Transcription of ANNUITY DISTRIBUTION REQUEST - Marketing …
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ANNUITY DISTRIBUTION REQUEST - Marketing …
Lincoln Financial Group is the Marketing name for Lincoln National Corporation and its affiliates. Page 1 of 3AN07301 4/12 The Lincoln National Life Insurance Company ( Company )Lincoln Life & ANNUITY Company of New York ( Company )Servicing Office: PO Box 2348, Fort Wayne IN 46801-2348 Fax Number 260 Address: Lincoln Financial Group, Inforce - IA1300 S Clinton St., Fort Wayne IN 46802-3506 ANNUITY DISTRIBUTION * REQUESTThis form should be used for the following markets: IRA/Roth/SEP/SARSEP/Non-QualifiedFor contracts** with the Lincoln Lifetime IncomeSM Edge living benefit riders, please use form AN10100 for CONTRACT INFORMATIONC ontract Number _____Contract Owner s Name _____Issued by h The Lincoln National Life Insurance Company h Lincoln Life & ANNUITY Company of New YorkSocial Security Number (Last 4 digits) _____ Date of Birth _____Telephone Number Daytime _____ Evening _____IMPORTANT INFORMATIONd The information contained on this form is based on the Company s understanding of current federal tax laws and regulations and is not intended to serve as legal or tax advice.
Lincoln Financial Group is the marketing name for Lincoln National Corporation and its affiliates. Page 1 of 3 AN07301 4/12 The Lincoln National Life …
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