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Annuity Forms

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1035 Exchange Form Accelerated Living Benefit Claim Form - Annuity ACORD Form (Outgoing Transfers) Agent Change Form Agent/Producer Internal Transfer Verification Form Annuitization Form Annuity Withdrawal Request Form Beneficiary Change Form Bank Draft Authorization Form Collateral Assignment of Fixed Annuity Form Free Look Policy Cancellation Request Non-Qualified Transfer Form Policy Service Request Form (change ownership, beneficiary, etc) Qualified Transfer Form RMD Form Roth IRA Conversion Form W-9 Form (from IRS) W-4 Form (from IRS) Life Insurance Forms

GBU Financial Life

A member-owned, not-for-profit provider of life insurance and annuity products since 1892.
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GBU products are currently available in the following states: AK, AL, AR, AZ, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY

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GBU Life
4254 Saw Mill Run Blvd.
Pittsburgh, PA 15227

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