Contract Information

Easily obtain an immediate, accurate illustration on the income payments that could be received from an IncomeSource® single premium immediate annuity. Simply enter your customer's information in the form provided.

IncomeSource is illustrated using current rate assumptions, and is valid for two weeks from the date it is generated. The illustration is based on the options selected and information provided on the following pages. It does not constitute an offer or solicitation for sale. The actual sale and issuance of the annuity is subject to company review and approval. Payments will change based on the information provided.

For questions about IncomeSource or help with your next sale, contact us.

New Business Contract
Annuity Type
Contract State
Agent Name  (required)
Agent Phone #  (required)
Date of Birth  /  /  Date of birth required for an accurate illustration.
Age  0  
Gender
Name (First,Last)    

FOR FINANCIAL PROFESSIONAL USE ONLY

CF-36-0001-0606