Please answer the following questions to the best of your ability for an accurate quote. A Best Term Life agent will contact you to verify your information and needs. Fields in red asterisk are required.

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Last Name: *

Phone Number: *

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Information About the Annuity You Are Looking For

How much money are you considering placing in an annuity?

£ Please select one 25,000 - 50,000 50,001 - 100,000 100,001 - 250,000 250,001 - 500,000 500,000 or more

Is the annuity considered...

Qualified
(pre-tax money, etc)

Non-qualified
(after tax money, similar to an interesting bearing savings account)

Not Sure

What type of annuity are you considering?

Fixed Annuity
(returns are guaranteed)

Income "Immediate" Annuity
(immediately pays income for your lifetime and/or a specified period of time)

Bonus Annuity

Index Annuity
(returns fluctuate with various indexes, but guarantee at least a minimum rate of return)

Not Sure
Please have a caring planning professional help me determine the best annuity for my situation.

When will you be purchasing an annuity?
(choose one)

Not for a year or longer

Within 8 months to a year

Within 4 to 7 months

Within 2 to 3 months

Within a month (NOW)

Questions or Comments
(optional)