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Get Prudential COMB 99636 2007

T/ Discharge of Assignment Use this form to make a collateral assignment (“assignment”) or to discharge the assignment of a policy. Please note the following information: 1. Read page 1 of this form carefully. Please keep this page for your reference. 2. Complete pages 2 through 4, as appropriate. 3. Review the accuracy of any information that we may have filled in. Initial any changes, corrections, or deletions that are made. Except in section 7, I, you, and your refer to the policyowner(s.

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