ACORD - 1035 Exchange/Rollover/Transfer eForm. Are you sure you want to leave? Jackson National Life Distributors LLC Not FDIC/NCUA insured • Not bank/CU guaranteed • May lose value • Not a deposit • Not insured by any federal agency. Your login session will expire in seconds. The company's growth attracted the attention of Prudential plc, which acquired Jackson in 1986. By 1984, Jackson had grown to $1 billion in assets. These products have limitations and restrictions. Jackson is the marketing name for Jackson National Life Insurance Company (Home Office: Lansing, Michigan and Jackson National Life Insurance Company of New York (Home Office: Purchase, New York). Jackson ® is the marketing name for Jackson National Life Insurance Company ® and Jackson National Life Insurance Company of New York ®. List of currently available JACKSON NATIONAL forms on Laser App, ACORD - 1035 Exchange/Rollover/Transfer eForm, Activation of Lifetime Income Benefit Request - X4391, Additional Premium form - Perspective Advisory II Jackson Private Wealth - NV6260 [NY], Additional Premium form - Perspective Advisory II Jackson Private Wealth - V6260 [Generic], Annuity Partial or Full Liquidation Request - X3101, Armed Forces Product Disclosure - NADV14668 [NY], Armed Forces Product Disclosure - XADV14668, Armed Forces Product Disclosure - XADV14668BL [MI], AscenderPlus Select Crediting Method Renewal - X2064 [Generic], Authorization for Release of Health-Related Information - X5728, Authorization to Disclose Policy Information - N3512 [NY], Authorization to Disclose Policy Information - NV3512 [NY], Authorization to Disclose Status of Transfer/Exchange to Third Parties - X6253, Beneficiary Designation with Pre-Selected Death Benefit Election - N4219 [NY], Beneficiary Designation with Pre-Selected Death Benefit Election - N4219G [NY], Beneficiary Designation With Pre-Selected Death Benefit Election - X4219 [AO Except NY], Binding Arbitration Agreement - Z3121 [MS], Buyer's Guide for Deferred Annuities - ANB-LENJ [NJ], Buyer's Guide for Deferred Annuities - X1292AR [AR], Buyer's Guide for Deferred Annuities - X1292KY [KY], Buyer's Guide to Annuities - X1292A [AZ-MT-OH], Buyers Guide for Deferred Annuities - ANB-LA [AL-CO-IA-ME-MO-NH-OH-RI-TX-WI-WV], Buyers Guide for Deferred Annuities - ANB-LE [AK-HI-ID-NV], Consumer Suitability Acknowledgement Form - X0950FL [FL], Consumer Suitability Acknowledgement Form Supplement - X0950FL-S [FL], Contact Discolure - Action - JMF9536NH [NH], Contact Discolure - Action One - JMF9537NH [NH], Contact Discolure - BonusMax - JMF9441NH [NH], Contact Discolure - BonusMax One - JMF9541NH [NH], Contact Discolure - Elite Choice - XADV12650NH [NH], Contact Discolure - Elite Choice Rewards - XADV12651NH [NH], Contact Discolure - Max One - JMF9539NH [NH], Contact Discolure - Max One XL - JMF9540NH [NH], Contact Discolure - Max XL - JMF9543NH [NH], Contact Discolure - Optimax - JFF9522NH [NH], Contact Discolure - Optimax 100 - JFF9532NH [NH], Contact Discolure - Optimax 3 - JFF9525NH [NH], Contact Discolure - Optimax 5 - JFF9530NH [NH], Contact Discolure - Optimax One - JFF9524NH [NH], Contact Discolure - SuperMax XL - JMF9544NH [NH], Contract Disclosure - Action One - JMF9537, Contract Disclosure - Action One - JMF9537A, Contract Disclosure - BonusMAX - JMF9441A, Contract Disclosure - BonusMAX One - JMF9541, Contract Disclosure - BonusMAX One - JMF9541A, Contract Disclosure - GEBA MAX - JMF9545A, Contract Disclosure - GEBA MAX - JMF9545NH [NH], Contract Disclosure - Jackson RateProtector - JMI22214 [CA-DE-FL-ND-SD], Contract Disclosure - Jackson RateProtector - JMI22214A [AR-ID], Contract Disclosure - Jackson RateProtector - JMI22214ID [ID], Contract Disclosure - Jackson RateProtector - JMI22214IIPRC [Generic], Contract Disclosure - Jackson RateProtector - JMI22214NH [NH], Contract Disclosure - Jackson Rateprotector - JMI22214NJ [NJ], Contract Disclosure - Jackson Rateprotector - JMI22214NY [NY], Contract Disclosure - Jackson Rateprotector - JMI22214WI [WI], Contract Disclosure - MarketProtector - JMI19450 [DC-DE-FL-ND-SD], Contract Disclosure - MarketProtector - JMI19450A [AR], Contract Disclosure - MarketProtector - JMI19450CA [CA], Contract Disclosure - MarketProtector - JMI19450ID [ID], Contract Disclosure - MarketProtector - JMI19450IIPRC [Generic], Contract Disclosure - MarketProtector - JMI19450NJ [NJ], Contract Disclosure - MarketProtector - JMI19450WI [WI], Contract Disclosure - MarketProtector - MI19450 [DC-DE-FL-ND-SD], Contract Disclosure - MarketProtector Advisory - JMI19451 [DC-DE-FL-ND-SD], Contract Disclosure - MarketProtector Advisory - JMI19451A [AR], Contract Disclosure - MarketProtector Advisory - JMI19451ID [ID], Contract Disclosure - MarketProtector Advisory - JMI19451IIPRC [Generic], Contract Disclosure - MarketProtector Advisory - JMI19451NJ [NJ], Contract Disclosure - MarketProtector Advisory - JMI19451WI [WI], Contract Disclosure - MarketProtector Advisory III - JMI24092ID - [ID], Contract Disclosure - MarketProtector III - JMI24091ID [ID], Contract Disclosure - MAX One XL - JMF9540, Contract Disclosure - MAX One XL - JMF9540A, Contract Disclosure - OptiMAX 100 - JFF9532, Contract Disclosure - OptiMAX 100 - JFF9532A, Contract Disclosure - OptiMAX 3 - JFF9525, Contract Disclosure - OptiMAX 3 - JFF9525A, Contract Disclosure - OptiMAX 5 - JFF9530, Contract Disclosure - OptiMAX 5 - JFF9530A, Contract Disclosure - OptiMAX One - JFF9524, Contract Disclosure - OptiMAX One - JFF9524A, Contract Disclosure - SuperMAX XL - JMF9544, Contract Disclosure - SuperMAX XL - JMF9544A, Designated Beneficiary Hold Harmless Agreement - N2907 [NY], Designated Beneficiary Hold Harmless Agreement - X2907, Direct Deposit Request for Systematic Withdrawal/RMD/Annuity Benefit Payments - N1091 [NY], Direct Deposit Request for Systematic Withdrawal/RMD/Annuity Benefit Payments - X1091, Direct Rollover Indemnification Agreement - N3203 [NY], Direct Rollover Indemnification Agreement - X3203, Direct Transfer - Retirement Latitudes - V5390, Disclosure for Annuity Early Withdrawals - X4101MA [MA], Disclosure for Early Withdrawal - Surr-WD Charge - X4100MA [MA], Electronic Delivery Authorization - N6370 [NY], Electronic Delivery Authorization Form - X6370, Electronic Funds Transfer (EFT) from Bank Account - N0297 [NY], Electronic Funds Transfer (EFT) From Bank Account - X0297 [AO Except NY], Elite Access Additional Premium Form - V6246, Elite Access Advisory II Application - NV785 [NY], Elite Access Advisory II Application - V785 [Generic], Elite Access Advisory II Application - V785(MS) [MS], Elite Access Advisory II Application - V785A [DE-ND-SD], Elite Access Advisory II Application - V785CA [CA], Elite Access Advisory II Application - V785FL [FL], Elite Access Advisory II Product Summary - CMV20796 [NY], Elite Access and Elite Access Advisory II - Summary Comparison - NMV22537NY [NY], Elite Access Fund Transfer Request/Future Allocation Changes - NV4582 [NY], Elite Access Fund Transfer Request/Future Allocation Changes - V4582, Elite Access II and Elite Access Advisory II - Summary Comparison - NMV23679NY [NY], Elite Access II Application - V670 [Generic], Elite Access II Application - V670A [DE-ND-SD], Elite Access II Application - V670CA [CA], Elite Access II Application - V670FL [FL], Elite Access II Suite Kit Folder - CMV7892 [NY], Elite Access Sales Material Checklist (Reg 60) - NV3667 [NY], Elite Access Systematic Investment - NV5485 [NY], Elite Access Systematic Investment - V5485, Elite Access Variable Annuity Good Order Checklist - NV3645 [NY], Elite Access Variable Annuity Good Order Checklist - V3645, Elite Choice Contract Disclosure - XADV12650 [AZ-AR-CA-CT-DE-DC-FL-MT-ND-SD], Elite Choice Contract Disclosure - XADV12650IA [IA], Elite Choice Contract Disclosure - XADV12650IIPRC [Generic], Elite Choice Preliminary Contract Summary - JMI15719 [NJ], Elite Choice Preliminary Contract Summary - XADV12650WI [WI], Elite Choice Rewards Contract Disclosure - XADV12651 [AZ-AR-CA-DE-DC-FL-MT-ND-SD], Elite Choice Rewards Contract Disclosure - XADV12651CT [CT], Elite Choice Rewards Contract Disclosure - XADV12651IA [IA], Elite Choice Rewards Contract Disclosure - XADV12651IIPRC [Generic], Elite Choice Rewards Preliminary Contract Summary - JMI15720 [NJ], Elite Choice Rewards Preliminary Contract Summary - XADV12651WI [WI], Elite Choice/Elite Choice Rewards Crediting Method Renewal Instruction - X2061, Fixed Annuities - Immediate Annuity Product Summary - NADV14238 [NY], Fixed Annuities - NY Action Product Summary - NADV13775 [NY], Fixed Annuities - OptiMAX NY Family of Fixed Annuities Product Summary - NFADV7343 [NY], Fixed Annuity Death Benefit Claim Form - Z1142 [Generic], Fixed Annuity Death Benefit Claim Form - Z1142A [NJ], Fixed Annuity Good Order Checklist - N3848 [NY], Fixed Annuity Good Order Checklist - X3643 [All Except NY], Fixed Annuity Periodic Income Payment (PIP) Request - X2635, Fixed Annuity Systematic Withdrawal Request - X2055, Fixed Index Annuity Automatic Withdrawal Request - X4370, Fixed Index Annuity Good Order Checklist - X3641 [All Except NY], Fixed, Fixed Index or Immediate Annuity Needs Analysis - X6251, Fund Transfer Request/Future Allocation Change - Curiangard Simplified Retire Ann.
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