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WILLIAM PENN LIFE INSURANCE COMPANY OF NEW YORK A Legal & General America Company 3275 Bennett Creek Avenue Frederick, MD 217047608 (800) 3464773 DEPARTMENT OF FINANCIAL SERVICES OF THE STATE OF NEW
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New_York nonforfeiture insurer PENN Bennett PR-102 accumulations Reissued additions stoppage forfeited ANNUITY dividend Lapsed wherein Applicant MD DISCLOSURE transactions CONTEMPLATING reduction premium DEFINED EXISTING modified

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