John Hancock Annuities - NY Withdrawal Request Form

NY Withdrawal Request Form

Withdrawal Request

pdf

Purpose of this form:

The purpose of this form is to request a one-time withdrawal of assets independent of the Income Plan Program.

Download Instructions:

1. Right-click on the link above

2. Select "File" & "Save As"

3. Select location on your computer and click "Save"

Download. Fill out. Mail back

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John Hancock Annuities are issued by John Hancock Life Insurance Company (U.S.A.), Lansing, MI 48906, which is not licensed in New York. In New York, John Hancock Annuities are issued by John Hancock Life Insurance Company of New York, Valhalla, NY 10595. John Hancock Variable Annuities are distributed by John Hancock Distributors LLC, member FINRA.