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Forms & Applications Library
For access to a complete list of available forms, please click here to log into www.aannuityaccess.com.
Forms Checklist
Western National Applications
Western National Owner Acknowledgements
Western National Forms
Western National Replacement Forms
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Forms Checklist
WNL Forms Checklist
Help your clients achieve financial security.
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Western National Applications
Western National 5 and 7 Annuity Applications
(premium bonus versions)
Non-State specific version (to be utilized for all states not listed above)
Western National 5 and 7 Annuity Applications
(non-premium bonus versions)
Non-State specific version (to be utilized for all states not listed above)
Western National SolutionsMYGsm Annuity Applications
Non-state specific version (to be utilized for all states not listed above)
WN Security Builder 5 Annuity Applications
(non-premium bonus versions)
Non-state specific version (to be utilized for all states not listed above)
WN Set Rate Annuity (SRA) Applications
Non-state specific version (to be utilized for all states not listed above)
WN Power Index Annuity Applications
Connecticut only
Florida only
Maine only
Maryland only
Massachusetts only
Minnesota only
New Hampshire only
New Jersey only
Non-state specific version (to be utilized for all states not listed above)
Platinum Income Annuity Applications
Non-State specific version
Future Income Achiever Annuity Applications
Arizona only
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Western National Owner Acknowledgments
Western National 5 and Western National 7 Annuity Owner Acknowledgments
(premium bonus versions)
Western National 5 Annuity Owner Acknowledgment
Western National 7 Annuity Owner Acknowledgment
Western National 5 and Western National 7 MVA Annuity Owner Acknowledgments
(premium bonus versions)
Western National 5 Annuity MVA Owner Acknowledgment
Western National 5 Annuity MVA Owner Acknowledgment (Pennsylvania Only)
Western National 7 Annuity MVA Owner Acknowledgment
Western National 7 Annuity MVA Owner Acknowledgment (Pennsylvania Only)
Western National 5 and Western National 7 Annuity Owner Acknowledgments
(non-premium bonus versions)
Western National 5 Annuity Owner Acknowledgment
Western National 7 Annuity Owner Acknowledgment [FI-CU]
Western National SolutionsMYGsm Annuity Owner Acknowledgment
Western National SolutionsMYG Annuity Owner Acknowledgment
WN Security Builder 5 Annuity Owner Acknowledgment
WN Security Builder 5 Annuity Owner Acknowledgment [FI-CU]
WN Set Rate Annuity (SRA) Owner Acknowledgment
WN Set Rate Annuity (SRA) Owner Acknowledgment [FI-CU]
WN Power Index Annuity Owner Acknowledgments
WN Power Index Annuity Owner Acknowledgment [FI-CU]
WN Power Index Annuity Owner Acknowledgment [FI-CU] (Pennsylvania only)
Platinum Income Annuity Owner Acknowledgment
Platinum Income Annuity Owner Acknowledgment
Future Income Achiever Annuity Owner Acknowledgment
Future Income Achiever Annuity Owner Acknowledgment
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Western National Forms
AG Platinum Income Annuity Requirements
Annuity Withdrawal Request Form
Future Income Achiever Requirements
Inherited/Stretch Individual Retirement Account
Minimum Distribution Election Form
Request to Transfer Funds to American General Life
Request for Partial Exchange under Section Code 1035(a)
Service Request Form - change of address or name
Single Premium Immediate Annuity 1035 Exchange Request Form
Single Premium Immediate Annuity Trustee Transfer Request Form
Subsequent Premium Addition Form
Systematic Premium Preauthorization Debit Form
Systematic Withdrawal Request Form
Buyer's Guides
Buyer's Guide to Fixed Deferred Annuities (For AL, AK, AZ, CO, FL, GA, HI, IA, ID, ME, MO, MT, NC, NH, NJ, NM, NV, OK, OH, OR, RI, SC, TX, UT, WV)
Annuity Buyer's Guide (December 2010) (KY Only)
Wisconsin Buyer's Guide to Annuities
Florida Only Forms
Annuity Suitability Questionnaire
Disclosure and Comparison of Annuity Contracts
FL Churning Form – Internal replacements only
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