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Systematic Withdrawal
Plan Redemption Option
Instructions
This form is used to:
· Establish a systematic or periodic scheduled redemption from most mutual fund accounts.
· A minimum balance of $5,000 is required to establish.
· Do not use this form to establish the annual Required Minimum Distribution (RMD) for IRA/403B accounts.
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
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.
General Information
· Enter Fund and Account Number to be redeemed.
· Provide specific dollar amount for your selection.
· Enter the date and month this distribution should begin.
· Place a check in the box next to each and every month(s) that the distribution should pay out.
Liquidate to
· Check one the three boxes to identify where the funds should be distributed to: registered account address, direct
deposit 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)
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.
MF23430INS N6-08 1
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.
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.
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).
· Redemption is requested of more than $100,000 per fund and account.
MF23430INS N6-08 2