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Athene Annuity & Life Assurance Company of New York 69 Decker Street Back, New York 10960 APPLICATION FOR REINSTATEMENT THIS FORM MUST BE COMPLETED IN ITS ENTIRETY AND PROPERLY SIGNED (PLEASE PRINT)

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Aformne annuity amp life is a type of financial product that provides regular payments to the annuitant or beneficiary.

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Individuals who have purchased or received annuities or life insurance policies are required to file aformne annuity amp life.

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To fill out aformne annuity amp life, you must provide information about the annuity or life insurance policy, including the policyholder's information, the policy details, and any payments received.

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The purpose of aformne annuity amp life is to report income from annuities and life insurance policies for tax purposes.

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Information such as the policyholder's name, address, social security number, and the total amount of annuity or life insurance income must be reported on aformne annuity amp life.

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