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Change of beneficiary form
Use this form to change the beneficiary on your policy. Do not use this form if your policy is a family plan or if it has rider insureds.
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Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Statement of trust form
Use this form to change the ownership of your policy to a Trust.
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Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Transfer of ownership / designation of successor owner form
Use this form to request a transfer of ownership and/or designate a successor owner.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Transfer of ownership kit
Use this kit to transfer ownership, set up an automatic payment arrangement, and change your beneficiary.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Periodic partial withdrawal / partial withdrawal request form
Use this form to make a Partial Withdrawal or set up or modify an automated Periodic Partial Withdrawal Arrangement. To make a partial withdrawal from a Tax-Sheltered Annuity, please contact a Customer Service Representative at (800) 598-2019.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Periodic partial withdrawal / partial withdrawal request form (New York Life IndexFlex variable annuity).
Use this form to make a Partial Withdrawal or set up or modify an automated Periodic Partial Withdrawal Arrangement.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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One-time total reallocation, future payments allocation, automatic asset rebalancing & individual fund transfer form
Use this form to change how future payments are applied or to transfer amounts from one allocation alternative to another.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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One-time total reallocation & individual fund transfer form (New York Life IndexFlex variable annuity).
Use this form to transfer amounts from one allocation alternative to another.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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My payment preferences form
Use this form to set up a payment arrangement in which premiums are paid monthly by automatically deducting the money directly from your checking account.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Dollar Cost Averaging (DCA) advantage form
Use this form to have new premiums for your policy applied to the 6-month, 12-month, or 18-month Dollar Cost Averaging (DCA) advantage plan. To have a portion of your new premium allocated directly to the Investment Divisions and/or Fixed Account(s), please complete the Change of Allocation and Transfer Form in addition to the DCA advantage form.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Dollar Cost Averaging form
Use this form to establish DCA on a policy and/or make a change to an existing DCA arrangement.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Interest Sweep form
Use this form to elect the Interest Sweep option. This option provides for the interest earned on monies allocated to the Fixed Account to be transferred from the Fixed Account to any combination of Investment Divisions.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Name change request form
Use this form to process a change of Name on your policy.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Telephone authorization form
Use this form to initiate telephone authorization to access information and/or process transactions over the telephone.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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IRS Form W-4P - Withholding certificate for pension or annuity payments
Use this form for all annuity contract death claims.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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IRS Form W-9 - Request for Taxpayer Identification Number and Certification
Use this form to: certify that the Taxpayer Identification Number (TIN) you are giving is correct (or you are waiting for a number to be issued); certify that you are not subject to backup withholding; or claim exemption from backup withholding if you are a U.S. exempt payee.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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If you are a non US citizen residing abroad or a Foreign Entity, use the appropriate form below for annuities, death claims, change of ownership or to refresh information on our files.
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IRS Form W-8BEN - Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Instructions for the Form W-8BEN
Instructions to complete the IRS Form W-8BEN.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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IRS Form W-8BEN-E - Certificate of Status of Beneficial Owner for United States Tax Withholding and Reporting (Entities)
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Instructions for the Form W-8BEN-E
Instructions to complete the IRS Form W-8EN-E.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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IRS Form W-8ECI - Certificate of Foreign Person"s Claim That Income Is Effectively Connected With the Conduct of a Trade or Business in the United States
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Instructions for the Form W-8ECI
Instructions to complete the IRS Form W-8ECI.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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IRS Form W-8EXP - Certificate of Foreign Government or Other Foreign Organization for United States Tax Withholding and Reporting
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Instructions for the Form W-8EXP
Instructions to complete the IRS Form W-8EXP.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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IRS Form W-8IMY - Certificate of Foreign Intermediary, Foreign Flow-Through Entity, or Certain U.S. Branches for United States Tax Withholding and Reporting
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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Instructions for the Form W-8IMY
Instructions to complete the IRS Form W-8IMY.
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Download
Mailing address:
New York Life Insurance and Annuity Corporation
Variable Products Service Center
Madison Square Station
P.O. Box 922
New York, NY 10159
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