Additional Purchase Payment Kit
Complete the form below to access additional purchase payment paperwork.
| Product | Purchase Payment Window | Minimum Amount |
|---|---|---|
| American Freedom Aspire 5 | Life of contract | $2,000 |
| American Freedom Aspire 7 | Life of contract | $2,000 |
| American Freedom Liberty 3 | First 60 days | $2,000 |
| American Freedom Liberty 5 | First year | $2,000 |
| American Freedom Liberty 6 | First 60 days | $2,000 |
| American Freedom Liberty 7 | First 10 years | $2,000 |
| American Freedom Liberty 8 | First year | $2,000 |
| AssuranceSelect 3 Plus | First 60 days | $2,000 |
| AssuranceSelect 5 | First year | $2,000 |
| AssuranceSelect 7 | First 10 years | $2,000 |
| AssuranceSelect 5 Plus | First year | $2,000 |
| AssuranceSelect 7 Plus | First 10 years | $2,000 |
| Index Frontier 5 | First 60 days | $10,000 |
| Index Frontier 5 Pro | First 60 days | $10,000 |
| Index Frontier 7 | First 60 days | $10,000 |
| Index Frontier 7 Pro | First 60 days | $10,000 |
| Index Summit 6 | First 60 days | $10,000 |
| Index Summit 6 Pro | First 60 days | $10,000 |
| Index Protector 5 | First 60 days | $25,000 |
For products not listed above please contact a Relationship Manager at 888-504-7109 option 2 or New Business at 888-504-7109 option 3 for verification.
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Please select a product.
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Please answer all questions.
