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  • Who Is The Ownernominator Payor On Surrender Policy Certificate Form

Get Who Is The Ownernominator Payor On Surrender Policy Certificate Form

APPLICATION FOR FULL/PARTIAL SURRENDER OR LOST POLICY CERTIFICATE Liberty Life Insurance Company Pan-American Service Center MAILING ADDRESS: PO Box 789 Greenville, SC 29602-0789 Tel: 800.551.8354.

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How to fill out the Who Is The Ownernominator Payor On Surrender Policy Certificate Form online

Completing the Who Is The Ownernominator Payor On Surrender Policy Certificate Form is a crucial step in managing your insurance policy. This guide provides clear and detailed instructions to help you successfully fill out the form online, ensuring a smooth process.

Follow the steps to accurately complete the form online.

  1. Click 'Get Form' button to obtain the form and open it in your preferred online editor.
  2. Enter the policy number in the designated field to identify the insurance policy related to this surrender request.
  3. Provide the name of the insured person as per the insurance policy documentation.
  4. Fill in the social security number of the insured individual, ensuring accuracy to avoid delays.
  5. Enter the name of the owner/nominator payor, who is typically the individual responsible for the policy.
  6. Input the social security number of the owner/nominator payor in the specified field.
  7. Complete the agency office number and account number to link your form with your insurance agency.
  8. Fill out the group number if applicable to your insurance plan.
  9. Provide the complete address of the owner/nominator/payor, including street, city, state, and ZIP code.
  10. Indicate whether you are requesting a full cash surrender value or a partial cash surrender value, offering the specified amounts where required.
  11. Complete the withholding election section to indicate whether you want federal income tax to be withheld from your distribution.
  12. If you are applying for a lost policy certificate, read and acknowledge the declaration of loss and liabilities.
  13. Add the date of submission and have witnesses sign if required, ensuring all necessary signatures are obtained.
  14. Finally, review your filled form for accuracy, then save your changes, download, print, or share the completed document as needed.

Start completing your documents online today to ensure a seamless submission process.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232