Notification of Divorce and Division Instructions - Prudential Financial 2026

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  1. Click ‘Get Form’ to open the Notification of Divorce and Division Instructions in the editor.
  2. Begin by filling out Section 1, Owner Information. Enter your Annuity Number, Telephone Number, Name, Social Security/Tax I.D. Number, Date of Birth, and Address details.
  3. In Section 2, indicate the type of annuity contract you wish to divide. Choose from options like Non-Qualified or Roth IRA and ensure you understand the implications of each choice.
  4. Proceed to Section 3 for Non-Distribution Options. Select how you want ownership changed or if you wish to remove a divorce hold.
  5. In Section 4A, choose your Distribution Options for Spouse. Specify whether you want a transfer to a new contract or a lump sum payment.
  6. Complete Section 5 for Beneficiary Change by providing details about your beneficiaries and their respective shares.
  7. Finally, review all sections for accuracy before signing in Section 7. Ensure signatures are notarized as required.

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Prudential Annuities Life Assurance Corporation (to be renamed Fortitude Life Insurance Annuity Company) (PALAC), Shelton, CT (main office) was acquired on April 1, 2022 by Fortitude Group Holdings, LLC, the parent company of Bermudas largest multi-line reinsurer (Fortitude Re).
To check the status of a claim, call Prudentials Customer Service Center Mon.Fri., 8 a.m.-8 p.m. ET at 800-496-1035.
1-844-PRU-4ALL (778-4255) If youre deaf, hearing impaired, or have a speech disability, call 711 for assistance.
You may change your beneficiary at any time via your secure Prudential Online account: Log in to your account. Click the Change Beneficiaries button located in the Quick Actions section of your account dashboard.