Start Annuity Income Please fill out the form to begin your annuity income. We look forward to helping you with your request. The information you provide will be encrypted for security. "*" indicates required fields Your Name* First Last Your Email* Your Agent* Casey Short Tony Rizzo Jay Beerley David McEntire Dan Thomas When would you like to begin receiving your annuity payment? MM slash DD slash YYYY Will the payment be single life or joint life?* Single Life (for just you) Joint Life (for you and your spouse) Not sure, please help me with this Amount of tax you would like withheld?* None 10% 15% 20% Do you know the account you would like to begin receiving income from?* No, please help me with this. Yes Last 4 digits of account number*What payment frequency would you like?* Monthly Quarterly Annually One Time Withdrawal Additional Comments or Questions Δ