Loan Request and Agreement Sample Contracts

LOAN REQUEST AND AGREEMENT SECTION 403(b)/TAX SHELTERED ANNUITY CONTRACT - INSTRUCTIONS
Loan Request and Agreement • January 13th, 2015 • New York

All transactions will be processed upon completion and receipt of this form and any other required document in good order. Good order is defined as receipt of any required information at our Service Center accurately and entirely completed, with any applicable signatures. If this form is not received in good order, including any required Employer, Plan Sponsor, or Third Party Administrator signature, it may be returned to you for correction and re-submission. If additional required documents are not properly executed and received within 30 days of receipt of the initial documentation, the entire submission will be closed and new paperwork will be required. For ERISA Plans only, complete and attach a Spousal Consent form.

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LOAN REQUEST AND AGREEMENT SECTION 403(b)/TAX SHELTERED ANNUITY CONTRACT - INSTRUCTIONS
Loan Request and Agreement • January 13th, 2015 • New York

All transactions will be processed upon completion and receipt of this form and any other required document in good order. Good order is defined as receipt of any required information at our Service Center accurately and entirely completed, with any applicable signatures. If this form is not received in good order, including any required Employer, Plan Sponsor, or Third Party Administrator signature, it may be returned to you for correction and re-submission. If additional required documents are not properly executed and received within 30 days of receipt of the initial documentation, the entire submission will be closed and new paperwork will be required. For ERISA Plans only, complete and attach a Spousal Consent form.

Voya Retirement Insurance and Annuity Company A member of the VoyaTM family of companies Service Center
Loan Request and Agreement • April 9th, 2013

designed specifically for the optional Retirement Program (oRP) for the State university of new York. Voya Retirement Insurance and Annuity Company will be defined as “the Company,” “VRIAC,” “we,” “us” or “our” in this document.

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