PRUDENTIAL ANNUITIES (PREMIER SERIES) FORMS
403(b) 90-24 Transfer Disclaimer
403(b) Direct Rollover Disclosure
403(b) Salary Reduction Form Between Employer and Employee
620 Disclosure Form [CA]
Acknowledgement of Trustee Purchase of a NQ Annuity
Advisor Annuity Application [AZ]
Advisor Annuity Application [CA]
Advisor Annuity Application [FL]
Advisor Annuity Application [GA]
Advisor Annuity Application [Generic]
Advisor Annuity Application [MD]
Advisor Annuity Application [MO]
Advisor Annuity Application [NC]
Advisor Annuity Application [NJ]
Advisor Annuity Application [NY]
Advisor Annuity Application [OK]
Advisor Annuity Application [PA]
Advisor Annuity Application [TX]
Advisor Annuity Application [VA]
Advisor Annuity Application [WA]
Advisor Request for EFT
Advisor Request for Transfer
Allocation Instruction Form
Annuity Benefits
Annuity Change Form for Deferred-Immediate Annuities
Annuity One Application [FL]
Annuity One Application [Generic]
Annuity One Application [IL-MA-NJ]
Annuity One Application [MA]
Annuity One Application [NC-UT]
Annuity One Application [NY]
Annuity One Application [TX]
Annuity One Application [WA]
Authorization Form - Custodian
Beneficiary And Predetermined Payout Election Form
Beneficiary Continuation Option Allocation Instruction Form
Certificate of Entity Ownership
Client Replacement Acknowledgement [AZ-CA-GA-NV-PA]
Comparative Info Form for Proposed Insurance [FL]
Confidential Data Sheet - Appointment Application
Confirmation of Existing Coverage
Contract Situs Verification Form
Custodial Beneficiary Death Benefits Claim Form
Custodial Request for Lifetime Five
Custodial Request for Lifetime Seven
Customer Information Form for Annuity Purchases
Date of Birth Certification
Disclosure Statement Replacement [NY]
Electronic Funds Transfer (EFT) Form
Enhanced DCA Form
FlexElite Annuity Application [FL]
FlexElite Annuity Application [Generic]
FlexElite Annuity Application [IL-NJ]
FlexElite Annuity Application [MO]
FlexElite Annuity Application [WA]
Freelook - Return of Initial Premium
Highest Daily Guaranteed Return Option Enrollment
Highest Daily Lifetime Seven Optional Living Benefit
Highest Daily Lifetime Seven Optional Living Benefit [NY]
Horizon Annuity Application [AZ]
Horizon Annuity Application [CT]
Horizon Annuity Application [FL]
Horizon Annuity Application [Generic]
Horizon Annuity Application [NY]
Horizon Annuity Application [TX]
Important Information for Annuities [CA]
Important Information for OAP Annuities [CA]
Important Tax Information
Investment Advisor Application
IRA and SEP Benefits
Limited Power of Attorney [NY]
Medically Related Surrender Request
Non Custodial Annuity Death Benefits Claim Form
Non-Natural Person Statement And Agreement
Optional Administrative Program Form
Premier Annuity Application [AZ]
Premier Annuity Application [FL]
Premier Annuity Application [Generic]
Premier Annuity Application [IL]
Premier Annuity Application [MA]
Premier Annuity Application [Multi-State]
Premier Annuity Application [NC]
Premier Annuity Application [NY]
Premier Annuity Application [TX]
Premier Annuity Application [WA]
Premier Authorization Form
Premier Credit Election Disclosure [NY]
Premier Interest Rate Disclosure [NY]
Product Feature Comparison For New Annuity Purchase
Purchase Disclosure [NY]
Reg 60 Authorization [NY]
Replacement Notice - External [KS]
Replacement Notice - Internal [KS]
Replacement Notice - PICA [VA]
Replacement Notice [DE]
Replacement Notice [GA]
Replacement Notice [Generic]
Replacement Notice [ID]
Replacement Notice [IL]
Replacement Notice [IN]
Replacement Notice [MA]
Replacement Notice [MD]
Replacement Notice [MN]
Replacement Notice [MO]
Replacement Notice [Multi-State]
Replacement Notice [NE]
Replacement Notice [NH]
Replacement Notice [NJ]
Replacement Notice [NV]
Replacement Notice [SC]
Replacement Notice [TN]
Replacement Notice [UT]
Replacement Notice [VA]
Replacement Notice [WA]
Replacement Notice [WI]
Replacement Notice [WY]
Request for 72(t)
Request for Auto-Rebalancing
Request For Dollar Cost Averaging
Request for Highest Daily Lifetime Five
Request for Highest Daily Lifetime Five [NY]
Request For Initial Purchase Payment EFT
Request for Investment Option Transfer
Request for Lifetime Five - Annuity One 3-SP Plus 3-FlexElite 2
Request for Lifetime Five - Annuity One 3-SP Plus 3-FlexElite 2 [NY]
Request for Lifetime Five - Premier [NY]
Request for Lifetime Five [NY]
Request For Partial or Automated Withdrawal
Request for Purchase Payment Allocation
Request For Required Minimum Distribution (RMD)
Request For Withdrawal from 403(b)-TSA
Request to Change 403(b)-TDA To An IRA
Request To Change Annuity Date Beyond Age 70 1-2
Simplified Employee Plan (SEP) Information Form
Statement of Values [CA]
Strategic Partners Select VA App [FL]
Strategic Partners Select VA App [Generic]
Systematic Investment Form
Systematic Withdrawal Form
Transfer and Exchange Forms
Variable Annuities Application Waiver Form
Waiver Of Withdrawal Charges Claim Form
