MMA ANNUITY FORMS
Annuity Withdrawal Request Form [Multi-State] - 2060271
Application for Hardship Withdrawal [Multi-State] - 2050156
Assignment-Transfer of Ownership (1035 exchange) [Multi-State] - 2080014
Beneficiary Change Form [Multi-State] - 2020098
Buyers Guide (Deferred-SureRate only) [AZ-DE-IA-OH] - 2040054
Buyers Guide (Deferred-SureRate only) [CO-MD-WA] - 2060527
Comparative Information [AZ-FL] - 2010166
Deferred Application [CO-IA-MD-VA] - 2070319
Deferred Application [FL] - 2080036
Deferred Application [IL] - 2070112
Deferred Application [KS-OH] - 2070276
Deferred Application [Multi-State] - 2070112
Deferred Application [OR] - 2060558
Deferred Application [PA] - 2080213
Disclosure for Medi-Cal [CA] - 2060489
Disclosure to Seniors [CA] - 2030587
Guaranty Association Notice [CA] - 2070639
Guaranty Association Notice [CO] - 2010406
Guaranty Association Notice [ID] - 2070631
Guaranty Association Notice [IL] - 2070632
Guaranty Association Notice [IN] - 2070633
Guaranty Association Notice [KS] - 2070634
Guaranty Association Notice [MD] - 2070493
Guaranty Association Notice [MI] - 2070635
Guaranty Association Notice [OH] - 2070636
Guaranty Association Notice [OK] - 2070637
Guaranty Association Notice [SD] - 2030247
How to File a Complaint [CA] - 2050471
Immediate Annuity Commission Selection Form [Multi-State] - 2000127
Immediate Annuity Supplemental Application [OR] - 2085094
Immediate Application [AZ] - 2000020
Immediate Application [DE] - 2060486
Immediate Application [FL] - 2080182
Immediate Application [IA] - 2080181
Immediate Application [Multi-State] - 2000104
Immediate Application [Multi-State] - 2080144
Immediate Application [OH] - 2000106
Immediate Application [OR] - 2000328
Immediate Application [PA] - 2080218
Immediate Application [VA] - 2080215
IRA Rollover Certification and Election [Multi-State] - 940223
Notice of Withholding on Periodic Payments [Multi-State] - 2010636
Notice to Applicants Age 65 or Older [CA] - 2010471
Replacement Notice (external) [AZ] - 2030447
Replacement Notice (external) [CO] - 960043
Replacement Notice (external) [KS] - 2010246
Replacement Notice (external) [PA] - 960010
Replacement Notice (internal) [AZ] - 2030446
Replacement Notice (internal) [KS] - 2010245
Replacement Notice (SureRate only) [PA] - 2030471
Replacement Notice to Replaced Insurer [IL] - 960027
Replacement Notice to Replaced Insurer [OK] - 960039
Replacement Notice [CA-ID] - 960025
Replacement Notice [DE] - 2060295
Replacement Notice [FL] - 960037
Replacement Notice [IA-MD-NE-OH-OR-VA] - 2070091
Replacement Notice [IL] - 2060250
Replacement Notice [IN] - 2010121
Replacement Notice [MN] - 2060019
Replacement Notice [OK] - 960049
Replacement Notice [SD] - 960029
Replacement Notice [WA] - 990366
Request for Automatic Payment Plan [Multi-State] - 930257
Request for Transfer or Conversion to a Roth IRA [Multi-State] - 2080222
Request to Transfer Funds [Multi-State] - 2010607
Sales Materials Used with a Replacement Transaction [Multi-State] - 2050605
Statement of Good Health [Multi-State] - 2000107
Suitability Statement [Multi-State] - 2070098
Suitability Statement [PA] - 2060332
SureRate Application [AZ] - 2020039
SureRate Application [FL] - 2020040
SureRate Application [KS] - 2020044
SureRate Application [Multi-State] - 2010446
SureRate Application [OH] - 2020043
SureRate Application [PA] - 2020369
SureRate Renewal Form [Multi-State] - 2060021
Transfer Authorization for a Certificate of Deposit [Multi-State] - 2020240
Transfer Authorization for a Mutual Fund [Multi-State] - 2020241
