GILICO Forms

The Fisher Agency

Danny Fisher, CLU, ChFC
President     1-800-822-1450

Financial Advisors Since 1975

Phone Numbers and Map

13140 Coit Road, Suite 102  Dallas, TX 75240-5797

Home PageTop 10 PageForms 

FOR AGENT USE ONLY!

Form Description\Program

Adobe Acrobat 5.0 or better 

INSTRUCTIONSGet Free Acrobat PDF Viewer(5.6M)
To Print Print from Acrobat Window
To Download Right-Click > Save Target

Guaranty Income Life  [ For company website -> www.GILICO.com ]

Form Description\Program

Adobe Acrobat 5.0 or better 

Application Form - Guaranty Rate LockAll Pages
Disclosure Form - Guaranty Rate LockAll Pages
Disclosure - Guaranty 4-6-8 (DISCONTINUED - 10/01/2020)N/A
Other Disclosure Forms Available for AnnuiCareFlexPlus 5  FlexPlus 7
Mailer/Rates -  Guaranty Rate Lock (08/01/2021)Front & Back
Mailer -  AnnuiCareFront & Back
Brochure -  AnnuiCare4 Pages
Suitability Statement  Required for All Ages  (New Forms Required for 2021)All Pages
Transfer Form - Non-Qualified1 Page
Transfer Form - Qualified 1 Page
Out-of-State Verification Form1 Page
W9 (Required for all Transfers)1 Page
Replacement Form - Required for ALL ApplicationsFront & Back
Service - Annuity Partial Withdrawal2 Pages
Service - POA, Health Status Questionnaire1 Page
Service - Trust Questionnaire2 Pages
Service - IRA Required Minimum Distribution Request1 Page
Service - Request for Beneficiary, Owner, or Name Change1 Page Fillable
Agent Contracting Forms All Pages
Agent Product Training Requirement1 Page

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