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SERVICE REQUEST FORM Owner: Contract Number: Joint Owner: I hereby request and direct the Company to change this Contract as follows: ADDRESS CHANGE Address Apt. No. City State Zip Telephone No. Email.

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How to fill out the Equuitrust Service Request Form online

Filling out the Equuitrust Service Request Form online can streamline your request for changes to your contract. This guide provides a step-by-step approach to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the service request form.

  1. Click the ‘Get Form’ button to obtain the form and open it in your editing tool.
  2. Begin by filling in your information as the owner of the contract. Enter your name, contract number, and the name of any joint owner, if applicable.
  3. Indicate any address changes by filling in the appropriate fields for the new address, including the apartment number, city, state, zip code, telephone number, and email address.
  4. For ownership changes, select whether you wish to change the owner or add a joint owner. Ensure to attach a completed IRS W-9 form for a new owner, if applicable.
  5. Provide the new owner’s information in the designated fields, including their name, gender, birthdate, social security number, address, city, state, zip code, telephone number, and email address. Have the new owner sign where required.
  6. If applicable, fill out the name change section by selecting the relevant category (annuitant, owner, joint owner, primary beneficiary, or contingent beneficiary) and providing the former name, new name, and reason for the change.
  7. For IRA conversion requests, indicate if you wish to convert your Traditional IRA to a Roth IRA. Ensure to consult with your tax advisor beforehand and provide any necessary signatures.
  8. If requesting a duplicate policy, check the box and confirm that you have searched for the original contract.
  9. Finally, sign and date the form at the bottom. Ensure that all required signatures, including any joint owner or spouse where relevant, are obtained.
  10. Save your completed form, then download, print, or share it as needed.

Start completing your Equuitrust Service Request Form online today!

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Since 1996, EquiTrust has demonstrated exceptional growth by achieving $23 billion in assets under management.

EquiTrust Life Insurance Company at a Glance Offers life insurance and annuities. High rating through the BBB. Strong financial stability.

About EquiTrust Magic Johnson Enterprises – comprised of multiple business entities and partnerships – acquired a controlling interest in EquiTrust in 2015.

EquiTrust is a Chicago-based life insurer that was once a subsidiary of FBL Financial Group. In 2011, FBL sold the company to investment firm Guggenheim Partners. Magic Johnson Enterprises bought a controlling stake in 2015. EquiTrust has $26 billion in assets.

If you are an EquiTrust client and have questions regarding your policy or contract, please call 866-598-3692.

Equitrust ChoiceFour Annuity | 2.25% Rate.

Equitrust Market Value is a 10-year fixed index annuity built for safe growth and provides a retirement income for life. Compare and request a quote.

EquiTrust has a good rating through A.M. Best, but it's not as highly rated as many other modern insurance companies. Its “A+” rating through the BBB is impressive, though. The carrier does have solid financial strength, and A.M. Best places them in the $1.25-$1.5 billion financial size category.

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Equuitrust Service Request Form
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