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FOR DEPARTMENTAL USE ONLY License Number VERTICAL SETTLEMENT BROKER BUSINESS ENTITY STATEMENT NORTH DAKOTA STATE INSURANCE DEPARTMENT Approved SON 54042 (10-2007) Issue Date NOTICE: Your answers in
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How to fill out a viatical settlement broker:

01
Begin by gathering all the necessary documents and information. This may include the policyholder's medical records, policy details, and any other relevant paperwork.
02
Familiarize yourself with the viatical settlement broker application form. Take your time to thoroughly read and understand each section and question.
03
Fill out the applicant's personal information accurately. This may include the name, address, contact details, and social security number.
04
Provide the policy details, including the insurance company's name, policy number, and face value of the policy.
05
Answer any questions related to your medical history. Be honest and provide any necessary documentation to support your answers.
06
If required, list any existing liens on the policy. This includes any outstanding loans or obligations related to the insurance policy.
07
Provide authorization for the viatical settlement broker to obtain medical and policy information. This is typically done through a signed release form.
08
Review the completed application form for any errors or missing information. Double-check all the entries to ensure accuracy.

Who needs a viatical settlement broker:

01
Individuals who are terminally ill and looking to obtain cash from their life insurance policies before passing away may need a viatical settlement broker.
02
Policyholders who are in need of immediate funds for medical treatments, debt repayment, or other financial obligations may also benefit from a viatical settlement broker.
03
Those who are unable to pay their life insurance premiums and wish to sell their policy for a lump sum may seek the assistance of a viatical settlement broker.
In summary, to fill out a viatical settlement broker application, one must gather the necessary documents, provide accurate personal and policy information, and answer questions related to medical and financial history. Viatical settlement brokers are typically needed by individuals who are terminally ill, require immediate funds, or cannot afford their life insurance premiums.
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Viatical settlement broker is a person or entity who acts as an intermediary between a viator (policy seller) and a purchaser of a viatical settlement.
Viatical settlement brokers are required to file reports with the appropriate regulatory authorities in the states where they operate.
Viatical settlement brokers must complete the necessary forms and provide all required information, including details about the viatical settlement transactions they facilitate.
The purpose of a viatical settlement broker is to help individuals who are terminally ill or have a life-threatening condition to sell their life insurance policies for a lump sum payment.
Viatical settlement brokers must report details about the viatical settlement transactions they facilitate, including the policyholder's personal information, policy details, and settlement amounts.
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