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Get Pacific Life Simple IRA Employer Information 2020-2024

ATION (for New York only) Pacific Life & Annuity Company P.O. Box 2829 Omaha, NE 68103-2829 All Overnight Deliveries: 6750 Mercy Rd, RSD Omaha, NE 68106 Financial Professionals: (800) 722-2333 Phone: (800) 748-6907 Fax: (800) 586-0096 Web Site: www.PacificLifeandAnnuity.com Use this form when: Establishing a new SIMPLE IRA annuity contract at Pacific Life. Pacific Life will only act as a nondesignated financial institution. There has been a change of employer on an existing SIMPLE IRA.

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