American Funds 529 Withdrawal Form - Distribution Request Page 3

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Virginia529
CollegeAmerica
Distribution Request
5
Bank information
This information should be provided only if you wish to have your disbursement sent electronically to your bank. Attach an unsigned, voided check
here. The document you attach must be preprinted with the bank name and registration, routing number and account number. Please do not staple.
John Doe
DATE
Bank account registration
PAY TO THE
$
ORDER OF
DOLLARS
Anytown Bank
Bank name
|: 999999999 |:
0000000000 ||:
Bank routing number
Bank account number
Important information:
A signature guarantee may be required. Read the signature guarantee requirements in Section 6.
The bank information you provide here will be kept on file. You will receive an acknowledgment as confirmation.
You may cancel the ability to redeem shares via ACH at any time in the future.
If you do not want this information retained and available for future distribution requests, check here.
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