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Premium Deposit Fund (PDF) Account Closing/Withdrawal Form

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Use this form to close an existing PDF account attached to a policy.

Premium Deposit Fund (PDF) Account Closing/Withdrawal Form

Before completing this form, please know:

  • Withdrawals $2,500 and greater will require a notarized signature if not submitted to and signed by your servicing agent. Submissions directly made to a PGL office in person with proof of identification will not require notary.

Complete

Using a blue or black ink pen

Submit in 1 of 3 Ways

Email: [email protected]

Fax: 1 (800) 946-1295

or Mail:
Pacific Guardian Life
Attn: Client Relations Department
1440 Kapiolani Blvd.,
Suite 1700
Honolulu, HI 96814