I would like to rollover $ or % of my vested balance to another qualified retirement plan.
I would like to rollover $ blanks or % of my vested balance to an IRA.
Please issue a distribution paid directly to me equal to $ Gross Amount Net Amount or % of my vested balance. I understand that there is a $50.00 processing fee for distributions.
By electing a Direct Deposit (ACH) and by signing below, I hereby authorize ASC TRUST LLC 1.) to initiate credit entries to the depository financial institution named above 2.) to initiate debit entries to adjust for processing errors. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law.