Penn Mutual Annuity Beneficiary Designation Form
This document is used to change the primary or contingent beneficiary designation on your Penn Mutual Annuity contract. It includes sections for contract information, beneficiary details, spousal consent, and general provisions. Instructions for submitting the form are also provided.
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How do I fill this out?
Filling out the Penn Mutual Annuity Beneficiary Designation Form is straightforward. First, gather all necessary information such as contract numbers, names, addresses, and social security numbers of beneficiaries. Then, follow the instructions provided in each section of the form.

How to fill out the Penn Mutual Annuity Beneficiary Designation Form?
1
Enter contract owner and annuitant information.
2
Provide details for each beneficiary, including names, addresses, and percentages.
3
If applicable, complete the spousal consent and notarization section.
4
Sign and date the form in the appropriate sections.
5
Submit the form by mail, fax, or as instructed.
Who needs the Penn Mutual Annuity Beneficiary Designation Form?
1
Contract owners who want to change their annuity beneficiary designation.
2
Individuals with annuity contracts seeking to update beneficiary information.
3
Married contract owners who need spousal consent for beneficiary changes.
4
Trustees managing annuity contracts requiring beneficiary updates.
5
Estate planners assisting clients with annuity contract management.
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How do I edit the Penn Mutual Annuity Beneficiary Designation Form online?
You can easily edit this PDF on PrintFriendly using our PDF editor. Simply upload the file and make the necessary changes to the contract information, beneficiary details, and spousal consent sections. Save and download the edited form once all changes are made.
1
Upload the Penn Mutual Annuity Beneficiary Designation Form to PrintFriendly.
2
Use the PDF editor to enter or update contract information and beneficiary details.
3
Complete the spousal consent section if applicable.
4
Add your digital signature in the designated areas.
5
Save and download the edited form for submission.

What are the instructions for submitting this form?
To submit this form, return it to Penn Mutual Life Insurance Company at PO Box 178, Mail Code C3R, Philadelphia, PA 19105-0178. You can also fax the completed form to (215) 956-7699. Ensure that all required fields are completed, and the form is signed and dated before submission.
What is the purpose of this form?
The purpose of the Penn Mutual Annuity Beneficiary Designation Form is to allow contract owners to update or change their beneficiary designations. It ensures that the correct beneficiaries are recorded for the annuity contract, providing peace of mind for contract owners and their families. Additionally, it includes provisions for spousal consent if required, ensuring all legal and contractual obligations are met.

Tell me about this form and its components and fields line-by-line.

- 1. Contract Information: Collects the name of the contract owner, contract number(s), annuitant name, and contact information.
- 2. Beneficiaries: Includes fields for primary and contingent beneficiary details such as name, address, social security/tax ID number, and percentage of proceeds.
- 3. Spousal Consent and Notarization: Required for 403(b) or 401(g) contracts if the contract owner is married, includes fields for spousal information and notarization.
- 4. Mailing Instructions: Provides instructions for submitting the completed form via mail or fax.
- 5. Signatures: Sections for the contract owner and joint owner (if applicable) to sign and date the form.
- 6. General Provisions: Includes definitions, eligibility criteria, and distribution requirements for beneficiaries.
What happens if I fail to submit this form?
Failing to submit this form can result in outdated beneficiary information and potential conflicts in the distribution of annuity proceeds.
- Outdated Beneficiary Information: If the form is not submitted, the beneficiaries on record may not reflect your current wishes.
- Legal Conflicts: Failing to update beneficiary designations can lead to legal disputes among potential beneficiaries.
- Delayed Distribution: Outdated information can cause delays in the distribution of annuity proceeds to the rightful beneficiaries.
How do I know when to use this form?

- 1. Change in Beneficiary: When you need to change the primary or contingent beneficiaries on your annuity contract.
- 2. Change in Marital Status: If your marital status has changed and spousal consent is required.
- 3. Estate Planning: To ensure your annuity proceeds are distributed according to your estate planning wishes.
- 4. Trust Management: For trustees managing annuity contracts that need to update beneficiary designations.
- 5. Contract Updates: Whenever you need to update the information on your annuity contract regarding beneficiaries.
Frequently Asked Questions
Can I edit this form online?
Yes, you can edit the Penn Mutual Annuity Beneficiary Designation Form online using PrintFriendly's PDF editor.
How do I add a new beneficiary?
To add a new beneficiary, fill out the beneficiary section with the required information such as name, address, and percentage allocation.
Is spousal consent required?
Spousal consent is required only for IRC Section 403(b) or 401(g) contracts if you are married.
Can I sign this form digitally?
Yes, you can sign the form digitally using PrintFriendly's signature tool.
How do I submit the completed form?
Submit the completed form by mail or fax as instructed in the mailing instructions section of the form.
Can I share the edited form?
Yes, you can share the edited form via email or generate a shareable link using PrintFriendly.
What information do I need to fill out the form?
You need contract information, beneficiary details, and if applicable, spousal consent information to fill out the form.
How do I save the edited form?
After making the necessary changes, save and download the edited form using PrintFriendly.
What if I'm not married?
If you are not married, notarization is not required, and you do not need to complete the spousal consent section.
Who should use this form?
Contract owners, trustees, and estate planners managing Penn Mutual Annuity contracts should use this form to update beneficiary designations.
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