Loan Number General Purpose Loan

[Pages:2]1. Participant Identification

Please Print

Loan Payoff Form

R.T.G. Furniture Corp. & Affiliates 401(k) Plan #201300

Social Security Number ( required )

Name: ___________________________________________________________________________________________________________

Last

First

MI.

Street Address: _________________________________________________________________________________

City:________________________________________________________State: ________________ Zip: _______________________ E Mail Address: : ____________________________________ Date_________________ ________________________________

2. Loan Details

The amount you enter in the Loan Payoff field must equal your total loan payoff amount. You must also provide the Loan Number that you are paying

off, and the type of Loan ( General Purpose or Principal Residence ). The answers to these questions can be found on the Merrill Lynch Benefits

Online? Website at benefits., under loans, then select loan inquiry.

Residential Loan

$

Loan Payoff or Repayment Amount

Loan Number

General Purpose Loan

Check One box above for your loan type

Please note that this payoff amount will be applied to principal only and that any amount that exceeds the required amount to satisfy this loan will be returned to you at the above address. If the amount does not satisfy the required loan payoff amount, this payment will be returned to you at the above address.

3. Check Preparation and Form Completion Instructions

Personal Checks WILL NOT be accepted as form of payment. Please submit a certified bank check, or money order only.

? Merrill Lynch & Co., Inc and it's subsidiaries, may not accept money orders in excess of an aggregate of $5,000 per participant. Please note, this is a lifetime limit.

? Make your certified bank check or money order payable to: "The Trustee of "R.T.G. Furniture Corp. & Affiliates 401(k) Plan #201300".

? Enter your Social Security Number ( all 9 digits ) in the memo section of your check or money order.

4. Mailing Instructions

? Make a copy of this signed form, and your certified bank check or money order before you place it in the envelope. ? Mail the signed certified bank check or money order and completed form to:

Retirement & Benefit Plan Services 1400 American Blvd., Mail-Stop NJ2-140-03-50

Pennington, NJ 08534

? If you have any questions with completing this form, please contact the Merrill Lynch Retirement Service Center at 1-800-228-4015.

5. Participant Signature

I acknowledge that this deposit is being made in accordance with the provisions of the plan. I further acknowledge that I have read the prospectuses for the mutual funds and that this deposit will be invested in accordance with the terms and conditions specified therein.

Participant's Signature ______________________________________________________________ Date ___________________________________

Office Use Only

Date Received by Merrill Lynch ___________________________________________

Merrill Lynch makes available products and services offered by Merrill Lynch, Pierce, Fenner & Smith Incorporated ("MLPF&S") and other affiliates of Bank of America Corporation ("BofA Corp"). MLPF&S is a registered broker-dealer and member SIPC. Banking products and services may be provided by Bank of America, N.A., and affiliated banks, members FDIC. Bank of America, N.A., and MLPF&S are wholly owned affiliates of BofA Corp.

Investment Products:

Are Not FDIC Insured

Are Not Bank Guaranteed

May Lose Value

?2019 Bank of America Corporation. All rights reserved.

201300lpf 01/03/2019aj

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download