Common Contracts
2 similar Allmerica Financial contracts by Sep Acct Va K Execannuity of Allmerica Fin Lfe Ins & Ann Co, Separate Account KGC of First Allmerica Fin Life Ins Co
ALLMERICA FINANCIAL PRINCIPAL OFFICE: WORCESTER, MASSACHUSETTS 01653 FORM OF SALES AGREEMENT First Allmerica Financial Life Insurance Company and Allmerica Financial Life Insurance and Annuity Company (herein collectively referred to as "the Assurance...Allmerica Financial • December 12th, 1996 • Separate Account KGC of First Allmerica Fin Life Ins Co • Massachusetts
Street Address Apt.Allmerica Financial • March 1st, 1996 • Sep Acct Va K Execannuity of Allmerica Fin Lfe Ins & Ann Co
*Attach required additional forms. _______________________________________________________________________________ 5. INITIAL PAYMENT Initial Payment $ _________________________________________ If IRA or SEP-IRA application, the applicant has received a Disclosure Buyer's Guide and this payment is a (check one): / / Rollover / /Trustee to Trustee Transfer / / Regular or SEP-IRA Payment for Tax Year ___________ _______________________________________________________________________________ 6. REPLACEMENT Will the proposed contract replace or change any existing annuity or insurance policy? / / NO / / YES (If yes, list company name and policy number)
