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Fidelity Security Life Insurance Company 3130 Broadway Kansas City, MO 64111 1035 Exchange Form (Unqualified Annuity to Annuity) Please read and complete sections 1 5 of this form, then sign and date
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How to Fill Out a 1035 Exchange Form:

01
Begin by obtaining the 1035 exchange form, which is usually provided by your insurance company or financial institution. You may also be able to download it from their website.
02
Provide your personal information, including your name, address, and contact details. This ensures accurate identification and communication.
03
Indicate the policy or contract number from which you are making the exchange. This information is crucial for the insurance company or financial institution to track the funds being transferred.
04
Specify the type of policy or contract you currently hold, such as a life insurance policy, annuity, or a qualified retirement plan.
05
Select the new policy or contract where you want the funds to be transferred. Include its policy or contract number and the name of the insurance company or financial institution offering it.
06
If there are any additional requirements or paperwork involved in the exchange, make sure to fulfill those as well. This may include providing supporting documents or completing other forms.
07
Review the completed 1035 exchange form for accuracy and completeness. Ensure that all the relevant information has been provided and that there are no errors.
08
Sign and date the form. By doing so, you acknowledge that the information provided is true and correct to the best of your knowledge.
09
Submit the filled-out form to the appropriate insurance company or financial institution. Follow their guidelines for submission, which may include mailing it or submitting it electronically.

Who Needs a 1035 Exchange Form:

01
Individuals who hold a life insurance policy but wish to transfer the funds to another insurance policy or investment vehicle may need a 1035 exchange form.
02
Those who have an annuity and want to make a tax-free exchange to a different annuity, potentially with better features, would require a 1035 exchange form.
03
Individuals who hold a qualified retirement plan, such as an IRA (Individual Retirement Account), might need to complete a 1035 exchange form to move the funds to another qualified plan, such as another IRA.
Overall, a 1035 exchange form is crucial for individuals who want to transfer funds from one policy or investment vehicle to another without incurring taxes. It is important to carefully fill out and submit the form according to the instructions provided by the insurance company or financial institution.
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A 1035 exchange form is a tax-free transfer of funds between insurance policies or annuity contracts.
Insurance companies, agents, or policyholders involved in the transfer are required to file Form 1035.
The form must be completed with accurate policy information, details of the transfer, and signed by all parties involved.
The purpose of Form 1035 is to ensure that the transfer of funds between insurance policies or annuities meets the requirements for tax-free treatment.
Information such as policy numbers, names of the insured or annuitant, details of the old and new policies, and the amount transferred must be reported on Form 1035.
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