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Laser App Software - Forms

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annuities
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NATIONWIDE FORMS


1035 Exchange Withdrawal Form - VAF-0169
401A Annuity Disclosure Statement - APO-3545-B
403(b) Optional Retirement Plan Disclosure for VAs - APO-1806-2
403(b) Optional Retirement Plan Disclosure for VAs - APO-1806-3 [TX]
457 Rollover Form - APO-5217-A
5 Percent Extra Value Disclosure Statement - VAN-0100 [PA]
5500 Reporting - APO-2165-C
Account Change Request Form - APO-5033
Achiever Application - VAA-0103 [AZ]
Achiever Application - VAA-0103 [CT]
Achiever Application - VAA-0103 [FL]
Achiever Application - VAA-0103 [MA]
Achiever Application - VAA-0103 [MD]
Achiever Application - VAA-0103 [NC]
Achiever Application - VAA-0103 [NH]
Achiever Application - VAA-0103 [NJ]
Achiever Application - VAA-0103 [NY]
Achiever Application - VAA-0103 [OR]
Achiever Application - VAA-0103 [PA]
Achiever Application - VAA-0103 [VT]
Achiever Application - VAA-0103 [WA]
Achiever Application - VAA-0103 [WI]
Achiever Application - VAA-0103-4 [AO]
Achiever Application - VAA-0103-6 [AO]
Achiever Commission Election Form - APO-2724-73
All American Gold Commission Election Form - APO-2724-87-G
Allocation Architect Customer Agreement - VAF-0188AO
Anti-Churning Form - APO-3009
Asset Rebalancing Form - APO-2817
Beneficiary Change Request - APO-5309
Beneficiary Claim Form - AAF-0107AO
Beneficiary Claim Form - AAF-0107M2
Beneficiary Designation - APO-4566-G
Beneficiary Options Form - VAF-0197AO
Best Of America - All American Gold Annuity Application - VAA-0101 [AZ]
Best Of America - All American Gold Annuity Application - VAA-0101 [CT]
Best Of America - All American Gold Annuity Application - VAA-0101 [FL]
Best Of America - All American Gold Annuity Application - VAA-0101 [MA]
Best Of America - All American Gold Annuity Application - VAA-0101 [MD]
Best Of America - All American Gold Annuity Application - VAA-0101 [NC]
Best Of America - All American Gold Annuity Application - VAA-0101 [NH]
Best Of America - All American Gold Annuity Application - VAA-0101 [NJ]
Best of America - All American Gold Annuity Application - VAA-0101 [NY]
Best Of America - All American Gold Annuity Application - VAA-0101 [OR]
Best Of America - All American Gold Annuity Application - VAA-0101 [PA]
Best Of America - All American Gold Annuity Application - VAA-0101 [VT]
Best Of America - All American Gold Annuity Application - VAA-0101 [WA]
Best Of America - All American Gold Annuity Application - VAA-0101 [WI]
Best Of America - All American Gold Annuity Application - VAA-0101-6 [AO]
Best Of America IV Application - APO-3658 [AO]
Best Of America IV Application - APO-3658 [AR]
Best Of America IV Application - APO-3658 [AZ]
Best Of America IV Application - APO-3658 [DC]
Best Of America IV Application - APO-3658 [FL]
Best Of America IV Application - APO-3658 [KY]
Best Of America IV Application - APO-3658 [MD]
Best Of America IV Application - APO-3658 [ME]
Best Of America IV Application - APO-3658 [MN]
Best Of America IV Application - APO-3658 [NC]
Best Of America IV Application - APO-3658 [ND]
Best Of America IV Application - APO-3658 [NJ]
Best Of America IV Application - APO-3658 [NY]
Best Of America IV Application - APO-3658 [OH]
Best Of America IV Application - APO-3658 [OR]
Best Of America IV Application - APO-3658 [PA]
Best Of America IV Application - APO-3658 [SC]
Best Of America IV Application - APO-3658 [SD]
Best Of America IV Application - APO-3658 [TN]
Best Of America IV Application - APO-3658 [TX]
Best Of America IV Application - APO-4486 [OK]
Best Of America IV Commission Election Form - VAF-0119
Best Of America IV Dollar Cost Averaging - APO-1859
Best Of America V Application - APO-3723 [AO]
Best Of America V Application - APO-3723 [AR]
Best Of America V Application - APO-3723 [AZ]
Best Of America V Application - APO-3723 [DC]
Best Of America V Application - APO-3723 [FL]
Best Of America V Application - APO-3723 [ID]
Best Of America V Application - APO-3723 [KY]
Best Of America V Application - APO-3723 [MA]
Best Of America V Application - APO-3723 [MD]
Best Of America V Application - APO-3723 [ME]
Best Of America V Application - APO-3723 [NC]
Best Of America V Application - APO-3723 [ND]
Best Of America V Application - APO-3723 [NJ]
Best Of America V Application - APO-3723 [NM]
Best Of America V Application - APO-3723 [NY]
Best Of America V Application - APO-3723 [OH]
Best Of America V Application - APO-3723 [PA]
Best Of America V Application - APO-3723 [SD]
Best Of America V Application - APO-3723 [TN]
Best Of America V Application - APO-3723 [TX]
Best Of America V Application - APO-3723 [WA]
Best Of America V Dollar Cost Averaging - APO-1859
Contract Owner Withdrawal Request Form - VAF-0168
Definition Of Replacement - APO-3381 [NY]
Dollar Cost Averaging - APO-1859-39J
Dollar Cost Averaging - APO-1859-65
Elite Venue Application - VAA-0105 [AZ]
Elite Venue Application - VAA-0105 [CT]
Elite Venue Application - VAA-0105 [FL]
Elite Venue Application - VAA-0105 [MA]
Elite Venue Application - VAA-0105 [MD]
Elite Venue Application - VAA-0105 [NC]
Elite Venue Application - VAA-0105 [NH]
Elite Venue Application - VAA-0105 [NJ]
Elite Venue Application - VAA-0105 [NY]
Elite Venue Application - VAA-0105 [OR]
Elite Venue Application - VAA-0105 [PA]
Elite Venue Application - VAA-0105 [VT]
Elite Venue Application - VAA-0105 [WA]
Elite Venue Application - VAA-0105 [WI]
Elite Venue Application - VAA-0105-5 [AO]
Extra Value Rider Disclosure - APO-5088
Fixed Products Ratelock Form - APO-5078-D
Fixed Products Systematic Withdrawal Form - FHL-112-S
Fund to Fund Exchange Authorization - APO-2428
Future II - Commission Election Form - APO-2724-74
Future II Application - VAA-0102 [AZ]
Future II Application - VAA-0102 [CT]
Future II Application - VAA-0102 [FL]
Future II Application - VAA-0102 [MA]
Future II Application - VAA-0102 [MD]
Future II Application - VAA-0102 [NC]
Future II Application - VAA-0102 [NH]
Future II Application - VAA-0102 [NJ]
Future II Application - VAA-0102 [NY]
Future II Application - VAA-0102 [OR]
Future II Application - VAA-0102 [PA]
Future II Application - VAA-0102 [VT]
Future II Application - VAA-0102 [WA]
Future II Application - VAA-0102 [WI]
Future II Application - VAA-0102-5 [AO]
Householding of Additional Purchase Payment Credits - VAF-0211AO
Individual Investment Product Form D14-11880 - APO-3009-A
Investment Advisor Election Form - APO-5118
Marketflex - Dynamic Advantage Program Election - VAF-0157AO
Marketflex Application - VAA-0108 [AO]
Marketflex Application - VAA-0108 [AZ]
Marketflex Application - VAA-0108 [NC]
Marketflex Application - VAA-0108 [NJ]
Marketflex Application - VAA-0108 [NY]
Marketflex Application - VAA-0108 [OR]
Marketflex Application - VAA-0108 [PR]
Marketflex Application - VAA-0108 [TX]
Marketflex Application - VAA-0108 [UT]
Marketflex Checking-Saving Account Draft Request - APO-1869
Marketflex Optional Rider Form - APO-5073-30 [NJ]
Marketflex Optional Rider Form - APO-5073-32 [NY]
Marketflex Optional Rider Form - APO-5073-37 [OR]
Marketflex Optional Rider Form - VAO-0100 [TX]
Marketflex Optional Rider Form - VAO-0100AO [AO]
Nationwide ADV - APO-5956
Nationwide Allocation Architect Election Form - APO-5961
Nationwide Custom Portfolio - VAF-0204AO
Non-Qualified Contract With Non-Natural Owner - APO-2859
NW Annuity Internal Exchange Disclosure - APO-5197-D
Owner Change Request - APO-5310
Purchase Payments - APO-6268
Qualified Plans Submission Report - APO-2086-12A
Regulation 60 - APO-4241 [NY]
Replacement Form - APO-4860-1C
Replacement Form - APO-4888-D
Replacement Form - L-4319 [IL-ID-NC-SC-TN]
Replacement Form - L-4322 [MA]
Replacement Form - L-4323 [NV]
Replacement Form - L-4325 [IN]
Replacement Form - L-4326 [NE-NM-MD-OH]
Replacement Form - L-4327 [WI]
Replacement Form - L-4329 [WA]
Replacement Form - L-4330 [VA]
Replacement Form - L-4332 [UT]
Replacement Form - L-4334 [SD]
Replacement Form - L-4337 [MI]
Replacement Form - L-4340 [MO]
Replacement Form - L-4342-A [PR]
Replacement Form - L-4344 [GA]
Replacement Form - L-4347 [OK]
Replacement Form - L-4348-A [PA]
Replacement Form - L-4353 [MN]
Replacement Form - L-4753-A [KS]
Replacement Form - L4320-A [AR]
Replacement Form - L4321 [FL]
Replacement Form - L4331 [DE]
Replacement Form - L4345-B [KS]
Replacement Form - L4351 [CA]
Required Minimum Distribution Request Form - APO-1222
Right to Cancel Allocation of Premium Election - VAF-0140 [CA]
Scheduled Withdrawal and L-Inc Administrative Form - VAF-0186
Scheduled Withdrawal Form - VAF-0213AO
Senior Sales Practices Statute - Nfm-0932AO [CA]
Spousal Protection Annuity Option Request - APO-4793
Spousal Protection Instructions - APO-4794-1A
Transfer Of Assets - APO-1868-17
Variable Annuity Service Form - APO-5384