ࡱ> M bjbj== ,WWlHHH\$!$!$!$!l!\6F#,%,%,%,%&&&s6u6u6u6u6u6u6$:8 Z:6H&&"&&&6',%,%6'''&48,%H,%s6'&s6''+0H+,%# !*\$!'++ 606+;';+'\\ Presidential Life Insurance Co. In Texas doing business as Rockland Life Insurance Co. 69 Lydecker Street Nyack, New York 10960  DEFERRED ANNUITY APPLICATION Phone: 800-926-7599 www.presidentiallife.comPart A General Information1. Name (Annuitant) (First, middle, last).2. Date of Birth.3. Age Nearest Birthday.(mm/dd/yy)//4. Gender.5. SS# (Annuitant).Residents Home Address(check one) FORMCHECKBOX  Male  FORMCHECKBOX  FemaleCityStateZipPart B Annuity Product Information6. Guarantee Period (if any)8. Billing Information (Flexible contracts only) FORMCHECKBOX  1 Year  FORMCHECKBOX  2 Year  FORMCHECKBOX  3 Year  FORMCHECKBOX  4 YearAmount $N/A FORMCHECKBOX  5 Year  FORMCHECKBOX  6 Year  FORMCHECKBOX  FlexibleMode:  FORMCHECKBOX  Monthly  FORMCHECKBOX  Quarterly  FORMCHECKBOX  Semi-Annual  FORMCHECKBOX  Annual Secure AnnuityRemarks FORMCHECKBOX  OtherType:  FORMCHECKBOX  Direct Bill  FORMCHECKBOX  List Bill  FORMCHECKBOX  ABC (Automatic Bank Check)7. Tax Qualification Status of Annuity Applied For.9. Payment Premium. FORMCHECKBOX  IRA  FORMCHECKBOX  Roth IRA  FORMCHECKBOX  Non-Qualified$Single Premium Paid with Application. FORMCHECKBOX  SEP  FORMCHECKBOX  TSA 403(b)  FORMCHECKBOX  Profit SharingPayment must be made by check or money order payable only to: FORMCHECKBOX  IRA RolloverPRESIDENTIAL LIFE INSURANCE COMPANY. FORMCHECKBOX  Other$Estimated Premium from FORMCHECKBOX  1035 Rollover/Transfer (Paper work submitted and attached.)Part C Beneficiary and Owner Information10. Policy Owner (If different from annuitant) (First, middle, last).11. Fed. ID or SS#.12. Date of Birth.13. Gender.(mm/dd/yy)(check one)// FORMCHECKBOX  M  FORMCHECKBOX  FResidents Home Address14. Successor Contingent Owner (This is not a co-owner).This owner assumes ownership in the event the policy owner dies before the Annuitant.CityStateZip15. Joint Spousal Owner WROS (First, middle, last)16. Date of Birth.17. Fed. ID or SS#.(mm/dd/yy)//18. Primary Beneficiary(ies) of the Annuitant.19. Contingent Beneficiary(ies) of the Annuitant.Unless otherwise provided, the beneficiaries in a class will share equally. (Add sheet signed by policy owner for additional names).(Add separate sheet signed by policy owner for additional names). Full Name(s) Relationship to Annuitant Social Security #Full Name(s) Relationship to Annuitant Social Security #continued on back page Form 6.3 (TX)(6/03) PRESIDENTIAL LIFE INSURANCE COMPANY continued from front page Part D Certification20. Replacement.Does the Applicant or proposed annuitant have any other life insurance policies or annuity contracts in force?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoIs the policy applied for to replace or change any existing life insurance or annuity contract?  FORMCHECKBOX  Yes  FORMCHECKBOX  No (If Yes attach state replacement form(s) and exchange transfer form(s)).21. Remarks.22. Signature agreement.(1) It is hereby represented that the above statements are true to the best of my belief and knowledge. They should be part of the contract if one is issued. The applicant, if someone other than the proposed annuitant, agrees to be bound by all statements and answers made by the proposed annuitant on this application. (2) The agent taking this application has no authority to make, modify, alter or discharge any contract applied for. The agent cannot extend credit on behalf of the Company. (3) The Company shall incur no liability under any policy issued as a result of this application unless and until such a policy is delivered to the owner and the first premium paid while the annuitant is alive. If question #20 is answered Yes, I confirm receipt of Notice of Applicant and/or other forms required by law. Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.W9: I (We) certify, under the penalties of perjury, that the Social Security No.(s) or Tax ID(s) furnished on this form is true and correct.Dated aton20XSignature of Proposed Annuitant or Payee WitnessSignature of Annuitant or Owner (if other than proposed annuitant or payee)(For Internal use Only) Agents CertificateAgent (print name)Agent, do you have any reason to believe that the Proposed Annuitant intends to drop or change any existing policy on his/her life in favor of the policy applied for?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoI HEREBY CERTIFY that I personally solicited this application. 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