Get the free viatical bio affidavit form. Statutes and Rules

STATE OF NORTH CAROLINA DEPARTMENT OF INSURANCE BIOGRAPHICAL AFFIDAVIT FOR VERTICAL SETTLEMENT PROVIDERS By the Authority of North Carolina General Statute (CGS) 58-58-210(d) Full name and address

How to fill out viatical bio affidavit form

How to fill out a viatical bio affidavit form:

1. Begin by carefully reading the instructions provided with the form. Familiarize yourself with the purpose and requirements of the viatical bio affidavit.
2. Provide your personal information accurately. This may include your full name, address, date of birth, and contact details. Make sure to double-check for any spelling errors or missing information.
3. Fill in the viator's information. The viator refers to the individual whose life insurance policy is being considered for the viatical settlement. Include their full name, contact details, and any other requested information.
4. Detail the insurance policy information. Provide the policy number, issuing company, and the type of policy. This section may also require information on any beneficiaries listed on the policy.
5. Disclose any existing medical conditions. The viatical bio affidavit typically requires the viator to provide a comprehensive overview of their medical history. This includes current and past illnesses or injuries, ongoing treatments, medications, surgeries, and hospitalizations.
6. Answer any additional questions related to the viator's health. This may include lifestyle habits, such as smoking or alcohol consumption, as well as any mental health conditions or disabilities.
7. Ensure all necessary signatures are obtained. The viatical bio affidavit form often requires the signature of the viator, as well as the acknowledgement of a notary public or witness.

Who needs viatical bio affidavit form:

1. Viators who wish to explore the option of selling their life insurance policy through a viatical settlement. This form is typically required as part of the application process.
2. Life settlement companies or viatical settlement providers who facilitate the sale of life insurance policies.
3. Insurance regulators or state authorities who oversee viatical settlement transactions. They may request viatical bio affidavits to ensure compliance with regulations and to evaluate the viatical settlement's fairness.

It is important to consult with a qualified professional, such as an attorney or financial advisor, when filling out viatical bio affidavit forms to ensure accuracy and legal compliance.

For pdfFiller’s FAQs

What is viatical bio affidavit form?

The viatical bio affidavit form is a legal document used for providing information about the health condition of a person who is selling their life insurance policy to a viatical settlement provider.

Who is required to file viatical bio affidavit form?

The person who is selling their life insurance policy to a viatical settlement provider is required to file the viatical bio affidavit form.

How to fill out viatical bio affidavit form?

To fill out the viatical bio affidavit form, you need to provide accurate and detailed information about your medical history, current health condition, and any existing medical conditions or treatments.

What is the purpose of viatical bio affidavit form?

The purpose of the viatical bio affidavit form is to provide the viatical settlement provider with essential information about the insured person's health status, which helps in determining the value of the life insurance policy.

What information must be reported on viatical bio affidavit form?

The viatical bio affidavit form requires the reporting of information such as the insured person's medical history, current health condition, existing medical conditions or treatments, and any medication being taken.

When is the deadline to file viatical bio affidavit form in 2023?

Unfortunately, the specific deadline to file the viatical bio affidavit form in 2023 is not available. It is advised to consult with the viatical settlement provider or relevant authorities for the exact deadline.

What is the penalty for the late filing of viatical bio affidavit form?

The penalty for the late filing of the viatical bio affidavit form may vary depending on the specific regulations and policies of the jurisdiction. It is recommended to refer to the applicable laws and regulations or consult with a legal professional for accurate information on penalties.

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