Form 2781 - Request To Transfer Met Educational Benefits - 2007

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Contract Number
Michigan Department of Treasury
2781 (Rev. 11-07)
Request to Transfer MET Educational Benefits
Issued under Public Act 316 of 1986. Filing is mandatory.
The person(s) requesting the transfer and the new beneficiary to whom the contract is proposed to be transferred to (or
the parent or guardian of the new beneficiary if the new beneficiary is a minor) certifies that no payment has been or will
be made to anyone (except for payment to MET, if any) for the transfer of educational benefits.
ORIGINAL BENEFICIARY
*Original Beneficiary Name
Relationship Between Original Beneficiary and New Beneficiary
Street Address
Beneficiary's Social Security Number
City, State, ZIP Code
No. of Years of Educational Benefits Purchased
Work Telephone
Home Telephone
(
)
(
)
Age at the Time of Transfer
Grade as of December 1, 2007 (if applicable)
*Original beneficiary must be at least 18 years of age. If you are not 18 years of age, attach a copy of your high school
diploma.
NEW BENEFICIARY
New Beneficiary Name
*Year (or Expected Year) of High School Graduation
Street Address
New Beneficiary's Existing MET Contract No. (if applicable)
City, State, ZIP Code
New Beneficiary's Social Security Number
No. of Years of Educational Benefits
Work Phone
Home Phone
Requesting to Be Transferred
(
)
(
)
Age at the Time of Transfer
Date of Birth
Grade as of December 1, 2007
*If the educational benefits will be transferred to an older student, an additional charge is required. This fee may be
waived if the new Beneficiary is willing to accept less than fifteen years to completely use educational benefits. Please
initial this box if the new Beneficiary is willing to accept the original Beneficiary’s high school graduation year as the
year they are eligible to use benefits.
A $25.00 processing fee is required when transferring educational benefits. Checks should be made payable to the
Michigan Education Trust and enclosed with this completed form.
THE BENEFICIARY AND NEW BENEFICIARY MUST SIGN ON THE REVERSE SIDE. ALL
SIGNATURES MUST BE NOTARIZED. PLEASE ALLOW 4-6 WEEKS TO PROCESS THE TRANSFER.
MAIL TO:
Michigan Education Trust
P.O. Box 30198
Lansing, Michigan 48909

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