MMA ANNUITY FORMS
Annuity Change Request - 2090942
Annuity Suitability Questionnaire [FL] - DFS-H1-1980
Annuity Suitability [AZ-CA-CO-DE-ID-IL-IN-IA-KS-MD-MI-MN-NE-OH-OK-OR-PA-SD-VA-WA] - 2090124
Annuity Withdrawal Request - 2060271
Annuity Withdrawal Request Form (For TSA) - 2090679
Application Change Form [MN-PA-WA] - ICC10-2090940
Application for Hardship Withdrawal - 2050156
Assignment/Transfer of Ownership - 2080014
Buyers Guide (Deferred-SureRate only) [AZ-DE-IA-OH] - 2040054
Buyers Guide (Deferred-SureRate only) [CO-MD-WA] - 2060527
Commission Selection Form [AZ-CA-CO-DE-ID-IL-IN-IA-KS-MD-MI-MN-NE-OH-OK-OR-PA-SD-VA-WA] - 2000127
Comparative Information [FL] - 2090284
Contract Delivery Receipt - 2060102
Deferred Application [AZ-CA-CO-DE-ID-IN-MD-MI-MN-NE-OH-OK-PA-SD-WA] - 2090282
Deferred Application [FL] - 2090319
Deferred Application [IA] - 2090334
Deferred Application [IL] - 2070112
Deferred Application [KS] - 2090317
Deferred Application [OR] - 2090318
Deferred Application [VA] - 2090376
Disclosure and Comparison of Annuity Contracts [FL] - DFS-HI-1981
Disclosure for Medi-Cal [CA] - 2060489
Disclosure to Seniors [CA] - 2030587
Fixed Annuity Disclosure - 2090558
Guaranty Association Notice [CA] - 2070639
Guaranty Association Notice [CO] - 2100351
Guaranty Association Notice [ID] - 2070631
Guaranty Association Notice [IL] - 2070632
Guaranty Association Notice [IN] - 2070633
Guaranty Association Notice [KS] - 2090879
Guaranty Association Notice [MD] - 2070493
Guaranty Association Notice [MI] - 2070635
Guaranty Association Notice [OH] - 2070636
Guaranty Association Notice [OK] - 2070637
Guaranty Association Notice [PA] - 2090939
Guaranty Association Notice [SD] -2100352
How to File a Complaint [CA] - 2050471
Immediate Annuity Supplemental Application [OR] - 2085094
Immediate Application [AZ-CA-CO-DE-ID-IN-KS-MI-MN-NE-OH-OK-SD-WA] - 2080144
Immediate Application [FL] - 2080182
Immediate Application [IA] - 2080181
Immediate Application [IL] - 2000104
Immediate Application [MD] - 2080269
Immediate Application [OR] - 2000328
Immediate Application [PA] - 2080218
Immediate Application [VA] - 2080215
Individual Annuity Application [MN-PA-WA] - ICC10-2090937
Individual Retirement Annuity Rollover Certification and Election - 940223
Notice for the Life and Health Guarantee Association [WA] - 2070638
Notice to Applicants Age 65 or Older [CA] - 2010471
Notice Withholding Payments - 2010636
Replacement Notice (external) [KS] - 2090286
Replacement Notice (external) [PA] - 2090291
Replacement Notice (internal) [KS] - 2090287
Replacement Notice (SureRate only) [PA] - 2030471
Replacement Notice to Replaced Insurer [IL] - 960027
Replacement Notice to Replaced Insurer [OK] - 2090290
Replacement Notice [AZ-CO-ID-IA-MD-NE-OH-OR-VA] - 2070091
Replacement Notice [CA] - 2090801
Replacement Notice [DE] - 2060295
Replacement Notice [FL] - 2090283
Replacement Notice [IL] - 2060250
Replacement Notice [IN] - 2090285
Replacement Notice [MN] - 2090288
Replacement Notice [OK] - 2090289
Replacement Notice [SD] - 2090292
Replacement Notice [WA] - 2090293
Request for Auto Payment - 930257
Request for Electronic Deposit - 960527
Request for Rollover to 403(b) - 2080254
Request for Transfer From 403(b) to 403(b) - 2080255
Request Transfer to Roth IRA - 2080222
Request Transfer/Direct Rollover - IRA - 2080256
Resolution to Establish a TSA Annuity - 930133
Statement of Good Health [AZ-CA-CO-DE-ID-IL-IN-IA-KS-MD-MI-MN-NE-OH-OK-OR-PA-SD-VA-WA] - 2000107
Suitability Statement [PA] - 2090206
SureRate Application [AZ] - 2020039
SureRate Application [CA-CO-ID-IL-IN-IA-MI-NE-OK-SD-VA] - 2010446
SureRate Application [FL] - 2020040
SureRate Application [KS] - 2020044
SureRate Application [MD] - 2080315
SureRate Application [OH] - 2020043
SureRate Renewal Form [AZ-CA-CO-ID-IL-IN-IA-KS-MD-MI-NE-OH-OK-PA-SD-VA] - 2090268
Transfer Authorization for a Certificate of Deposit - 2020240
Transfer Authorization for a Mutual Fund - 2020241
