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Get Genworth BD-Change 2007-2021

Ner signature if applicable ฀ X ฀ Releasing custodian signature Accepting custodian signature X X Section 4. Individual to custodial ownership change New custodian name Broker dealer name b฀ For the benefit of Client name ฀ ฀ b ฀ at Annuitant name First, M.I., Last b฀ ฀ ฀ ฀ ฀ Street address, city, state, zip b New beneficiary information Broker dealer name The beneficiary named here will replace any previous beneficiaries. For the benefit of Client nam.

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