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Standard Agent Application Information Sheet

Standard Agent Application Information Sheet

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M1086-Standard Page 2 of 6 (R-2/2015) Product Line Information I would like to sell the following products: Fixed life or annuities Variable insurance products (BD must have active selling agreement) The Field Marketing Organization (FMO) that I will be conducting future Fixed Annuity business with is _____ FMO#_____.

  Variable, Annuities, Annuities variable

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