1-800-488-1890 | 724-731-0094 info@nsslife.org Annuity Resources SELECT A STATE TO DOWNLOAD THE ANNUITY APPLICATION Loading map... NSS Life annuity applications must be viewed with a program called Adobe Acrobat Reader. If you aren’t sure that you have it, you may download it for free from the Adobe website. Using an iPhone? Please download the app using the iStore. If you are on an Android device, download the app via the apps store. To download the correct form, please choose the state in which the applicant resides – we are only licensed to sell to residents of AZ, CA, CO, CT, FL, GA, IL, IN, MD, MI, NJ, NC, OH, PA, SC, TN, TX, WV, and WI. Direct State Download (Click on a State name to download the form) Arizona California Colorado Connecticut Florida Georgia Illinois Indiana Maryland Michigan Minnesota New Jersey North Carolina Ohio Pennsylvania South Carolina Tennessee Texas Virginia West Virginia Wisconsin Agreement for Exchange of Policies (1035) Non-Qualified Annuity Suitability Questionaire Authorization to Transfer Funds Death Claim - Annuity (IRA) Death Claim - Annuity (2019 & Prior) Death Claim - Annuity (Non-Qualified) Direct Deposit Authorization - General Full or Partial Annuity Withdrawal Investment Growth Fund Withdrawal IRA Minimum Distribution Withdrawal IRA Qualified Charitable Distribution IRA Successor Beneficiary Form for Traditional, Roth and Simple IRAs IRA Successor Beneficiary Form for Traditional, Roth and Simple IRAs (2019 & Prior) Monthly Bank Draft Non-Qualified Successor Beneficiary Qualified “Best Interest” Statement (PTE 84-24) Request Affidavit for Lost Policy by the Owner Request for Service: Change of Beneficiary, etc. Trust Ownership Change Form What is an Annuity? A brief explanation of how an annuity works. HAVE MORE QUESTIONS? Life Insurance Resources NSS Life insurance applications and forms must be viewed with a program called Adobe Acrobat Reader. If you aren’t sure that you have it, you may download it for free from the Adobe website. Using an iPhone? Please download the app using the iStore. If you are on an Android device, download the app via the apps store. To download the correct form, please choose the state in which the applicant resides – we are only licensed to sell to residents of AZ, CA, CO, CT, FL, GA, IL, IN, MA, MI, NJ, NC, OH, PA, SC, TN, TX, WV, and WI. State FULL APPLICATION (AGES 60 & OLDER OR OVER $50,000) SHORT APPLICATION (UP TO $50,000) Arizona California Colorado Connecticut Florida* Georgia Illinois Indiana Maryland Michigan Minnesota New Jersey North Carolina Ohio Pennsylvania South Carolina Tennessee Texas Virginia West Virginia Wisconsin Cash Surrender Life Policy Cash Surrender of Dividends Death Claim - Life Insurance Death Claim - Senior Safeguard Dividend Election Loan Promissory Note Monthly Bank Draft Request Affidavit for Lost Policy by the Owner Request for Service / Change of Beneficiary What is Life Insurance? A brief explanation of the different types of Life Insurance. HAVE MORE QUESTIONS? Contact Us National Slovak Society 351 Valley Brook Road McMurray, PA 15317-3337 Phone: (724) 731-0094 Toll Free: 1 (800) 488-1890 Fax: (724) 731-0145 Office Hours: Mon - Thurs: 7:30 AM to 4:00 PM Friday: 7:30 AM to 12:30 PM info@nsslife.org sales@nsslife.org Latest News Septemberfest 2021 From the President’s Desk NSS Life 2020 Family Fun Day Latest Articles Employee Benefit Plan Start a Roth IRA Now 2020 Retirement Literacy Survey Upcoming Events NOVEMBER, 2021 Site Map Home Insurance Products Annuity Products Membership Events Media Fraternal About NSS ©2020. NSS Life. All Rights Reserved. Concept Developed by Apotheom, LLC