Variable Annuity

Scheduled Systematic Withdrawal Request for NEA Valuebuilder® Future, Select and Multi-Flex

Use this form to establish a Scheduled Systematic Withdrawal (SSW) mutual fund group retirement account

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Variable Annuity

SecureDesigns® DCA Plus

You may allocate all or part of your initial purchase payment to the DCA Plus Account.

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By Mail

Security Benefit
P.O. Box 750497
Topeka, KS 66675-0497
United States

Overnight Delivery

Security Benefit
Mail Zone 497
One Security Benefit Place
Topeka, KS 66636-0001
United States

By Fax
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For questions or assistance, please call 800.888.2461.
Fixed Annuity | Variable Annuity | Fixed Index Annuity

Stretch Systematic Withdrawal

Use this form to establish the Scheduled Systematic Withdrawal (SSW) from your account, as required by the Internal
Revenue Service for beneficiary accounts.

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Suitability and Best Interest Certification

Use this form to show there is a reasonable basis for believing that the purchase suits your current investment goals and financial situation, and you have been reasonably informed of the terms and features of a variable annuity and would benefit

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Fixed Annuity | Variable Annuity | Fixed Index Annuity

Surrender Charge Waiver for Annuity Contract

For establishing privileges to withdraw funds from your contract without incurring a surrender charge penalty, such as for Nursing Home stay or a Terminal Illness diagnosis. Must meet requirements outlined on the form and in your contract.

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By Mail

Security Benefit
P.O. Box 750497
Topeka, KS 66675-0497
United States

Overnight Delivery

Security Benefit
Mail Zone 497
One Security Benefit Place
Topeka, KS 66636-0001
United States

By Fax
Download
For questions or assistance, please call 800.888.2461.
Variable Annuity

Systematic Transfer Enrollment Program for Mutual of Omaha/United of Omaha

Use this form to establish a Systematic Transfer Enrollment Program (STEP). Funds invested in the STEP account will be transferred monthly to allocations you select.

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By Mail

Security Benefit
P.O. Box 750497
Topeka, KS 66675-0497
United States

Overnight Delivery

Security Benefit
Mail Zone 497
One Security Benefit Place
Topeka, KS 66636-0001
United States

By Fax
Download
For questions or assistance, please call 800.888.2461.
Variable Annuity

Transfer of Assets for NEA Valuebuilder® Future, Select and Multi-Flex

For transferring funds from one account to another, completing a one-time Asset Re-balance, changing the allocation of future payments (Change of Future Allocation), or applying for Telephone Exchange Authorization, which allows you to exchange fu

Download
By Mail

Security Benefit
P.O. Box 750497
Topeka, KS 66675-0497
United States

Overnight Delivery

Security Benefit
Mail Zone 497
One Security Benefit Place
Topeka, KS 66636-0001
United States

By Fax
Download
For questions or assistance, please call 800.888.2461.
Fixed Annuity | Fixed Index Annuity

Trust or Entity Certification for Annuity Contract

This Trust or Entity Certification Form must be used when a partnership, trust, or other non-natural person(collectively "Entity"), is the owner of the annuity contract.

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By Mail

Security Benefit
P.O. Box 750497
Topeka, KS 66675-0497
United States

Overnight Delivery

Security Benefit
Mail Zone 497
One Security Benefit Place
Topeka, KS 66636-0001
United States

By Fax
Download
For questions or assistance, please call 800.888.2461.
Variable Annuity

Vantage Limited Power of Attorney

For use with Vantage only. This form gives authority to another person ("attorney in fact") to act on your behalf for the Contract/Account Number identified below.

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Please type or print.

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Variable Annuity

Vantage Portfolio Election Change

For use with Vantage only. For changes to existing contracts only.

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Please complete this form and fax to Vantage Advisors, LLC at (919) 882-1026.

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