Withdrawals from Annuity Contracts - Allianz Life
This document contains essential information on how to withdraw from your annuity contract with Allianz Life Insurance Company. It provides detailed instructions, tax implications, and important considerations before making any disbursement. Ideal for contract owners looking to understand their options and process.
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How do I fill this out?
To fill out this withdrawal form, start by gathering all necessary contract information, including your contract number and personal details. Ensure you choose the appropriate withdrawal option that suits your needs, whether it's a penalty-free withdrawal or full surrender. Lastly, follow the mailing instructions carefully to ensure your request is processed promptly.

How to fill out the Withdrawals from Annuity Contracts - Allianz Life?
1
Gather necessary information including contract number and personal details.
2
Select the withdrawal option that matches your needs.
3
Complete all required fields on the form accurately.
4
Review the form to ensure all information is correct.
5
Submit the form following the specified instructions.
Who needs the Withdrawals from Annuity Contracts - Allianz Life?
1
Individuals who have bought annuity contracts and wish to make withdrawals.
2
Financial advisors assisting clients with annuity funds.
3
Tax consultants helping clients understand their withdrawal's tax implications.
4
Retirees accessing funds to support living expenses.
5
Owners of joint annuity contracts considering a full or partial surrender.
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What are the instructions for submitting this form?
To submit this form, please ensure you have filled it out completely and accurately. You can send the completed form via mail to Allianz Life Insurance Company of North America, 5701 Golden Hills Drive, Minneapolis, MN 55416-1297. Additionally, you may choose to fax the form to 800.950.1962. Always keep a copy of your submitted form for your records.
What are the important dates for this form in 2024 and 2025?
As of 2024, ensure all withdrawal requests align with the financial calendar, particularly in relation to tax deadlines for IRA and 403(b) distributions. Key dates for the Required Minimum Distributions (RMDs) typically fall by April 1 for those over 72. Review specific contract terms for any unique deadlines in 2025.

What is the purpose of this form?
The Withdrawal Request Form is designed to facilitate disbursements from your Allianz annuity contract. It provides a structured way for contract owners to specify their withdrawal options, ensuring compliance with tax regulations and financial guidelines. Completing this form accurately is crucial for a smooth and efficient withdrawal process.

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

- 1. Annuity Contract Number: The unique identifier for your annuity contract.
- 2. Contract Owner's Full Name: The name of the individual making the withdrawal.
- 3. Tax ID/SS#: The Social Security or Tax Identification Number of the contract owner.
- 4. Daytime Phone Number: A contact number where you can be reached during business hours.
- 5. Withdrawal Option: The selection of the type of withdrawal you are requesting.
What happens if I fail to submit this form?
Failure to submit this form correctly may result in delays or denials of your withdrawal request. It's essential to ensure all fields are accurately filled out and the form is submitted per the outlined instructions.
- Delays in Funds Access: Incomplete or inaccurate forms may cause significant delays in receiving your funds.
- Tax Implications: Errors in the form may lead to unexpected tax liabilities or penalties.
- Denied Requests: Submitting the wrong form or incorrect information could result in your request being denied.
How do I know when to use this form?

- 1. Individual Withdrawals: When individual policy owners intend to take out funds from their contracts.
- 2. Joint Contract Requests: For joint owners needing to request a disbursement.
- 3. Tax-Related Withdrawals: When consulting tax advisors and planning for tax impacts.
Frequently Asked Questions
How do I fill out the Withdrawal Request Form?
Begin by gathering your contract details and selecting the appropriate withdrawal option. Ensure all information is accurate and complete before submission.
Can I edit this PDF on PrintFriendly?
Yes, you can easily edit the PDF using our integrated editor to modify text or add annotations.
What should I do if I have questions about the form?
Contact Allianz Client Services at 800.950.1962 for assistance with any queries regarding the form.
Is there a fee for withdrawing funds from my annuity?
Depending on the terms of your contract, there may be withdrawal or surrender charges. Review your contract for details.
Can I submit this form online?
Currently, all disbursement requests must be made by submitting the form physically or via fax.
What if I need to change my withdrawal amount after submission?
Once submitted, any changes cannot be made to the withdrawal request, so ensure accuracy before sending.
How long does it take to process a withdrawal?
Processing time may vary; please check with Allianz Client Services for specific details.
Can I submit this form if I have a 403(b) contract?
No, if your contract is a 403(b), you must complete the Qualified Disbursement Request Form instead.
What happens if I select the wrong withdrawal option?
Selecting the wrong option may lead to unwanted tax implications or penalties, so review carefully.
Do I need to consult a tax advisor?
Yes, it’s advisable to consult with a tax advisor to fully understand the tax implications of your withdrawal.
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