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29 0309, Direct Deposit EnrollmentChange 2013
For the
purpose of depositing directly into the account stated in Item 10, any and all Government Life Insurance payments that I am entitled to
receive from all insurance policies under the insurance file number shown in Item 2.
5. SIGNATURE
6. DATE
SECTION II - PLEASE ATTACH A VOIDED PERSONAL CHECK. IF YOU DO, SKIP ITEMS 7-10. IF YOU DO NOT
HAVE A CHECKING ACCOUNT, CONTACT YOUR BANK FOR HELP IN COMPLETING ITEMS 7-10.
NOTE: PLEASE PROVIDE A COPY OF THE POWER OF ATTORNEY IF YOU HAVE NOT...
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