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  • Guide09.indd. Forms - Fixed Annuity

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REGISTERED REPRESENTATIVE AND BROKER/DEALER CHANGE REQUEST CONTACT INFORMATION Pacific Life Insurance Company P.O. Box 2378 Omaha, NE 68103-2378 All Overnight Deliveries: 1299 Farnam Street, 6th Floor,.

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How to fill out the Guide09.indd. Forms - Fixed Annuity online

Filling out the Guide09.indd. Forms - Fixed Annuity online is a straightforward process that allows you to request changes related to registered representatives and broker/dealer information. This guide will walk you through each section and field of the form to ensure accurate completion.

Follow the steps to complete the form effectively.

  1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
  2. Begin with Section 1, titled 'Owner Information.' Fill in your name in the designated fields for First, Middle, and Last. Provide your daytime telephone number and the annuity contract number.
  3. Proceed to Section 2, titled 'New Registered Representative(s) Information.' Here, enter the broker/dealer's name, followed by details for up to two representatives. For each representative, provide their name, business street address, telephone number, and the percentage split if applicable.
  4. Move to Section 3, labeled 'Owner Authorization.' By signing in the designated place, you authorize Pacific Life to make the requested changes on your annuity contract(s). Make sure to include the date of your signature.
  5. If applicable, complete Section 4, titled 'Broker/Dealer Authorization.' An authorized officer, principal, or branch manager from the broker/dealer must provide their signature and title in the given space, including the date.
  6. Review all sections to ensure accuracy. Once you have completed the form, you can save your changes, download the form, print it, or share it as needed.

Complete your forms online today to ensure timely processing of your requests.

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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