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U332 0613T MT ... Have you used TOBACCO or any other product containing NICOTINE in the last 5 years? ... If owner is a trust, please complete a trust certification form. ..... Indicate City County
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How to fill out lifebase insured only part:

01
Begin by gathering all necessary information and documents related to the insured person. This may include their full name, date of birth, social security number, and any relevant medical records.
02
Locate the section of the form specifically designated for the lifebase insured only part. This section may be labeled as "Insured Information" or something similar.
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Fill in the required fields with accurate and up-to-date information about the insured individual. Take care to enter the information correctly to avoid any potential issues or delays.
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If there are any additional sections within the lifebase insured only part, such as medical history or lifestyle questions, provide all requested details. Be thorough and honest when answering these questions, as the accuracy of the information may affect the insured's coverage.
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Review the filled-out form for any errors or missing information. Double-check that all fields are completed properly and that there are no typos or inconsistencies.
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Once you are confident that the form is complete and accurate, sign and date the necessary sections as required. If there are any additional individuals who need to provide their signatures, ensure that they do so.
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Make a copy of the filled-out form for your records before submitting it. Keep the original document in a safe place or send it to the appropriate recipient, depending on the instructions provided.

Who needs lifebase insured only part?

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Individuals who want to apply for life insurance coverage for themselves only, without including any additional beneficiaries or insured parties.
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Those who want to have full control over the terms and conditions of their life insurance policy, without the involvement or dependence on anyone else's coverage.
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People who desire a simplified process and do not have any specific requirements for adding beneficiaries or additional insured parties to their policy.
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