Slovak Catholic Sokol
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Applications & Forms

Applications for Life Insurance:
These applications are used for face amounts less than $50,000:
LA-20                     Application for Life Insurance        CT, IN, MI, NJ, WI
LA-20 IL                 Application for Life Insurance        IlIinois Only
LA-19 MA              Application for Life Insurance        Massachusetts Only
Info Practices        Notice of Information Practices      Massachusetts Only
LA-10 NY               Application for Life Insurance        New York Only
NYSQ                    NEW YORK SUITABILITY QUESTIONNAIRE
LA-20 OH              Application for Life Insurance        Ohio Only
LA-20 PA               Application for Life Insurance        Pennsylvania Only
MA-20                   Application for Membership           Pennsylvania Only
 
These applications are used for face amounts $50,000 and over:
LAL-14                      Application for Life Insurance          MI, NJ,OH,PA, WI
OH-ADDM-0113       Addendum for Life Insurance           Ohio Only
LAL-14 CT                Application for Life Insurance          Connecticut Only
DTPN CT                 Designation of Third Party Notice    Connecticut Only
LAL-14 IL                 Application for Life Insurance           Illinois Only
LAL-14 IN                 Application for Life Insurance           Indiania Only
LAL-19 MA               Application for Life Insurance           Massachusetts Only
LAL-10 NY               Application for Life Insurance            New York Only
NYSQ                      NEW YORK SUITABILITY QUESTIONNAIRE
 
Applications for Annuity:
AA-10                       Application for Annuity       CT, IN, MI, NJ, OH, PA, WI
OH-ADDM-0113      Addendum for Annuity        Ohio Only
AA-14 IL                  Application for Annuity       Illinois Only
AA-10 MA                Application for Annuity      Massachusetts Only
AD 0315                  Annuity Disclosure  
ASQ 0315               Annuity Suitability Questionnaire
 
Replacement & Transfers:
1035 Exchange
Authorization to Transfer Funds
Notice Regarding Replacement of Life and Annuity
Notice of Replacement of Life and Annuity Massachusetts Only
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