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Nassau Life and Annuity Company (the Company) Nassau Life and Annuity Insurance Company (the Company) PO Box 758573, Topeka, KS 666758573 18005410171Contract NumberContract Owner (Print name)Guaranteed
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Fill out sections 1 to 4 with personal information such as name, address, and social security number.
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Complete section 5 to provide information about employment history and income.
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Sign and date the form in section 6 to certify the information provided is accurate.
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OL 5482 is a form used for reporting specific information to the relevant authority.
Entities designated by the authority must file OL 5482.
OL 5482 can be filled out online or by submitting a physical copy to the authority.
The purpose of OL 5482 is to track and report relevant information to the authority.
Information such as financial data, transaction details, and other relevant data must be reported on OL 5482.
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