
must also be completed.
Page 1 Pay to
· Check one the four boxes to identify where the funds should be distributed to: registered account address, direct deposit
to my financial institution, wired to my financial institution, or other payee.
Registered Account Address
· Checking this box provides instruction to send a check via regular mail to the address on your mutual fund account.
· Regular mail may take 7-10 business days to receive.
· Overnight delivery can be selected at the bottom of the page. (See the Overnight Delivery section below for more
instructions)
MF23433INS N6-08 1
Direct Deposit to my Financial Institution
· Checking this box provides instruction to send funds to a bank account via direct deposit/ACH to the bank
information provided.
· Direct deposit may take 2-4 business days for the funds to arrive in your bank account.
· Check the yes or no box to indicate if you have previously provided Thrivent Mutual Funds with bank information.
· Provide name of the bank account owner(s), name and address of the bank, bank transit/routing and account
number, and indicate if it is a savings or checking account or attach a copy of a voided check or deposit slip with the
form.
· The transit/routing number is a 9 digit number located in the bottom left corner of your check/deposit slip; beginning
with a 0, 1, 2, or 3.
· The next set of numbers listed on the check/deposit slip is your account number.
Wire to my financial institution
· Checking this box provides instruction to send funds to a bank account via federal wire incurring a $15 fee from
Thrivent which will be deducted from your mutual fund account. Note: your financial institution may also have an
additional incoming wire charge.
· The funds will arrive in your bank account the following business day after your redemption request is processed.
· Check the yes or no box to indicate if you have previously provided the Thrivent Mutual Funds with bank information.
· Contact your financial institution for their federal wire instructions and then provide name of the bank account
owner(s), name and address of the bank, bank transit/routing and account number, and indicate if it is a savings or
checking account or attach a copy of a voided check or deposit slip with the form.
Other Payee
· Checking this box provides instruction to send funds to another Thrivent product or to make check payable to another
individual and/or send to a mailing address other than the address of record. Note: a medallion signature guarantee
is required if requesting to make check payable to someone else and/or sending it to another address. Not required if
sending funds to a Thrivent contract.
· Include the contract number if sending funds to a Thrivent product. Include an account number if sending funds to a
financial institution other than a bank.
· If sending to an entity with a contract/account number and if applicable include the "for benefit of" field.
· Overnight delivery can be selected at the bottom of the page. Not applicable if sending funds to Thrivent.
Page 1 Overnight Delivery
· Checking this box provides instruction to send a check via overnight express carrier.
· A fee of $12.50 for Monday-Friday delivery or $20 Saturday delivery will be deducted from your mutual fund account.
· The check will be delivered on the second business day after the redemption request is processed.
· Check the yes or no box to indicate if a signature must be obtained to leave the package. Checking "yes" provides
instruction stating the package will not be delivered if at the time of delivery no one is at the address to sign for it.
MF23433INS N6-08 2
Page 2 Beneficiary/Transfer on Death Beneficiary/Death Distribution Recipient Information
· Check this box if on page 1 you answered yes to the question: "is this a death distribution"?
· Check the appropriate box to indicate if additional death paperwork is included with this form or if it was already sent to
Thrivent for a death claim with another Thrivent product.
· Provide the name, date of birth (if individual), social security number/tax identification number/estate identification
number, and address of who the funds should be distributed to.
· Do not provide the information of the deceased in this section.
Page 2 Notice of withholding on distributions from an IRA or 403(b)
· Only complete if the redemption is from a qualified/IRA account.
· Read the disclaimer and indicate your federal income tax withholding selection.
· Some states have state income tax in addition to federal income tax if federal taxes are withheld.
· Withholding tax is taken from the total distribution amount you requested on the form unless you indicate special
instructions to take withholding over and above.
Page 2 403(b) Redemptions Only
· Only complete if you are redeeming from a 403(b) account.
· Check one of the four boxes indicating the reason for eligible distribution.
· Ensure the TSA 403(b) & Qualified Plan Distribution Disclosure form (9972) has been received unless distribution is due
to financial hardship.
If Hardship has been checked:
· The Financial Hardship Distribution Certification Form (1698-15) must also be completed.
· Form (1698-15) must be signed by both the Employee and the Employer.
· Notify employer to stop any applicable salary reductions as you are not eligible to enter into a new Salary Reduction
Agreement until the first pay period occurring at least 6 months after the date of the hardship distribution.
Page 3 Signatures
· All account owner(s) signatures are required.
· If a Medallion Signature Guarantee stamp is required it can be placed at the bottom of the page.
Note: Medallion Signature Guarantee Required If
· Funds are sent to a bank account in a name other than the mutual fund account owner(s).
· A check is made payable to someone other than the mutual fund account owner(s).
· A check is sent to an address other than the address of record for the mutual fund account owner(s).
· A redemption is requested of more than $100,000 per fund and account.
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