JACKSON NATIONAL FORMS
Annuity Benefit Form - X0250 [CA]
Annuity Partial or Full Liquidation Request - X3101
Annuity Service Request - N0365 [NY]
Annuity Service Request - X0365
Application Enrollment for Group Annuity Certificate - NF3010 [NY]
Armed Forces Product Disclosure - NADV14668 [NY]
Armed Forces Product Disclosure - XADV14668
AscenderPlus Select Annuity Application - X900 [DE]
AscenderPlus Select Annuity Application - X900 [Generic]
AscenderPlus Select Annuity Application - X900A [IN-TN-VA-WI]
AscenderPlus Select Annuity Application - X900B [IL-KS-OK]
AscenderPlus Select Annuity Application - X900C [CT-WA]
AscenderPlus Select Annuity Application - X900MA [MA]
AscenderPlus Select Annuity Application - X900MN [MN]
AscenderPlus Select Annuity Application - X900NC [NC]
AscenderPlus Select Annuity Application - X900OR [OR]
AscenderPlus Select Annuity Application - X900TX [TX]
AscenderPlus Select Statement Of Understanding - XADV14521 [Generic]
AscenderPlus Select Statement Of Understanding - XADV14521 [OR]
AscenderPlus Select Statement Of Understanding - XADV14521 [VT]
AscenderPlus Statement Of Understanding - XADV14402 [Generic]
AscenderPlus Statement Of Understanding - XADV14402C [CT-IL-MN-UT-WA]
Authorization to Disclose Policy Information - N3512 [NY]
Authorization to Disclose Policy Information - NV3512 [NY]
Automatic Investment Form (PAC) - NV3778 [NY]
Automatic Investment Form (PAC) - V0297 [AO Except NY]
Beneficiary Designation with Pre-Selected Death Benefit Election - N4219 [NY]
Beneficiary Designation with Pre-Selected Death Benefit Election - N4219G [NY]
Beneficiary Designation With Pre-Selected Death Benefit Election - X4219 [AO Except NY]
Binding Arbitration Agreement - Z3121 [MS]
Broker Annuity Guide - X1292A [UT]
Buyers Guide Annuities - X1292 [NH]
Capital Protection Disclosure - N3144 [NY]
Collateral Assignment - N0642 [NY]
Comparative Infomation For Proposed-Existing Insurance - X3498 [Fl]
Consumer Suitability Acknowledgement Form - N0950 [NY]
Consumer Suitability Acknowledgement Form - N0950G [NY]
Consumer Suitability Acknowledgement Form - X0950 [Multi-State]
Consumer Suitability Acknowledgement Form - X0950A [CO]
DD Traditional And Target Select App - X0928H [All Except CA-OR-NC-NY-TN-WI]
DD Traditional And Target Select App - X0928H [CA]
DD Traditional And Target Select App - X0928HA [TN-WI]
Definition of Replacement - N0512B [NY]
Designated Beneficiary Hold Harmless Agreement - X2907
Direct Rollover Indemnification Agreement - N3203 [NY]
Direct Rollover Indemnification Agreement - X3203
Disclosure for Annuity Early Withdrawals - X4101 [IL-KS-NC-OK]
Disclosure for Annuity Early Withdrawals - X4101 [MA]
Disclosure for Early Withdrawal - Surr-WD Charge - X4100 [MA]
Disclosure Regarding 2 Percent Contract Enhancement Endorsement - NV4097 [NY]
Disclosure Regarding 2 Percent Contract Enhancement Endorsement - NV4497 [NY]
Disclosure Regarding 3 Percent Contract Enhancement Endorsement - NV4095 [NY]
Disclosure Regarding 4 Percent Contract Enhancement Endorsement - NV4098 [NY]
Disclosure Statement (Annuity To Annuity Replacement Only) - N3312 [NY]
Disclosure Statement (Life to Life and Life to Annuity) - N3313 [NY]
Disclosure Withdrawals Waiver - X4100 [IL-KS-NC-OK]
Elite 90 Application - X3572 [MS]
Elite 90 Application - X500 [FL]
Elite 90 Application - X500 [Generic]
Elite 90 Application - X500A [IN-TN-VA-WI]
Elite 90 Application - X500B [IL-KS-OK]
Elite 90 Application - X500CT [CT]
Elite 90 Application - X500MA [MA]
Elite 90 Application - X500MN [MN]
Elite 90 Application - X500NC [NC]
Elite 90 Application - X500OR [OR]
Elite 90 Application - X500WA [WA]
Elite 90 Consumer Brochure - XADV4045
Elite 90 Consumer Brochure - XADV4045 [OR]
Elite Annual Reset Application - X3581 [OR]
Elite Annual Reset Application - X700 [All Except CT-IL-IN-KS-MN-NC-NE-OK-TN-UT-WA-WI]
Elite Annual Reset Application - X700 [MN]
Elite Annual Reset Application - X700 [NC]
Elite Annual Reset Application - X700 [NE]
Elite Annual Reset Application - X700A [IN-TN-VA-WI]
Elite Annual Reset Application - X700B [IL]
Elite Annual Reset Application - X700B [KS-NC-OK]
Elite Annual Reset Application - X700C [CT-UT-WA]
Elite Annual Reset Statement Of Understanding - XADV8704 [All Except CT-IL-MN-OR-UT-VT-WA]
Elite Annual Reset Statement Of Understanding - XADV8704 [OR]
Elite Annual Reset Statement Of Understanding - XADV8704 [VT]
Elite Annual Reset Statement Of Understanding - XADV8704C [CT-IL-MN-UT-WA]
Elite Choice Application - X800 [FL]
Elite Choice Application - X800 [Generic]
Elite Choice Application - X800 [MN]
Elite Choice Application - X800 [NC]
Elite Choice Application - X800 [NE]
Elite Choice Application - X800A [TN-WI-IN-VA]
Elite Choice Application - X800B [IL]
Elite Choice Application - X800B [KS-NC-OK]
Elite Choice Application - X800C [CT-UT-WA]
Elite Choice Rewards Application - X850 [CT]
Elite Choice Rewards Application - X850 [FL]
Elite Choice Rewards Application - X850 [Generic]
Elite Choice Rewards Application - X850 [MN]
Elite Choice Rewards Application - X850 [NC]
Elite Choice Rewards Application - X850 [NE]
Elite Choice Rewards Application - X850A [TN-WI-IN-VA]
Elite Choice Rewards Application - X850B [IL]
Elite Choice Rewards Application - X850B [KS-NC-OK]
Elite Choice Rewards Application - X850C [UT-WA]
Elite Choice Rewards Statement Of Understanding - XADV12651 [CT-WA]
Elite Choice Rewards Statement Of Understanding - XADV12651 [Generic]
Elite Choice Rewards Statement Of Understanding - XADV12651 [IL-MN-UT]
Elite Choice Rewards Statement Of Understanding - XADV12651 [TX]
Elite Choice Rewards Statement Of Understanding - XADV12651 [VT]
Elite Choice Statement Of Understanding - XADV12650 [Generic]
Elite Choice Statement Of Understanding - XADV12650 [VT]
Elite Choice Statement Of Understanding - XADV12650C [CT-IL-MN-UT-WA]
Fixed Annuity Death Benefit Claim Form - Z1142
Fixed Annuity Death Benefit Claim Form - Z1142 [MO]
Fixed Annuity Good Order Checklist - N3848 [NY]
Fixed Annuity Good Order Checklist - X3643 [All Except NY]
Fixed Annuity Periodic Income Payment (PIP) Request - X2635
Fixed Annuity Systematic Withdrawal Request - X2055
Fixed Index Annuity Good Order Checklist - X3641 [All Except NY]
Fixed Index Annuity Systematic RMD Request - X2056
Flexible Premium-Single Premium Deferred Fixed Annuity App - N0928F [NY]
Flexible Premium-Single Premium Deferred Fixed Annuity App - X0928F [CA]
Flexible Premium-Single Premium Deferred Fixed Annuity App - X0928F [Generic]
Flexible Premium-Single Premium Deferred Fixed Annuity App - X0928F [MN]
Flexible Premium-Single Premium Deferred Fixed Annuity App - X0928F [OR]
Flexible Premium-Single Premium Deferred Fixed Annuity App - X0928FA [WA]
Flexible Premium-Single Premium Deferred Fixed Annuity App - X0928FB [TN-WI]
FutureGuard 6 GMIB Election-Cancellation Form - NV6237 [NY]
FutureGuard 6 GMIB Election-Cancellation Form - V6237
GMWB Optional Benefit Election - V4390
Guaranteed Period Annuity Application - N2492C [NY]
Immediate Annuity App - N0919 [NY]
Immediate Annuity App - X0919 [All Except CA-FL-TN-WI]
Immediate Annuity App - X0919 [CA]
Immediate Annuity App - X0919 [FL]
Immediate Annuity App - X0919A [TN-WI]
Immediate Annuity Select Good Order Checklist - X3644 [All Except NY]
Important Disclosure Regarding the 1 Percent Additional Interest Rate - N3141 [NY]
Important Disclosure Regarding the 2 Percent Additional Interest Rate - N3143 [NY]
Indemnification Agreement - N2909 [NY]
Indemnification Agreement - X2909 [AO Except NY]
Internal Exchange Request - N3170 [NY]
Internal Exchange Request - X3170 [AO Except NY]
Internal Florida Replacement Disclosure - X2614 [FL]
Minnesota Insolvency Form - X1528 [MN]
Multiple Ownership Designation Supplement - N1006 [NY]
Multiple Ownership Designation Supplement - X1006
Notice Regarding Replacement - N0512A [NY]
Notice Regarding Standards for Medi-Cal Eligibility - X3856 [CA]
Optional Benefit Conversion Request Guaranteed Minimum Withdrawal Benefit - V6183
Partial Withdrawal - V3781
Perspective Advantage Application - V3495 [CT]
Perspective Advisors Fund Transfer Request - V4282 [Generic]
Perspective Advisors II Application - NV4473 [NY]
Perspective Advisors II Application - V4473 [CA]
Perspective Advisors II Application - V4473 [CT]
Perspective Advisors II Application - V4473 [FL]
Perspective Advisors II Application - V4473 [Generic]
Perspective Advisors II Application - V4473 [IN]
Perspective Advisors II Application - V4473 [MA]
Perspective Advisors II Application - V4473 [MN]
Perspective Advisors II Application - V4473 [NC]
Perspective Advisors II Application - V4473 [TX]
Perspective Advisors II Application - V4473 [VT]
Perspective Advisors II Application - V4473 [WA]
Perspective Advisors II Application - V4473A [TN-WI]
Perspective Advisors II Application - V4473B [IL-OK]
Perspective Advisors II Application - V4473C [KS]
Perspective Advisors II Directed Transfer - NV4490 [NY]
Perspective Advisors II Directed Transfer - V4490
Perspective Advisors II GMIB Product Summary - V4472 [MN]
Perspective Advisors II Systematic Investment - NV4475 [NY]
Perspective Advisors II Systematic Investment - V4475
Perspective Fund Transfer Request - V4382 [Generic]
Perspective II Application - NV4173 [NY]
Perspective II Application - V4173 [CA]
Perspective II Application - V4173 [CT]
Perspective II Application - V4173 [FL]
Perspective II Application - V4173 [Generic]
Perspective II Application - V4173 [IN]
Perspective II Application - V4173 [MA]
Perspective II Application - V4173 [MD]
Perspective II Application - V4173 [MN]
Perspective II Application - V4173 [NC]
Perspective II Application - V4173 [TX]
Perspective II Application - V4173 [VT]
Perspective II Application - V4173 [WA]
Perspective II Application - V4173A [TN-WI]
Perspective II Application - V4173B [IL-OK]
Perspective II Application - V4173C [KS]
Perspective II GMIB Product Summary - V4171 [MN]
Perspective II Systematic Investment Form - NV2375 [NY]
Perspective II Systematic Investment Form - V2375 [AO Except NY]
Perspective L Product Summary for Contract Enhancements - V4606 [MN]
Perspective L Series Application - NV4673 [NY]
Perspective L Series Application - V4673 [CA]
Perspective L Series Application - V4673 [CT]
Perspective L Series Application - V4673 [FL]
Perspective L Series Application - V4673 [Generic]
Perspective L Series Application - V4673 [IN]
Perspective L Series Application - V4673 [MA]
Perspective L Series Application - V4673 [MD]
Perspective L Series Application - V4673 [MN]
Perspective L Series Application - V4673 [NC]
Perspective L Series Application - V4673 [TX]
Perspective L Series Application - V4673 [VT]
Perspective L Series Application - V4673 [WA]
Perspective L Series Application - V4673A [TN-WI]
Perspective L Series Application - V4673B [IL-OK]
Perspective L Series Application - V4673C [KS]
Perspective L Series GMIB Product Summary - V4671 [MN]
Producer as Trustee - Beneficiary Acknowledgement Form - N3859 [NY]
Producer as Trustee - Beneficiary Acknowledgement Form - X3859 [All Except NY]
Product Summary 4 Percent Contract Enhancement - V4106 [MN]
Release of Assignment - X0901
Replacement Form - Comparative Information Statement - X0512-A [NV]
Replacement Form - IMG - X0512 [KS]
Replacement Form - X0512 [AK]
Replacement Form - X0512 [AR]
Replacement Form - X0512 [CA]
Replacement Form - X0512 [DE]
Replacement Form - X0512 [FL]
Replacement Form - X0512 [GA]
Replacement Form - X0512 [ID]
Replacement Form - X0512 [IL]
Replacement Form - X0512 [IN]
Replacement Form - X0512 [KY]
Replacement Form - X0512 [MA]
Replacement Form - X0512 [MN]
Replacement Form - X0512 [MO]
Replacement Form - X0512 [Multi-State]
Replacement Form - X0512 [NJ]
Replacement Form - X0512 [NV]
Replacement Form - X0512 [OK]
Replacement Form - X0512 [PA]
Replacement Form - X0512 [SC]
Replacement Form - X0512 [SD]
Replacement Form - X0512 [TN]
Replacement Form - X0512 [UT]
Replacement Form - X0512 [VA]
Replacement Form - X0512 [WA]
Replacement Form - X0512 [WI]
Replacement Form - X0512 [WY]
Replacement Form - X0512I [KS]
Replacement Instructions - XADV5790 [Multi-State]
Request for Transfer or Exchange of Assets - IMG - N3783 [NY]
Request for Transfer or Exchange of Assets - X3783 [AO Except NY]
Sales Material Checklist (REG 60) - IMG - NF3557 [NY]
Sales Material Checklist (Reg 60) - N3557 [NY]
Sales Material Checklist (Reg 60) - NV3557 [NY]
Select Annual Reset Annuity Application - X950B [IL-KS-OK]
Select Annual Reset Annuity Application - X950OR [OR]
Select Annual Reset Statement Of Understanding - XADV14947 [Generic]
Select Annual Reset Statement Of Understanding - XADV14947OR [OR]
Single-Premium Deferred Annuity Disclosure - X1192 [KS-OH]
Special Dollar Cost Averaging Supplemental Application - NV3647 [NY]
Special Tax Notice Regarding Distributions (TSA) - NV4110 [NY]
Special Tax Notice Regarding Distributions (TSA) - V4110 [AO Except NY]
Statement of Understanding - Five-Year Interest Only Option - N2073 [NY]
Statement of Understanding - Single-Joint-Survivor Annuity Benefit Option - N2021 [NY]
Statement Regarding Existing Policies - X3401 [Multi-State]
Statement Regarding Existing Policies - X3401 [NC]
Suitability Acknowledgement - X0953 [AR-CT-DE-FL-ID-IN-NE-WI]
Systematic Investment - V4277
Systematic Withdrawal for Non-Qualified Plans - V4377 [AO Except NY]
Systematic Withdrawal For Qualified Plans - V4376 [AO Except NY]
Systematic Withdrawal Form (Non-Qualified Plans) - NV4377 [NY]
Systematic Withdrawal Form (Qualified Plans) - NV4376 [NY]
Target Select App - V2492C [All Except CA-KY-MA-OR-TN-WI]
Target Select App - V2492C [NC]
Target Select App - X2492B [MA]
Target Select App - X2492C [CA]
Target Select App - X2492C [KY]
Target Select App - X2492C [OR]
Target Select App - X2492CA [WA]
Target Select App - X2492CB [TN-WI]
Target Select Good Order Checklist - X3640 [All Except NY]
Telephone Authorization Request - NV3782 [NY]
Trustee Certification of Investment Powers - X5335
Understanding 5 Yr Interest Only Opt - X2073 [KY]
VA Income Election Option Form - V4374 [AO Except NY]
Variable Annuity Good Order Checklist - NV3848 [NY]
Variable Annuity Good Order Checklist - V3848 [CA]
Variable Annuity Good Order Checklist - V3848 [FL]
Variable Annuity Good Order Checklist - V3848 [Generic]
Variable Annuity Good Order Checklist - V3848 [KS]
Variable Annuity Good Order Checklist - V3848 [MA]
Variable Annuity Good Order Checklist - V3848 [MN]
Variable Annuity Good Order Checklist - V3848C [Multi-State]
Variable Annuity Good Order Checklist - X3491
