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Employer/remitter Remitter name Remitter number - 3. Suitability - Complete this information for the annuitant/contractowner. Fixed Account FIXED ACCT LVIP Money Market LN MNY MKT Income Delaware VIP Diversified Income DLW DVRSIN LVIP BlackRock Inflation Protected Bond BKRK INFPT LVIP Delaware Bond LN BOND LVIP Global Income GLOBAL INC LVIP SSgA Bond Index BOND IDX PIMCO VIT Total Return PIMCO VIT Growth Income American Funds Growth-Income AMF GR IN BlackRock Global Allocation V. SERFF...

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