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EXHIBIT A WESTERN FRATERNAL LIFE ASSOCIATION IRREVOCABLE ASSIGNMENT OF OWNERSHIP Please print all information Insured/Owner: Date Entered into Trust: Plan/Face Amount: Certificate No (if available):
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To fill out the Western Fraternal Life Association, follow these steps:
02
Start by gathering all the necessary documents and information, such as your personal details, beneficiary information, and any medical history.
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Fill in your personal information, including your full name, address, date of birth, and contact details.
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Provide the necessary beneficiary information, including their full name, relationship to you, and contact details.
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Answer any medical history questions accurately and honestly, as this information may affect your coverage.
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Review the completed form for any errors or missing information, and make sure everything is filled out accurately.
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Sign and date the form, acknowledging that all the information provided is true and complete.
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Submit the filled-out form to the Western Fraternal Life Association using their preferred method, such as mail or online submission.
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Wait for confirmation from the association regarding the acceptance of your application.
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Once accepted, you will receive further details about your coverage and any next steps to take.

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- Seek access to additional benefits and financial planning services provided by the association.
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- Are interested in joining a fraternal organization and participating in community events and activities.
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Western Fraternal Life Association is a fraternal benefit society that offers insurance products and member benefits.
Western Fraternal Life Association is required to file its annual statement with the state insurance department.
Western Fraternal Life Association must fill out the required forms and provide detailed financial information for filing.
The purpose of Western Fraternal Life Association is to provide insurance products and benefits to its members.
Western Fraternal Life Association must report detailed financial information, membership data, and other relevant information in its annual statement.
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