Fillable Online Individual Flexible Purchase Payment Variable ... 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the 'Parties to the Contract' section. Enter the Contract Owner's name, birth date, and contact information. Ensure all fields are completed accurately.
  3. If applicable, provide details for a Joint/Contingent Owner. Select the appropriate box and fill in their information as required.
  4. Complete the Annuitant section if different from the Contract Owner. Include their relationship to the owner and ensure they meet age requirements.
  5. In the Beneficiaries section, allocate percentages that total 100% among Primary and Contingent Beneficiaries. This is crucial for proper claims processing.
  6. Proceed to 'Contract Information' where you will specify your contract type and payment details. Make sure to check any necessary boxes regarding transfer authorizations.
  7. Fill out 'Contract Options' carefully, selecting your preferred death benefits and CDSC options as needed.
  8. Finally, review all entries for accuracy before signing at the end of the document. Ensure you understand all acknowledgments provided.

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