Next Print.. NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION A Delaware Corporation Check-O-Matic Arrangement Form Name of Annuitant Please Print Policy if known I ask that New York Life Insurance and Annuity Corporation NYLIAC start a Check-O-Matic arrangement to pay planned additional premiums for this policy.
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Complete Steps 1 – 8 by checking all that apply, and then sign the affidavit in
Step 9 in the presence of a notary public. ... support obligation is presumed to be
a percentage of income as defined by law. .... Do you own any of the following?
..... For statutory language, see Family Court Act Sections 413(1), 416 and 424-a
NEW YORK LIFE PREMIER PLUS VARIABLE ANNUITY (PPVA) [ ] NEW YORK
.... B. FLEXIBLE PREMIUM (FPVA Only) Check one box below: [[ ] Check-O-Matic
..... FALSE, INCOMPLETE, OR MISLEADING FACTS OR INFORMATION TO AN ...