Senior Capital Credit Retirement

MVEC complies with the Federal Trade Commission’s Red Flag rule, which helps detect, prevent and mitigate damage caused by identity theft. MVEC reserves the right to ask questions to help validate the identity of an account holder when changes to an account are requested by phone or in person.

MVEC Member Information

First Name

Last Name

Phone

Birth Date

MVEC Capital Credit Number

Last four numbers of member's Social Security Number

Your Address

Street Address

City

State Abbreviation

Zip Code

Payment Information

Please check your choice of payment:

YES - I am 70 years old or older. I would like to receive my Capital Credits early in the form of a lump sum. I understand the amount will be discounted. (A copy of your driver's license or birth certificate must accompany this application.)NO - I have decided to continue to receive my Capital Credits on the schedule of pay out determined by the Board of Directors of MVEC.

The following applies only if you are a current member of MVEC. If this section is not checked, the decision will default to "yes."

YES - continue to pay any future Capital Credits at the discounted amount, when authorized by the MVEC Board of Directors.NO - do not pay future years. I wish to reapply at a later date.

Uploads & Date

Please scan or photograph and attach some proof of your age, such as a driver's license or birth certificate.
Upload driver's license

Capital Credit disbursement requires a W-9 form. You can go to the IRS website and fill out this online W-9 form. Save the filled-out form as a PDF or JPG to your computer desktop and upload it in the field below.
Upload W-9 form

MVEC is required to report any Capital Credit payment over $600 to you and the IRS. Please consult with your tax advisor to determine your tax liability.

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