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EquiTrust Life Insurance CompanyDEFERRED ANNUITY CLAIM FORM7100 Westown Parkway, Suite 200 West Des Moines, Iowa 502662521 (866) 5983692 www.EquiTrust.com Mailing Address: PO Box 14500 Des Moines,.

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How to fill out the DEFERRED ANNUITY CLAIM FORM EquiTrust Life Insurance online

Filling out the DEFERRED ANNUITY CLAIM FORM from EquiTrust Life Insurance is a crucial step in claiming death benefits under an annuity contract. This guide provides clear instructions to help you complete the form efficiently and accurately online.

Follow the steps to successfully complete the form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the annuity contract numbers in the provided field. You may use one form for multiple contracts unless different payment options are selected.
  3. Fill in the 'Information about the deceased' section. Include the decedent’s full name, date of birth, date of death, and any known aliases. Additionally, provide the country where the death occurred and the decedent’s Social Security number.
  4. Attach a certified death certificate that shows the cause and manner of death. If the death occurred outside the United States, include a U.S. Consular’s Report of the Death of an American Citizen.
  5. In the 'Beneficiary Information' section, indicate your capacity for claiming the death benefit by marking the appropriate box. Depending on your role, additional forms may be required.
  6. Provide beneficiary contact information, including their name, date of birth, Social Security or Tax Identification Number, phone number, and address.
  7. Select a payment option in the 'Payment Options' section. Choose between lump sum or various payout options and complete the necessary fields according to the selection.
  8. If relevant, complete the 'My Beneficiary(ies)' section by listing all beneficiaries, including their relationships to the deceased and percentage shares. Ensure the total percentages equal 100%.
  9. If you are a foreign beneficiary or if applicable, fill out the related sections, providing any required forms, such as IRS Form W-8BEN.
  10. Complete the tax withholding section by selecting whether you would like federal and/or state income tax withheld from your payments.
  11. Review and sign the 'Certification of Taxpayer Identification Number' section to confirm the accuracy of the information provided.
  12. Finally, sign and date the required signatures section. If necessary, have your signature notarized, and include documentation if signing on behalf of another party.
  13. Once all sections are completed, save your changes, and prepare to submit the form online.

Complete and submit your DEFERRED ANNUITY CLAIM FORM online now to ensure a smooth processing of your claim.

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Death Benefit Upon death of both annuitants before the end of the fixed period, remaining payments in the fixed period are paid to the owner. If no living owner(s), the remaining payments are made to the owner's estate or beneficiaries.

EquiTrust sells products nationwide and is headquartered in Chicago, Illinois, with operations in West Des Moines, Iowa.

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

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

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.

Equitrust ChoiceFour Annuity | 2.25% Rate.

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