Transcription of ANNUITY REPLACEMENT FORM - ausdalpraxis.com
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ANNUITY REPLACEMENT FORM - ausdalpraxis.com
ANNUITY REPLACEMENT FORMC omparison of Features, Fees and ExpensesRev Securities offered through Ausdal Financial Partners, Inc. Member FINRA | SIPC 5187 Utica Ridge Rd, Davenport, IA 52807 (563) NameProduct TypeCurrent Value Existing/ Amount to Invest in NewLength of Time HeldSurrender ChargeGuaranteed Death BenefitGuaranteed Minimum Income/Withdrawal Benefit Base & %Existing Product (attach a statement)New ProductVAVULF ixedIndexedIndexedFixedVULVA$$year/month s $$$$%%$Fees & ExpensesExisting ProductNew ProductMortality, Expense & Admin FeesRider Name & ChargesRider Name & ChargesOther Benefits/Other ChargesSelected Sub-Account Fees*Total Annual Contract ChargesI understand that upon liquidation my existing and new product is subject to Surrender/Contingent Deferred Sales Charges as Follows:List the surrender charge schedule ( Yr 1 - 8%, Yr 2 - 7%, etc.)
I acknowledge that I have received and carefully reviewed the prospectus and any supplements for the variable annuity investment listed on this disclosure form.
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