Retirement & Income Solutions Wl MetLife Wire transfer request Use this form to request a wire transfer to your financial institution. Metropolitan Life Insurance Company Metropolitan Tower Life Insurance Company Things to know before you begin ‘= Ifyou have a payment due soon, you may stil receive your next ‘You must complete this entire payment as a check or to the account we have on file form and sign where indicated ‘+ Payments that fall on a weekend or holiday will be issued on the or your request may be provious business day (except January 1st, when the payment delayed, must be issued on the first business day of the month). ‘= If you're making this request as a legally approved third party (Power of Attorney, Guardian, ete.) and we don't already have your information on file, youll need to include documentation to ‘support your authority to request the change. SECTION 1: Annuitant information Firstname Midale name Lest name PEDRO DANIEL VALENCIA Adaress cay State ZIP Postal Code 4777 Privada Antuario #10 | Tijuana BC. | 22564 County Email adress Phone number Mexico FR@OZ@OUTLOOKCOM | +452 664 548 3129 Social Security number (last 4 digits) Date of birth (mm/dd/yy) | Group number(s) 8604 O7/27N995. | 107832 SECTION 2: My account information * Please reference a check, not a deposit sip, to locate checking account numbers. * Ifa savings account is used, please check with your bank for the appropriate routing and account numbers Bank name Bank phone number BANK OF AMERICA (800) 347-3282 City ‘State ZIP/Postal Code | Country CONCORD CA Type of account (check one): ‘Checking Savings Bank account number Bank routing number (must be 9 digits) | Bank SWIFT code 026009593 BOFAUS6SXXX ‘Check this box if you would like all outstanding payments reissued to the bank account above. BACH RIS-ARS-WIRE (11/21) Page 1 of 2SECTION 3: Authorization * [request that payments be wired as instructed on this form. This authorization will remain in effect until a request to change itis received. + Tunderstand that the insurance company will not be liable for any failure to change or terminate this ‘agreement until a complete request is received and reasonable time has passed to make the change. ‘* Ifany payment is credited to my account in error, | authorize and direct my financial institution to debit the ‘account and to refund any such overpayment Name . Social Security number (last 4 digits) Pedro Valencia 8604 Date (mm/dd/yyyy) |__ 8/16/23 SECTION 4: How to Submit this Form Please complete and sign this form and return by: Mai Fax: e Retirement & Income Solutions 1-868-855-2773 ARSdocuments@metiife.com PO Box 14710 Lexington KY 40512-4710 We're here to help You can reach us at 1-800-638-5656, Monday through Friday, 8 a.m. to 9 p.m. Eastern Time. BACH RIS-ARS-WIRE (11/21) Page 2 of 2