Immediate Annuity Quotes and commissions for insurance agents

Immediate Annuity quotes and commissions for agents.
Guaranteed income for life, period certain, deferred start immediate annuity quotes.
Top quality quotes and commissions for insurance agents.

Medically underwritten impaired risk

Immediate Annuity Commissions

800-373-9697 for live quotes!
(9 am to 4:30 pm pacific time M-F)

Immediate Annuity Quote Request Form
Please fill in as much information as possible.

Annuitant Information:
Name: Male Female
D.O.B. Age: State:

Joint Annuitant Information (if any):
Name: Male Female
D.O.B: Age: State:

Source of Funds:
Non- Qualified (cash, 1035 exchange so on)
Qualified (Ira, 401K rollover, Pension so on)

Deposit Amount: $
Desired Income: $
1035 Cost Basis $

Deposit Date: Month Day Year

Income Start: Month Day Year

Annuity Payment Frequency:
Monthly Semi-Annually Quarterly Annually

Type of Immediate Annuity:
SINGLE LIFE
Life Only
Life With period certain of:
5 Year 10 Years 15 Years 20 Years
Specific: and Months
Life With Installment Refund
Life With Cash Refund (low availability / none joint lives)

Joint LIFE
Joint & Survivor Lives ONLY
Joint With period certain of:
5 Year 10 Years 15 Years 20 Years
Specific: and Months
Joint Percent To Survivor

Period Certain ONLY
Period Certain Only for:
5 Year 10 Years 15 Years 20 Years
Specific: Years and Months

Annual Inflation COLA:

Agent Email:
Agent Phone: Appreciated
Agent Fax: If you would like quotes faxed
Signing Agent:

Receive quote BY:
Email Adobe Acrobat PDF Email Text
Fax Phone Call

Poor health client? Should try an impaired risk quote.

Please use the agent comment for any special requests that do not appear on the form.
Agent Comments - Requests:

Annuities may not be available in all states. Certain provisions may vary or may not be available. State premium taxes may reduce the final value of your annuity. Read your contract for details.

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