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BRIGHTHOUSE FINANCIAL (Formerly MetLife)

BRIGHTHOUSE FINANCIAL . ( formerly metlife ). Contracting Checklist Agent/Agency: _____. Direct Upline: _____ Agent #: _____. Documents To Be Completed & Returned: Profile Form Broker Agreement ( BRIGHTHOUSE ). Broker Agreement ( metlife ). Fair Credit Reporting Act Individual State License(s). Corporate State License(s) (If Applicable). Direct Deposit Application w/Voided Check (OPTIONAL). SEND TO: Mail: Attention: Life Licensing American Brokerage Services 803 East Willow Grove Avenue Wyndmoor, PA 19038. Email: Fax: (215) 233-3140. UPDATED 3/16/2017 ALL Contracts BRIGHTHOUSE Services, LLC. Compensation Administration Direct Deposit Application SECTION I - Registered Representative Information Firm Name _____ SSN/TIN _____.

By the signature(s) set forth herein, I/we hereby authorize Brighthouse Services, LLC (BHSV) to deposit my/our compensation payments directly to the

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  Financial, Formerly, Metlife, Brighthouse financial, Brighthouse, Formerly metlife

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