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Create Application Packet
Answer the following questions
Product:
Principal Pivot Series Variable Annuity
Principal Lifetime Income Solutions II VA
Principal Strategic Outcomes-RILA
I am affiliated with Principal Financial Network (PFN) and
I am not
using RightBRIDGE Reports for this application submission
Yes
No
.
I am affiliated with Principal Financial Network (PFN) and
I am
using RightBRIDGE Reports for this application submission.
Yes
No
Are you affiliated with a BGA?
Yes
No
Are you affiliated with a bank?
Yes
No
Is the owner a business/corporation?
Yes
No
State of Sale:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Plan:
(select a plan)
IRA
IRA Transfer
Non Qualified
Pension Trust
Rollover IRA
SEP IRA
SIMPLE IRA
Source of Fund(s) to Be Invested:
(check all that apply)
Current Income/Employer Contribution
Personal Savings
Certificate of Deposit
Mutual Fund
Money Market
Annuity
Life Insurance
Qualified Plan/Retirement Account
Is Qualified Plan/Retirement
Account a 403(b) Annuity?
Is Qualified Plan/Retirement Account
a 412(i) plan funded with both life
insurance and annuity products?
Is Qualified Plan/Retirement Account
a 412(i) plan funded with annuity
products only?
Replacement Source(s):
(check all that apply)
Principal Life Insurance Company
Other Company
Will the sale be for the VA exchange offer?
Yes
No
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