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The Family Income
Legacy™ - a Reversionary
Annuity Will
its Pension Maximization Concept work for You?
The Family Income
Legacy
Reversionary Annuity may provide an
efficient use of resources under most circumstances.
What is it? A life
insurance policy that becomes an immediate
annuity for the Survivor
This Product provides
unequaled affordability.
Greater Premium
Efficiency!
Retiree:
Age:
Date of Birth (##/##/##):
Spouse:
Age:
Date of Birth (##/##/##):
Email Address:
Residence Address (No., Street or
RFD, City, State, Zip):
Phone:
General Health Condition:
Excellent
Good
Fair
Insured:
Beneficiary:
Are you a current tobacco user? Retiree: Yes No
Spouse: Yes No
Benefit Period Option: LifeTen
Years
Premium Payment Option:Ten
Years Twenty
Years
Enter the Desired Monthly Income: OR Enter the Planned Monthly Premium:
What are the Limitations of Your Current
Pension Plan?
(Check)
1. Should the Beneficiary die
first;
A. does the pension plan income
"pop up" to the single life
option amount?
Yes No
B. does the pension plan "return
the cost" of the survivor income benefit
back to the retiree?
Yes No
2. Should the Insured die before
the retirement date;
A. does the pension plan
provide an immediate lifetime survivor benefit?
Yes No
B. if not, wouldn't it be a
good plan to guarantee a survivor benefit – now?
Yes No
3. Is your pension plan income,
both the Retirees or Survivors subject to ordinary
income tax, both federal and state?
Yes No
4. Once a survivor payment
election is made, does the plan allow for changes?
Yes No
If you qualify for the plan,
it could provide you & your spouse with all of the
following:
Higher retirement income than the
employer's plan
Lower survivor option cost than the
employer's plan
Less income tax to pay Uncle Sam,
(Federal & State)
Press Submit when finished: A
Personalized reversionary annuity proposal will be prepared
for You. Let’s Find Out if Pension Maximization will
work for you. If you do not wish to submit this
information over the internet, print and complete this form
and fax to: Independent Insurance Sales & Brokerage, Inc.
208-468-0778
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