Service Forms

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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