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82038101 REINSTATEMENT APPLICATION FOR LIFE INSURANCE TO LIBERTY NATIONAL LIFE INSURANCE COMPANY P.O. Box 2612 Birmingham, Alabama352022612 2053254979 Client No. AO # Agency Mode: A SA Q GA BB (Complete
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The r-3572-1 life reinstatement app is a form used to reinstate a life insurance policy that has lapsed.
Policyholders whose life insurance policy has lapsed are required to file the r-3572-1 life reinstatement app.
To fill out the r-3572-1 life reinstatement app, policyholders need to provide personal information, policy details, reasons for lapse, and any other required information.
The purpose of the r-3572-1 life reinstatement app is to request the reinstatement of a lapsed life insurance policy.
The r-3572-1 life reinstatement app requires information such as policyholder's personal details, policy number, reasons for lapse, and any supporting documentation.
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