Edit, Download, and Sign the MassMutual Ascend Withdrawal Surrender Request Form
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How do I fill this out?
Filling out this form requires clarity and accuracy. Make sure to use the spaces provided, avoiding any outside notes. Follow the instructions step-by-step to ensure your request is processed without delay.

How to fill out the MassMutual Ascend Withdrawal Surrender Request Form?
1
Enter your contract number and owner information.
2
Select the type of distribution you are requesting.
3
Provide income tax withholding preferences if applicable.
4
Choose your payment instructions for receiving funds.
5
Sign and submit the form as directed.
Who needs the MassMutual Ascend Withdrawal Surrender Request Form?
1
Annuity contract holders looking to withdraw funds.
2
Individuals facing financial hardship requiring access to funds.
3
Beneficiaries managing payouts from annuity contracts.
4
Financial advisors assisting clients with annuity management.
5
Institutional clients dealing with group retirement plans.
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What are the instructions for submitting this form?
To submit the completed Withdrawal/Surrender Request Form, send it to the appropriate address based on your contract type. For fixed and fixed-indexed annuities, mail to PO Box 5420, Cincinnati, OH 45201. For registered index-linked annuities, send to PO Box 5423, Cincinnati, OH 45201. You can also fax your request to the respective Fax numbers provided on the form. Email notifications will be sent from no-reply@mmascend.com for updates on your request.
What are the important dates for this form in 2024 and 2025?
Important dates for this form include submission deadlines which may vary based on contract terms. Always refer to the contract for specifics on annual reviews and possible penalty-free withdrawal periods. Keeping track of these dates ensures compliance and maximizes your benefits.

What is the purpose of this form?
The purpose of the MassMutual Ascend Withdrawal/Surrender Request Form is to facilitate users in managing their fixed and indexed annuities effectively. This form allows contract owners to request withdrawals, partial surrenders, or complete termination of their annuity contracts. Proper completion and timely submission of this form are crucial for accessing funds and adhering to contractual obligations.

Tell me about this form and its components and fields line-by-line.

- 1. Contract Number: A unique identifier for the annuity contract held by the owner.
- 2. Contract Owner Information: Details about the annuity owner, including name and contact details.
- 3. Distribution Amount: Specification of the amount to be withdrawn or surrendered.
- 4. Payment Instructions: Preferences on how the funds should be paid out to the owner.
- 5. Tax Withholding Selection: Options for how federal and state taxes should be withheld from the distribution.
What happens if I fail to submit this form?
If the Withdrawal/Surrender Request Form is not submitted correctly, the request may be delayed or denied. Inaccurate information can lead to compliance issues, which may adversely affect the access to funds. It's essential to ensure every detail is double-checked before submission.
- Incorrect Information: Submitting inaccurate details can result in processing delays.
- Missing Signature: Failure to sign the document may render the submission invalid.
- Incomplete Fields: Not filling in all required fields could lead to rejection of the request.
How do I know when to use this form?

- 1. Withdrawal of Funds: To request a withdrawal from your annuity contract for immediate financial needs.
- 2. Surrendering an Annuity: To terminate your annuity contract completely and access the total value.
- 3. Adjusting Tax Withholding: To specify how much federal or state tax should be withheld from your distributions.
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