Step 2 – Determine requirements for your request:

• If any of the items on the following list apply to your policy, please complete the Cancellation and Disbursement Request form (Non-New York) or (New York) paying special attention to the definitions and instructions on page 4.

• • • Collateral Assignment
    • Trust Owned
    • Corporate Owned
    • Partnership
    • Limited Partnership
    • Limited Liability Partnership
    • Sole Proprietorship
    • Guardianship/Conservatorship
    • Power of Attorney
    • Requesting Dividend Withdrawal amount of $50,000.00 or more

• If your policy is owned by an individual, you are requesting a dividend withdrawal of less than $50,000.00 and none of the above conditions apply, you may request the dividend withdrawal in any one of the following ways:

1. Contact our Customer Service Center to request a dividend withdrawal by phone
2. You may submit a signed written request. Please make sure your request indicates your desired income tax withholding and mailing instructions (if other than the address on record)
3. You may submit the Cancellation and Disbursement Request form (Non-New York) or (New York)

Step 3 – Submit request

Please use any of these options to send the Cancellation and Disbursement Request form or written requests.

U.S. Mail
American General Life Companies
P.O. Box 4373
Houston, Texas
77210-4373

Overnight Mail
American General Life Companies
2929 Allen Parkway
Houston, Texas
77019-2155

Fax
Fixed
(713) 831-3028
Variable Universal Life
(713) 620-6653

Your request will be processed in the order it is received and typically will be completed within the standard processing time for this type of transaction.

Please check the Policy Loans and Withdrawals FAQs for more details.