Direct Deposit Request for Structured Settlement Annuities 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your General Information. Fill in your Claimant Name, Annuity Contract Number, and if applicable, the Joint Claimant’s Name. Don’t forget to provide a daytime telephone number for contact purposes.
3. Next, move to the Electronic Funds Transfers (EFT) section. Indicate whether you want payments deposited into a Checking or Savings account. Provide the Financial Institution Name, Account Holder's Name, ABA Number, and Account Number. Ensure you attach a current voided check or savings deposit slip for verification.
4. Finally, complete the Signature(s) section. Both claimants must sign if the contract is jointly owned. Enter your signatures along with the date of signing.

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