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RETURN FORM TO For Variable Life and Variable Annuity policies New York Life Variable Products Service Center Madison Square Station PO Box 922 New York NY 10159 For all other policies If You Live In AL CT DC DE FL GA IL IN KY MA ME MD MI MS NC NH NJ NY OH PA RI SC TN VA VT WI or WV return this form to New York Life Cleveland Service Center PO Box 6916 Cleveland OH 44101 If You Live In AK AR AZ CA CO HI IA ID KS LA MN MO MT NE ND NM NV OK OR SD TX UT WA or WY return this form to New York Life...
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You are registering a new life policy or annuity policy and requesting your policy number and policy number, or the policy number for a renewal policy. Policy number: (Your policy number must consist of the first eight digits of your Social Security number. This is the policy number for a life or annuity policy.) CALIFORNIA Insurance Department The City and County of San Francisco Room California Department of Insurance P.O. Box 70410 San Francisco, CA 94102 OR STATE OF CALIFORNIA Insurance Department Public Safety Authority 1300 Post Street Sacramento, CA 95814 or E-mail: Insurance. Registrar SOS.ca.gov. INSURANCE DIVISION (MAY HAVE) Insurance Division, Office of Insurance P.O. Box 55712 Sacramento, CA 92604 OR STATE OF CALIFORNIA Insurance Department 1501 East Sacramento Street Sacramento, CA 95811 OR E-mail: Insurance. Registrar SOS.ca.gov. Insurance Division, Office of Insurance. O. Box 55712Sacramento, CA 92604ORStates of California (not California Department of Insurance)Insurance Department1501 East Sacramento Street Sacramento, CA 9581ANDE-mail: Ins. Public Safety Authority1300 Post Street Sacramento, CA 95814 For instructions about submitting your request electronically, please go to: (If your request is a document attachment, please follow the instructions in the attachment for creating a document in Adobe Acrobat or PDF format.) Fee: 15.00 Please Note: Please be sure the name on your life policy or annuity policy matches the name on your will, as a document amendment would be required if the name does not match.
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