1035_ExForms-Annuity by shimeiyan1

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									                   NAVY MUTUAL AID ASSOCIATION
            HENDERSON HALL • 29 CARPENTER ROAD • ARLINGTON, VA 22212
TELEPHONE (800) 628-6011 • (703) 945-1440 • FAX (703) 945-1441 • WEB SITE: www.navymutual.org
                          RADM BRUCE B. ENGELHARDT, USN, Ret.
                                          President




   Dear Sir or Madam:

       Thank you for your recent inquiry regarding a tax-deferred rollover (IRC 1035 exchange) of an
   existing annuity. We will be pleased to accommodate your request. However, the Association
   makes no representation as to the advantage or disadvantage of such a transaction. You should
   make a careful comparison of your existing benefits and the proposed benefits. Make sure you
   understand all the facts involved. To effect a tax-deferred exchange we recommend that you:

         (1) Select the new annuity and the premium plan that best suits your needs. Then, complete
   the enclosed application. Forward both the annuity application and 1035 exchange forms with a
   check for the minimum premium deposit to Navy Mutual Aid in the envelope provided. We will
   advise you promptly upon approval of your application.

          (2) If you are unsure of the amount of cash value in the policies you are considering
   exchanging, you may wish to call your existing provider to inquire as to the amount of cash value
   available to you.

           (3) 1035 exchange forms are enclosed which will allow your existing provider to complete the
   rollover process. Complete a Contract Exchange form listing each existing annuity policy you desire
   to exchange. Sign and return the form to us along with the applicable policies themselves.
   If the original policy has been lost or destroyed please so indicate on the enclosed form. Sign the
   form and return it to us with the other paperwork. Once your application for an annuity has been
   approved, we will endorse the 1035 exchange request and transmit it to your current provider.
   Depending on the requirements of your provider, the total process could take 1-4 months.

       With regard to the Contract Exchange form, you will note that the process involves the
   assignment of your existing policy to the Association, thereafter to be surrendered by us. This
   method is time consuming. However, the assignment method remains the surest and best way to
   effect a proper exchange and avoid tax problems. We will keep you advised as we receive rollover
   amounts from existing providers and of any additional deposit required or refund due.

       Please give us a call at (800) 628-6011 if there is anything else that we can do to expedite your
   request.

                                                                Sincerely,


   JMM/tcs
   Enclosures                                                   John McVeigh
                                                                CDR, USN, Ret
   1035 ExForms-Ann.wpd/PDF Rev 11/26/2008                      Vice President, Membership
                   NAVY MUTUAL AID ASSOCIATION
            HENDERSON HALL • 29 CARPENTER ROAD • ARLINGTON, VA 22212
TELEPHONE (800) 628-6011 • (703) 945-1440 • FAX (703) 945-1441 • WEB SITE: www.navymutual.org
                          RADM BRUCE B. ENGELHARDT, USN, Ret.
                                          President


                          IRS 1035 CONTRACT EXCHANGE

   POLICY NO(s):                      _______________________________________________________
   OWNER:                             _______________________________________________________
   ANNUITANT:                         _______________________________________________________
   POLICY ISSUED BY:                  _______________________________________________________
   MAILING ADDRESS:                   _______________________________________________________
   I hereby absolutely assign and transfer all right, title and interest in the above policy to your company, the
   Navy Mutual Aid Association, Arlington, Virginia.
   I certify that any contract listed above has not been previously assigned or pledged for any purpose
   whatsoever or that any such assignment or pledge has been released. I further certify that no bankruptcy
   proceedings are pending against me.
   I intend for this assignment to be part of an exchange of Annuity contracts under Internal Revenue Code
   Section 1035. I am aware that Navy Mutual Aid Association intends to surrender this contract for its cash
   surrender value and specifically authorize and approve of Navy Mutual Aid Association surrendering the
   contract for its cash value, without in any way limiting the rights transferred under this assignment.
   I represent and agree that Navy Mutual Aid Association is furnishing this form and is participating in this
   transaction at my specific request and as an accommodation to me. I represent and agree that Navy Mutual
   Aid Association makes no representations concerning my tax treatment under Internal Revenue Code
   Section 1035 or otherwise and the Company has no responsibility nor liability for the validity or sufficiency
   of this assignment nor my tax treatment under Internal Revenue Code Section 1035 or otherwise.
   In the event that you are unable for any reason, to carry out the directions in Paragraph 1 above, I direct you
   to send any forms and instructions necessary to effectuate my intended exchange directly to Navy Mutual
   Aid Association, who I hereby appoint to act on by behalf as my attorney-in-fact o effect this exchange. You
   are hereby advised that time is of the essence with respect to your duties under this form.
   ____________________________________                         ______________________________________
   Signature of Witness                                         Signature of Owner
   _________________________                                    ____________________________
   Date                                                         Social Security Number of Owner

   Spousal Consent for Community Property States: If the Owner is a resident of Arizona, California,
   Idaho, Louisiana, Nevada, New Mexico, Texas, Washington or Wisconsin, spousal consent is required
   unless the Owner has no legal spouse.
   __________________________                   ____________________________                    ___________________
   Spouse Name                                  Spouse Signature                                Social Security Number
   _________________________                    ____________________________
   Date                                         Signature of Witness
   Endorsement: The Navy Mutual Aid Association accepts the assignment of the above contract as a tax-free
   exchange under Section 1035 of the Internal Revenue Code and herewith directs that the above contract
   be surrendered for its cash value, accumulated dividends or other money due.

   Please Forward Check Directly To:
        Navy Mutual Aid Association                                   John McVeigh
        Henderson Hall, 29 Carpenter Road                             CDR, USN, Ret
        Arlington, VA 22212-0001                                      Vice President, Membership
   2008 / JMM / tcs                                                                 1035 ExForms-Ann.wpd/PDF Rev 11/26/2008
                   NAVY MUTUAL AID ASSOCIATION
            HENDERSON HALL • 29 CARPENTER ROAD • ARLINGTON, VA 22212
TELEPHONE (800) 628-6011 • (703) 945-1440 • FAX (703) 945-1441 • WEB SITE: www.navymutual.org
                          RADM BRUCE B. ENGELHARDT, USN, Ret.
                                          President




                            — LOST POLICY STATEMENT —

   Owner:            ______________________________________________
   Policy #:         ______________________________________________




   Dear Policy Owner Service Representative:

   I/W e hereby certify that the actual document for the above indicated annuity has been:
          ____ Lost
          ____ Destroyed.

   Sincerely,


   X
            Policy Owner

   X                                                                             X
            W itness                                                                      Date

                                                                                 1035 ExForms-Ann.wpd/PDF Rev 11/26/2008




                                          Over a Century of Service
                   NAVY MUTUAL AID ASSOCIATION
            HENDERSON HALL • 29 CARPENTER ROAD • ARLINGTON, VA 22212
TELEPHONE (800) 628-6011 • (703) 945-1440 • FAX (703) 945-1441 • WEB SITE: www.navymutual.org
                          RADM BRUCE B. ENGELHARDT, USN, Ret.
                                          President




   Owner:            ______________________________________________


                                     REPLACING YOUR ANNUITY?

        Are you thinking about buying a new annuity policy and
   discontinuing or changing an existing policy? If you are, your decision
   could be a good one or a mistake. You will not know for sure unless
   you make a careful comparison of your existing policy and the proposed
   policy.

        Make sure you understand the facts. You should ask the company
   or agent that sold you your existing policy to give you information about
   it.

        Hear both sides before you decide. This way you can be sure you
   are making a decision that is in your best interest.

        We will be notifying your existing company that you may be
   replacing their policy.



   ____________________________ ___________ ____________________________
        Applicant’s Signature      Date        Counselor’s Signature

   Spousal Consent for Community Property States: If the Owner is a resident of Arizona, California,
   Idaho, Louisiana, Nevada, New Mexico, Texas, Washington or Wisconsin, spousal consent is required
   unless the Owner has no legal spouse.

   __________________________                   ____________________________                    ___________________
   Spouse Name                                  Spouse Signature                                Social Security Number
   _________________________                    ____________________________
   Date                                         Signature of Witness

                                                                                 1035 ExForms-Ann.wpd/PDF Rev 11/26/2008




                                                  Over a Century of Service

								
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