Payment must be made by bank check, money order or ...

[Pages:2]BANK OF AMERICA 401(K) PLAN #700957 LOAN PAYMENT FORM

Payment must be made by bank check, money order or certified check. No personal checks or Merrill Lynch CMA? checks will be accepted. Please see the following page for additional information. Please print:

NAME ____________________________________________________________________________

SOCIAL SECURITY NUMBER _______________________________________________________

STREET ADDRESS _________________________________________________________________

CITY ____________________________ STATE ____________________ ZIP __________________

COUNTRY _______________________ PHONE NUMBER _______________________

Please check one:

I am submitting my re-amortized monthly 401(k) loan payment because payroll deduction is not available to me due to my employment status (e.g., leave of absence, international assignment or receiving long-term disability benefits).

I am submitting my 401(k) loan payment to make up for a missed deduction.

I have enclosed a payment for my total remaining 401(k) loan amount. (Please note: to verify the amount of your outstanding balance, contact the Bank of America Employee Retirement Savings

Center at 800.637.4015 or 609.818.8817 or go to Benefits OnLine benefits. and select the Bank of America 401(k) Plan, then click on "Loans" in the menu bar at the top of the page.)

Unless you are paying off your total outstanding loan balance, your payment amount must be equal to or a multiple of the loan repayment amount on your loan amortization schedule.

Loan Number* Loan Number*

Payment amount $ Payment amount $

To find your loan number, please go to Benefits OnLine (benefits. and select the Bank of America 401(k) Plan, then click on "Loans" in the menu bar at the top of the page.)

Signature ___________________________________ Date __________________________

IMPORTANT REMINDERS:

? Make your bank check, money order or certified check payable to Bank of America 401(k) Plan. ? Unless you are paying off your total outstanding loan balance, your payment amount must be equal to or a

multiple of the loan repayment amount on your loan amortization schedule.

? Include your Social Security number in the memo section of your bank check, money order or certified check.

? Please ensure that your signature is on this form and that your bank check, money order or certified check is properly signed by your financial institution. Please do not endorse your check(s).

? Your bank check, money order or certified check must be payable in U.S. dollars and be drawn on a U.S. bank or a bank with branches in the U.S. and its territories.

? Keep a copy of this completed form for your records. ? Mail this form along with your bank check, money order or certified check to:

Merrill Lynch Retirement & Benefit Plan Services 1400 American Blvd. Mail Stop NJ2-140-03-50 Pennington, NJ 08534

? Your loan payment will be invested according to your investment directions for future contributions to your 401(k) account.

For additional information regarding this form or your 401(k) loan, call 1.800.637.4015. Outside the United States, please call 609.818.8817 collect.

?2016 Bank of America Corporation. All rights reserved.

700957LRF 04-25-2016

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