Application
for the sale of
Annuity
Payments

 
You can complete each page of this annuity application ONLINE.  If you
complete this application online, then Beneficial Brokers, LLC will be emailed
with your information.  If you choose to send your information online, then
please make sure that you sign and date at the bottom of the LAST page and
then fax it to Beneficial Brokers.

If you prefer, you can print ALL OF THE PAGES, sign and date at the bottom
of the LAST page, and then fax to Beneficial Brokers, LLC at 1-877-972-3847.

With either transmission method, your application will be faxed to
Charter Financial the SAME DAY or within 24 hours of receipt.