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Fillable Verification of Trust Form

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Liberty Life Assurance Company of Boston Service Center 100 Liberty Way Dover, NH 03820 Verification of Trust Form GENERAL INFORMATION Name of Insured: Name of Trust Agreement: Date of Trust Agreement: Name of Trustee(s): Street Address Policy/Contract Number(s): Trust Tax ID Number: City: State: Zip: The undersigned Trustee(s) and Settlor(s) hereby certify that: · A valid Trust has been established; and ·...
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