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DEFERRED ANNUITY CLAIM FORM STATEMENT OF BENEFICIARY Deceased Information Name Social Security Number Date of Birth Date of Death Contract Number s of Deceased Beneficiary Information One form for each Beneficiary Address City State Zip Code Telephone Number Email Address SETTLEMENT OPTONS Note Some options may not be available under this contract. Some contracts may have a surrender charge or market value adjustment which may impact the total de...
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Gather all necessary personal information such as name, date of birth, address, social security number, and contact details.
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Complete the personal information section accurately and provide any additional requested details.
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Fill out the beneficiary section, indicating the individuals who would receive the benefits in the event of your death.
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The standard life of Indiana refers to the life insurance products and services offered by the company Standard Life of Indiana.
Individuals or businesses who have purchased a life insurance policy from Standard Life of Indiana are required to file and maintain the necessary documentation related to their policy.
To fill out the standard life of Indiana forms, you will need to provide detailed information about your policy, personal details, and any other required documentation as specified by the company.
The purpose of Standard Life of Indiana is to provide life insurance coverage and financial protection for policyholders and their beneficiaries in case of death or other covered events.
The information that must be reported on the standard life of Indiana forms may include policyholder details, policy coverage information, beneficiary information, and any updates or changes to the policy.
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