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American General Life Insurance Company Single Premium Deferred Annuity Application Annuity Service Center P.O. Box 871 Amarillo, TX 791050871 Telephone: 800.424.4990 5 Year OWNER (All Policyholder
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ANNUITANT SSN Roth insurer false 212-3X-FL Lic MVA TX Policyholder Annuities DOB Rollover federally designation Deferred complied applicable Annuity defraud compounded herein enhancement SEP withdrawals certify applicant designate credited discontinue

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