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In order to control the issuing of policies intended for these purposes, we require that Form 4439 "Customer Identification Verification" be completed on all cases. If any of the questions on this form are answered "Yes," additional forms will need to be completed, per the instructions on the form. Form 10051-ICC09 "Premium Financing Intent Form" will also need to be completed for all cases in which the proposed insured is age 65 or older and the face amount applied for is $1,000,000 or more. Both forms are available in Virtual Forms on the IMG Web site.
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Independent Marketing Group is a division of American National Insurance Company and American National Life Insurance Company of New York.
For agent use only, not for consumers, or general use. For information about products and services, please contact the Field Support Center 888-501-4043, option 1
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