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1. Current Policyholder Information: Details of the current insurance policy holder including full name, address, and contact information
2. New Policyholder Information: Complete details of the person/entity to whom the policy is being transferred, including full name, address, and contact information
3. Policy Details: Specific information about the insurance policy being transferred including policy number, type of policy, issuing company, and effective date
4. Transfer Declaration: Formal statement of transfer including the effective date of transfer and confirmation that all rights, title, and interest in the policy are being transferred
5. Authorization: Statement confirming both parties' agreement to the transfer and understanding of its implications
6. Signatures: Designated space for signatures of current policyholder, new policyholder, and witness(es)
1. Beneficiary Information: Details of current beneficiaries and any changes requested by new policyholder (required if the policy has designated beneficiaries)
2. Premium Payment Information: Details about premium payment arrangements and any changes in payment method (required if premium payments are still ongoing)
3. Spousal Consent: Consent from spouse in community property jurisdictions or where required by provincial law
4. Corporate Authorization: Required when either party is a corporation, including corporate resolution authorizing the transfer
5. Loan/Lien Information: Details of any outstanding loans or liens against the policy (required if any exist)
1. Schedule A - Policy Details: Detailed breakdown of policy specifications, coverage amounts, and any riders or endorsements
2. Schedule B - Premium Schedule: Detailed information about premium payments, payment schedule, and any outstanding amounts
3. Appendix 1 - Required Documentation Checklist: List of all required supporting documents for the transfer (e.g., ID proof, corporate documents if applicable)
4. Appendix 2 - Notice of Transfer: Form to be sent to insurance company notifying them of the transfer
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