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Get Genworth Electronic Funds Transfer (ETF) Authorization 2007-2024

M-F 9AM-5PM ET for renewal premiums from Genworth Life and Annuity Insurance Company, Genworth Life Insurance Company and Genworth Life Insurance Company of New York Please print clearly and use blue or black ink Please keep a copy of the form for your records. Contract or policy information Contract or policy number(s). Use only the spaces needed. B Insured/owner name(s) B Premium payments Use this section to select your payment frequency for your scheduled premium withdrawals. If.

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