SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF KERN

Size: px
Start display at page:

Download "SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF KERN"

Transcription

1 4 6 LAW OFFIcEs OF JOHN Z. SHAFAI John Z. Shafai [State Bar No South Beverly Drive, Suite 305 Beverly hills. California Telephone: (310) Facsimile: (310) Attorneys for Petitioner, STONE STREET CAPITAL. LLC lled :OUHTMETPL\T ZO1L B McNMLV, ULt In Re: 12 JOSE GARCIA, JR. 1 - I SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF KERN CASE NO. S-i 500-C V-264-NFT NOTICE OF ENTRY OF ORDER FOR APPROVAL OF TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS PLEASE TAKE NOTICE that on June , the Order for Approval of Transfer of Structured Settlement Payment Rights (the"order") was entered in the above-entitled action. A true and correct copy of the Order is attached hereto as ExhihirT' n DATED: July 3, 2012 Respectfully noticed, HAA OFFICES OF JOHN Z. SHAFAI ma q-n ZSHAFAI, Atrneys for Petitioner. STONE STREET CAPITAL, LLC NOTICE OF ENTRY OF ORDER

2 V IIT %111J)11 EXHIBIT 441"

3 I LAW OFFICES OF JOHN Z. SHAFAT John Z. Shafai [State Bar No South Beverly Drive, Suite 305 Beverly Hills, California Telephone: (310) Facsimile: (310) Attorneys for Petitioner, STONE STREET CAPITAL, LLC $UPIOR C FILED OUR MAOP0L!1AN DiV(sN COUNTY OF KERN JUN 25 2G; IRRY MCNALLY CLERK DEP SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF KERN ii 11 In Re: CASE NO. S-I 500-CV-264-NFT 12 JOSE GARCIA, JR. ORDER FOR APPROVAL OF TRANSFER 13 OF STRUCTURED SETTLEMENT 14 PAYMENT RIGHTS 15 Date: June 2l, Time: 8:30a.m. Place: Department : Pursuant to Insurance Code, section 10134, et seq., the Petition of Petitioner Stone Street Capital. TIC ("Petitioner") for Approval of Transfer of Structured Settlement Payment Rights by Jose Garcia, Jr. alkla Jose M. Garcia, Jr. alkla Jose Manuel Garcia, Jr. alkla Manuel Garcia, Jr. (the "Payee") having come on regularly for hearing, and the court having reviewed the moving papers, and no objection having been made or received, IT IS HEREBY ORDERED THAT: 1. Pursuant to Insurance Code, section , the Petition to transfer, from the Payee to Petitioner, one lump sum payment of $62, due and payable on April 13, 2013 (the "Assigned Payment"), made under a structured settlement agreement under which G.E. Capital Assignment Corp. (the "Payment Obligor") is the obligor and pursuant to which the Payment Obligor purchased an annuity contract from Genworth Life Insurance Company f/kla G.E. Capital Assurance Company (the "Payment Issuer") to fund its obligation, is granted. 2. The Payment Issuer shall remit and make payable the Assigned Payment to Petitioner, its successors and/or assigns, at the following address or such further address as ORDER FOR APPROVAL OF TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RLft LJ ) P (

4 Petitioner, or its assignee, may designate in writing in the future: WMS Chestnut Fund, LLC 2 P.O. Box 5519, Towson, MD (the "Designated Address"), Tax ID No The death of the Payee prior to the due date of the Assigned Payment shall not affect the 4 obligation of the Payments Obligor and/or Payment Issuer to WMS Chestnut Fund, LLC to make -S the Assigned Payment as set forth in this Order The transfer encompassed by this Order complies with the statutory requirements set forth in Insurance Codes, section 1013 and (a), and is based upon the following 8 findings: 9 (I) The transfer is fair and reasonable and is in the best interest of the Payee, taking 10 into account the welfare and support of the Payee's dependents, if any. Il (2) The Payee has been advised in writing by Petitioner to seek independent 12 professional advice regarding the transfer and has either received that advice or knowingly 13 waived, in writing, the opportunity to receive the advice. 14 (3) The Petitioner has complied with the notification requirements pursuant to 15 Insurance Code, section (f)(2), has provided the Payee with a disclosure form that 16 complies with Insurance Code, section 10136, and the transfer agreement complies with 1 Insurance Code, sections and (4) The transfer does not contravene any applicable law, any applicable statute or the 19 order of any court or other governmental authority. 20 (5) The Payee understands the terms of the Transfer Agreement, including the terms 21 set forth in the Disclosure Statement required by Insurance Code, section (6) The Payee understands and does not wish to exercise the Payee's right to cancel 23 the Transfer Agreement Pursuant to Insurance Code, section (i), the Court retains continuing 25 jurisdiction to interpret and monitor the implementation of the Transfer Agreement, as justice 26 requires, including the payment of $51,042.00, by the Petitioner to the Payee. 2 DATED: June CD- -j-. 30 Judge of the Kern County Superior Court ORDER FOR APPROVAL OF TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS

5 PROOF OF SERVICE BY MAIL n STATE OF CALIFORNIA, COUNTY OF LOS ANGELES I am employed in the County of Los Angeles, State of California, I am over the age of 18 years, and not a party to the within action: my business address is 10 South Beverly Drive, Suite 305. Beverly Hills, California 90212, which is located in the county where the mailing described below took place. On July 3, 2012, a true and correct copy of the within document(s) more fully described as NOTICE OF ENTRY OF ORDER FOR APPROVAL OF TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS, was placed for deposit in the United States Postal Service in a sealed envelope, with postage fully prepaid, on the party(ies) named below, and that envelope was placed for collection and mailing on that date following ordinary business practices addressed as follows: PLEASE SEEA TTACHED SERVICE LIST Y MAIL: I am readily familiar with the firm's practice for collection and processing of correspondence for mailing. Under that practice, it is deposited with the United States Postal Service that same day in the ordinary course of business. I declare under penalty of perjury under the laws of the State of California that the foregoing Proof of Service is true and correct and that this declaration was executed on July 3, 2012, at Beverly Hills, California. tvv Arian'a3 Blumen1d-James PROOF OF SERVICE

6 PROOF OF SERVICE BY MAIL SERVICE LIST: Margaret Reiter Supervising Deputy Attorney General Office of the Attorney General 455 Golden Gate Avenue, Suite San Francisco, California Jose Garcia, Jr h Street California City, California GE Capital Assignment Corporation Attention: Agent for Service of Process 3100 Albert Lankford Drive Lynchburg, Virginia (;enorth Life Insurance Company Attention: Agent for Service of Process 3100 Albert Lankford Drive Lynchburg, Virginia () n PROOF OF SERVICE

7 w PROOF OF SERVICE ) STATE OF CALIFORNIA, COUNTY OF LOS ANGELES I am employed in the County of Los Angeles, State of California, I am over the age of 18 years, and not a party to the within action; my business address is 10 South Beverly Drive, Suite 305. Beverly Hills, California 90212, which is located in the county where the mailing described below took place. On May 31, 2012, a true and correct copy of the within document(s) more fully described as DECLARATION OF JOSE GARCIA, JR., IN SUPPORT OF PETITION FOR APPROVAL OF TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS was placed for deposit in the United States Postal Service in a sealed envelope, with postage fully prepaid, on the party(ies) named below, and that envelope was placed for collection and mailing on that date following ordinary business practices addressed as follows: BY MAIL: PLEASE SEE A TTA CHED SERVICE LIST I am readily familiar with the firm's practice for collection and processing of correspondence for mailing. Under that practice, it is deposited with the United States Postal Service that same day in the ordinary course of business. I declare under penalty of perjury under the laws of the State of California that the foregoing Proof of Service is true and correct and that this declaration was executed on May 31, 2012, at Beverly Hills, California. Ariana Bumenfeld-JSmes PROOF OF SERVICE

8 It PROOF OF SERVICE SERVICE LIST: , I _) Margaret Reiter Supervising Deputy Attorney General Office of the Attorney General 455 Golden Gate Avenue, Suite San Francisco, California Jose Garcia, Jr h Street California City, California GE Capital Assignment Corporation Attention: Agent for Service of Process 3100 Albert Lankford Drive Lynchburg, Virginia Genworth Life Insurance Company Attention: Agent for Service of Process 3100 Albert Lankford Drive Lynchburg, Virginia PROOI OF SIRVIFF

9 Structured Settlement Annuity Contract 'i/i U,cai 59e0 5),te 5500 P5 Ocx 490 /pxt0e WA 911) L)0/'55 /030 General Electric Capital Assurance Company ("GE Capital Assurance Lompany"), a stock life insurance company, provides this Annuity to the Owner. This Annuity is issued in considersioti of the application and payment of the Premium. This Annuity does riot provide any cash surrender benefit or any death benefit. In addition, there is no assurance that the Owner will recover his or her Premium. Right to Examine Within 20 days after this Annuity is first received, it may be cancelled by delivering or mailing it to the agent through whom it was purchased or to the GE Capital Assurance Company Home Office. Upon cancellation, the Premium will be refunded from the Home Office and the Annuity will be void from the beginning. This Annuity is a legal contract between the Owner and GE Capital Assurance Company. After the 20-day Right to Examine, the terms of this Aiiiiiiity (e.g. Annuitant, payment schedule, amount), may not be revoked or changed. The Owner should retain the original of this Annuity. READ THIS ANNUITY CAREFULLY. Signed at the Home Office on the Effective Date: 2'j~ _ 'S_-. Nv~ Pri Secretary Individual Single Premium Structured Settlement Annuity Contract Annuity Payments Specified in Schedule Non-Participating CE 0O WA CC01099 ()Y)

10 S SCHEDULE Owner: GE Capital Assignmeni Corporation Owner Address: 601 Union Street, Suite 5600 Seattle, WA Date Premium Received: January 3, 199 Single Premium: Valuable Consideration Issue Date: May 30, 199 Payee(s): Manuel Garcia, Jr. Contract #: K Contingent Owner: N/A Beneficiary: The Estate of Manuel Garcia, Jr. The Owner, any Contingent Owner, and the initial Payee(s) and any Beneficiary(s) designated in the Schedule are subject to change as provided in this Contract. Age and Sex of Annuitant(s): Manuel Garcia, Jr. Annuitant(s): 13 Male The.Annuity payments to be made under this Contract and their respective payment dates are as follows: To the Payee(s), $ 20, annually from April 13, 2001 until April 13, 2004, inclusive. To the Payee(s), $ 40, on April 13, 2008 $ 102,103,04 on April 13, 2013 This Contract will terminate on the date of the last payment set forth above. GE

11 S. Application for Structured Annuity GE Capital Agsura,,ce Campany Two Union Square Suite 5600 PD. Box 4913 Seattle. Washington owner GE C tal Assignment Corporation Phone: ( )_ Adoress: To Union Square, Suite 5600 Seartie WA 98LOt Social Secur/ax ID No.: Contingent Owner may be designated in Special Requests Section. Annuilant:_Januel Garcia, Jr. Address 14 Blackwood, LaPuente, CA 9146 Phone: (_ Social Security No.: Date of Birth: 4/13/03 Sex: M Joint Annuitant (if applicable): Phone: Address: Social Security Na.: Date of Birth:_. Sex: Payee (will be Annuitant if left blankl_ Social Security No.:,. Phone: Relationship to Annuitant: Send Payments To: (check one) ['1 A. Direct Deposit Bank Name: - ABA Routing/Jiansit # B. Annuitant's Address Bank Address_.. - City' State: Zip: Bank Phone # Cortact Person: Account #: E C. Payee Address (if other than Annuitairt). City:- State: Zip:_ I Beneficiary (will be Annuitants Estate if left blank): Phone: -- Social Security No.: Relationship to Annuitant:. This is the Pimar Beneficiary. A Secondary Beneficiary may he designated in the Special Requests Section ffa Payment Information (Submit proof of age for life or Joint life payments.) Attach additional pages if necessary Type (e g.. cert2in, Start Date life, lump sum, joint) Amount Frequency Of Payments See attached adcenc1um to application

12 NOW DENOIJM TO PP1JCATT(IN 1age 1 Summary of Payments for 01GARCIA, LAUUEL JR Sex: Male DOE: 04/13/1983 Age: 13 State : WA Rate Commitment Fee: No Payment Type Duration Payment Frequency (Annuity) Period Certain 04/13/ /13/2004 $20, Annual 4 yr(s) Certain. LUMP SUM PAYMENTS Lump Sums Payment Date Age Payment (Annuity) Lump Sum 04/13/ $40, (Annuity) Lump Sum 04/13/ $102,103.04

SUPERIOR COURT OF THE STATE OF CALIFORNIA FOR THE COUNTY OF

SUPERIOR COURT OF THE STATE OF CALIFORNIA FOR THE COUNTY OF ............... Attorneys for Estate Representative SUPERIOR COURT OF THE STATE OF CALIFORNIA FOR THE COUNTY OF Estate of CASE NO... WAIVER OF ACCOUNTING AND PETITION.., FOR FINAL DISTRIBUTION; STATUTORY

More information

Banner Life Insurance Company. 3275 Bennett Creek Avenue. Frederick, Maryland 21704. 800-638-8428. [Jane Doe], or subsequently changed by the Owner

Banner Life Insurance Company. 3275 Bennett Creek Avenue. Frederick, Maryland 21704. 800-638-8428. [Jane Doe], or subsequently changed by the Owner RENEWABLE AND CONVERTIBLE TERM LIFE INSURANCE. Banner Life Insurance Company. 3275 Bennett Creek Avenue. Frederick, Maryland 21704. 800-638-8428 Insured - [John Doe] Face Amount - [$1,000,000] Policy Number

More information

Secretary of the Senate. Chief Clerk of the Assembly. Private Secretary of the Governor

Secretary of the Senate. Chief Clerk of the Assembly. Private Secretary of the Governor Senate Bill No. 510 Passed the Senate September 9, 2009 Secretary of the Senate Passed the Assembly August 24, 2009 Chief Clerk of the Assembly This bill was received by the Governor this day of, 2009,

More information

TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS

TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS For more information please visit Strategic Capital Corporation at www.strategiccapital.com, or contact us at Toll Free: 1-866-256-0088 or email us at info@strategiccapital.com. TRANSFER OF STRUCTURED

More information

Single Premium Immediate Fixed Annuity

Single Premium Immediate Fixed Annuity John Hancock Life Insurance Company of New York 100 Summit Lake Drive Valhalla, New York 10595 Annuities Servicing Center: Overnight Mailing Address: P.O. Box 9512 380 Stuart Street Portsmouth, NH 03802-9512

More information

ARIZONA TITLE 12 - COURTS AND CIVIL PROCEEDINGS, CHAPTER 20, STRUCTURED SETTLEMENTS, ARTICLE 1, GENERAL PROVISIONS

ARIZONA TITLE 12 - COURTS AND CIVIL PROCEEDINGS, CHAPTER 20, STRUCTURED SETTLEMENTS, ARTICLE 1, GENERAL PROVISIONS 12-2901. Definitions ARIZONA TITLE 12 - COURTS AND CIVIL PROCEEDINGS, CHAPTER 20, STRUCTURED SETTLEMENTS, ARTICLE 1, GENERAL PROVISIONS In this chapter, unless the context otherwise requires: 1. "Annuity

More information

SENATE BILL No. 510 AMENDED IN ASSEMBLY JULY 14, 2009 AMENDED IN ASSEMBLY JUNE 24, 2009 AMENDED IN SENATE MAY 5, 2009 AMENDED IN SENATE APRIL 13, 2009

SENATE BILL No. 510 AMENDED IN ASSEMBLY JULY 14, 2009 AMENDED IN ASSEMBLY JUNE 24, 2009 AMENDED IN SENATE MAY 5, 2009 AMENDED IN SENATE APRIL 13, 2009 AMENDED IN ASSEMBLY JULY, 00 AMENDED IN ASSEMBLY JUNE, 00 AMENDED IN SENATE MAY, 00 AMENDED IN SENATE APRIL, 00 SENATE BILL No. Introduced by Senator Corbett (Coauthor: Assembly Member Tran) February,

More information

STANISLAUS COUNTY SUPERIOR COURT http://www.stanct.org (209) 530-3100

STANISLAUS COUNTY SUPERIOR COURT http://www.stanct.org (209) 530-3100 STANISLAUS COUNTY SUPERIOR COURT http://www.stanct.org (209) 530-3100 Revised 7/12 Emancipation of Minor Packet This packet contains forms required to begin an emancipation proceeding in Stanislaus County

More information

Part 15 Structured Settlement Protection Act

Part 15 Structured Settlement Protection Act Part 15 Structured Settlement Protection Act 78B-6-1501 Title. This part is known as the "Structured Settlement Protection Act." 78B-6-1502 Definitions. For purposes of this part: (1) "Annuity issuer"

More information

@-- IT (SIGNATURE OF DECLARANT) Pa e 1 of 1 Code of Civil Procedure, 581 et seq.; Cal. Rules of Court, rule 3.1390 www. courts. ca.

@-- IT (SIGNATURE OF DECLARANT) Pa e 1 of 1 Code of Civil Procedure, 581 et seq.; Cal. Rules of Court, rule 3.1390 www. courts. ca. CIV-120 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): GEORGE F. SCHAEFER 139399 Office of the City Attorney 1200 Third Avenue TELEPHONE NO.: (619) 533-5800 FAX NO.: (619) 533-5856

More information

ANSWERING A PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH COMPLAINT

ANSWERING A PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH COMPLAINT SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER www.occourts.org ANSWERING A PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH COMPLAINT All documents must be typed or printed neatly. Please

More information

Title 24-A: MAINE INSURANCE CODE

Title 24-A: MAINE INSURANCE CODE Title 24-A: MAINE INSURANCE CODE Chapter 24-A: PROTECTION OF BENEFICIARIES OF STRUCTURED SETTLEMENTS HEADING: PL 1999, c. 268, 2 (new) Table of Contents Section 2241. DEFINITIONS... 3 Section 2242. NOTICE

More information

2015 ASSEMBLY BILL 129

2015 ASSEMBLY BILL 129 0 0 LEGISLATURE LRB 0/ 0 ASSEMBLY BILL March, 0 Introduced by JOINT LEGISLATIVE COUNCIL. Referred to Committee on Judiciary. AN ACT to create subchapter III (title) of chapter [precedes.],.,.,.,.,. and.0

More information

INDIVIDUAL SINGLE PREMIUM DEFERRED ANNUITY CONTRACT

INDIVIDUAL SINGLE PREMIUM DEFERRED ANNUITY CONTRACT GENWORTH LIFE INSURANCE COMPANY Administrative Office 3100 Albert Lankford Drive Lynchburg, VA 24501 4948 INDIVIDUAL SINGLE PREMIUM DEFERRED ANNUITY CONTRACT This annuity is a legal contract between you

More information

Application for your Structured Settlement Annuity

Application for your Structured Settlement Annuity Application for your Structured Settlement Annuity How to Complete the Application Form* This form is used to apply for a Structured Settlement Annuity. Please answer all questions clearly and completely.

More information

IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA FOR THE COUNTY OF LOS ANGELES CENTRAL DISTRICT ) ) ) ) ) ) ) ) ) ) ) )

IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA FOR THE COUNTY OF LOS ANGELES CENTRAL DISTRICT ) ) ) ) ) ) ) ) ) ) ) ) Burton C. Jacobson, SBN Franklin S. Adler, SBN ATTORNEYS AT LAW Beverly Hills Law Building South Beverly Drive Beverly Hills, California 01-1 Tel: (- Attorneys for Plaintiffs/Petitioners C. D. Michel -

More information

6) Any other form acceptable to the appropriate GAIG company.

6) Any other form acceptable to the appropriate GAIG company. Member Companies: Great American Life Insurance Company Annuity Investors Life Insurance Company Manhattan National Life Insurance Company Administrator for: Loyal American Life Insurance Company United

More information

Petition to Compromise Doubtful Claim of Minor/Ward INSTRUCTIONS. I. Specific Instructions

Petition to Compromise Doubtful Claim of Minor/Ward INSTRUCTIONS. I. Specific Instructions GEORGIA PROBATE COURT STANDARD FORM Petition to Compromise Doubtful Claim of Minor/Ward I. Specific Instructions INSTRUCTIONS 1. This form is to be used when petitioning the Probate Court for authorization

More information

If you are 55 years or older and are retiring or separating from the County of San Diego, your

If you are 55 years or older and are retiring or separating from the County of San Diego, your UTerminal Pay Plan Frequently Asked Questions If you are 55 years or older and are retiring or separating from the County of San Diego, your accrued sick and vacation leave will be paid out through the

More information

P.L. 2001, CHAPTER 139, approved July 2, 2001 Assembly Committee Substitute for Assembly, No. 2146

P.L. 2001, CHAPTER 139, approved July 2, 2001 Assembly Committee Substitute for Assembly, No. 2146 P.L. 00, CHAPTER, approved July, 00 Assembly Committee Substitute for Assembly, No. Title A. Chapter. Article 0. (New) Structured Settlements - - C.A:- to A:- - Note to - 0 0 0 AN ACT concerning structured

More information

NEW YORK NY GENERAL OBLIGATIONS LAW 5-1701 5-1709 TITLE 17 STRUCTURED SETTLEMENT PROTECTION ACT

NEW YORK NY GENERAL OBLIGATIONS LAW 5-1701 5-1709 TITLE 17 STRUCTURED SETTLEMENT PROTECTION ACT NEW YORK NY GENERAL OBLIGATIONS LAW 5-1701 5-1709 TITLE 17 STRUCTURED SETTLEMENT PROTECTION ACT 5-1701. Definitions. For purposes of this title: a. "Annuity issuer" means an insurer that has issued an

More information

No. 168. An act relating to structured settlements and to prohibiting collusion as an antitrust violation. (H.778)

No. 168. An act relating to structured settlements and to prohibiting collusion as an antitrust violation. (H.778) No. 168. An act relating to structured settlements and to prohibiting collusion as an antitrust violation. (H.778) It is hereby enacted by the General Assembly of the State of Vermont: Sec. 1. 9 V.S.A.

More information

AN ACT COURTS ))))) 494 Courts Ch. 164. SECTION 1. Title 13, Colorado Revised Statutes, is amended BY THE ADDITION OF A NEW ARTICLE to read:

AN ACT COURTS ))))) 494 Courts Ch. 164. SECTION 1. Title 13, Colorado Revised Statutes, is amended BY THE ADDITION OF A NEW ARTICLE to read: 494 Courts Ch. 164 CHAPTER 164 COURTS SENATE BILL 04-098 BY SENATOR(S) Hanna, Groff, and Tapia; also RE PR ESE NTATIVE (S) Stenge l, Bo yd, Hop pe, Larson, an d W ed dig. AN ACT CONCERNING THE ESTABLISHMENT

More information

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 1999 SESSION LAW 1999-367 SENATE BILL 746

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 1999 SESSION LAW 1999-367 SENATE BILL 746 GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 1999 SESSION LAW 1999-367 SENATE BILL 746 AN ACT TO CREATE THE NORTH CAROLINA STRUCTURED SETTLEMENT PROTECTION ACT. The General Assembly of North Carolina enacts:

More information

MODEL STATE STRUCTURED SETTLEMENT PROTECTION ACT

MODEL STATE STRUCTURED SETTLEMENT PROTECTION ACT MODEL STATE STRUCTURED SETTLEMENT PROTECTION ACT To be considered by the NCOIL Workers Compensation Insurance Committee on July 14, 2011. Supported by the NCOIL Executive Committee on February 27, 2004,

More information

TEXAS STATUTES AND CODES ANNOTATED CIVIL PRACTICE AND REMEDIES CODE TITLE 6. MISCELLANEOUS PROVISIONS CHAPTER 141

TEXAS STATUTES AND CODES ANNOTATED CIVIL PRACTICE AND REMEDIES CODE TITLE 6. MISCELLANEOUS PROVISIONS CHAPTER 141 For more information please visit Strategic Capital Corporation at www.strategiccapital.com, or contact us at Toll Free: 1-866-256-0088 or email us at info@strategiccapital.com. TEXAS STATUTES AND CODES

More information

Be it enacted by the People of the State of Illinois,

Be it enacted by the People of the State of Illinois, AN ACT concerning regulation. Be it enacted by the People of the State of Illinois, represented in the General Assembly: Section 5. The Structured Settlement Protection Act is amended by changing Sections

More information

The Lincoln National Life Insurance Company (the "Company") A Stock Company

The Lincoln National Life Insurance Company (the Company) A Stock Company Lincoln MoneyGuard II Sample Interstate Compact policy Issue State Alabama The Lincoln National Life Insurance Company (the "Company") A Stock Company Home Office: Service Office: State of Issue Department

More information

A Bill Regular Session, 2005 HOUSE BILL 2614

A Bill Regular Session, 2005 HOUSE BILL 2614 Stricken language would be deleted from and underlined language would be added to the law as it existed prior to this session of the General Assembly. 0 State of Arkansas th General Assembly As Engrossed:

More information

Be it enacted by the People of the State of Illinois, Section 1. Short title. This Act may be cited as the

Be it enacted by the People of the State of Illinois, Section 1. Short title. This Act may be cited as the AN ACT concerning structured settlements. Be it enacted by the People of the State of Illinois, represented in the General Assembly: Section 1. Short title. This Act may be cited as the Structured Settlement

More information

DELAWARE CODE ANNOTATED TITLE 10. COURTS AND JUDICIAL PROCEDURE PART IV. SPECIAL PROCEEDINGS CHAPTER 66. STRUCTURED SETTLEMENTS

DELAWARE CODE ANNOTATED TITLE 10. COURTS AND JUDICIAL PROCEDURE PART IV. SPECIAL PROCEEDINGS CHAPTER 66. STRUCTURED SETTLEMENTS For more information please visit Strategic Capital Corporation at www.strategiccapital.com, or contact us at Toll Free: 1-866-256-0088 or email us at info@strategiccapital.com. DELAWARE CODE ANNOTATED

More information

ADMINISTRATIVE OFFICE OF THE COURTS STATE OF NEW JERSEY

ADMINISTRATIVE OFFICE OF THE COURTS STATE OF NEW JERSEY ADMINISTRATIVE OFFICE OF THE COURTS STATE OF NEW JERSEY RICHARD J. WILLIAMS, J.A.D. P.O. BOX 037 ADMINISTRATIVE DIRECTOR OF THE COURTS TRENTON, NEW JERSEY 08625-0037 (609) 292-8553 DAVID P. ANDERSON. JR.

More information

County of Fresno Retirement Benefit Options

County of Fresno Retirement Benefit Options County of Fresno Retirement Benefit Options NRM-13003CA-FR.1 Things to Remember c Complete all of the sections on the Retirement Benefit Options form that apply to your request. c If you are requesting

More information

S.B. 260 123rd General Assembly (As Introduced)

S.B. 260 123rd General Assembly (As Introduced) Jennifer A. Parker Bill Analysis Legislative Service Commission S.B. 260 123rd General Assembly (As Introduced) Sens. Nein, Prentiss, Blessing, Hottinger, Cupp, Brady, DiDonato, Herington, White, Fingerhut

More information

ALM GL ch. 231C, 1 (2004) 1. Definitions.

ALM GL ch. 231C, 1 (2004) 1. Definitions. For more information please visit Strategic Capital Corporation at www.strategiccapital.com, or contact us at Toll Free: 1-866-256-0088 or email us at info@strategiccapital.com. ANNOTATED LAWS OF MASSACHUSETTS

More information

SUPERIOR COURT FOR THE STATE OF CALIFORNIA COUNTY OF RIVERSIDE. Case No.:

SUPERIOR COURT FOR THE STATE OF CALIFORNIA COUNTY OF RIVERSIDE. Case No.: ALBERTSON & DAVIDSON, LLP Keith A. Davidson, SBN 0 Stewart R. Albertson, SBN 0 Noah McCall, SBN 00 0 Santa Fe Avenue, Suite Riverside, CA 0 Telephone () - Facsimile () - Attorneys for Petitioner Bob Smith

More information

CONSIDERATION. This Policy is issued in consideration of the Application for this Policy and the payment of the Initial Premium.

CONSIDERATION. This Policy is issued in consideration of the Application for this Policy and the payment of the Initial Premium. Genworth Life Insurance Company (Hereinafter referred to as the Company ) A Stock Company State of Domicile: Delaware Home Office: [6610 West Broad Street, Richmond, VA 23230] Service Center Address: [3100

More information

NACTT ACADEMY TOOLBOX. A QUICK REFERENCE GUIDE to Selling Property While in Chapter 13 *

NACTT ACADEMY TOOLBOX. A QUICK REFERENCE GUIDE to Selling Property While in Chapter 13 * I. SUMMARY: NACTT ACADEMY TOOLBOX A QUICK REFERENCE GUIDE to Selling Property While in Chapter 13 * Beverly M. Burden, Chapter 13 Trustee, Lexington, KY Before a consumer debtor in chapter 13 may sell

More information

DELAWARE. TITLE 10 - Courts and Judicial Procedure Special Proceedings CHAPTER 66. STRUCTURED SETTLEMENTS

DELAWARE. TITLE 10 - Courts and Judicial Procedure Special Proceedings CHAPTER 66. STRUCTURED SETTLEMENTS DELAWARE TITLE 10 - Courts and Judicial Procedure Special Proceedings CHAPTER 66. STRUCTURED SETTLEMENTS 6601. Conditions to transfers of structured settlement payment rights. No direct or indirect transfer

More information

CERTIFICATE OF REHAB. & PARDON INSTRUCTION FORMS PACKET

CERTIFICATE OF REHAB. & PARDON INSTRUCTION FORMS PACKET CERTIFICATE OF REHAB. & PARDON INSTRUCTION FORMS PACKET PKG-016 SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, 220 W. BROADWAY, SAN DIEGO, CA 92101-3814 EAST COUNTY DIVISION, 250 E.

More information

PROCESS SERVERS Section 22350 Business & Professions Code

PROCESS SERVERS Section 22350 Business & Professions Code PROCESS SERVERS Section 22350 Business & Professions Code NECESSITY OF FILING REGISTRATION CERTIFICATE Section 22350 a) Any natural person who makes more than 10 services of process within this county

More information

IN THE COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY FIRST JUDICIAL DISTRICT CIVIL TRIAL DIVISION

IN THE COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY FIRST JUDICIAL DISTRICT CIVIL TRIAL DIVISION Forms CivilDivision IN THE COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY FIRST JUDICIAL DISTRICT CIVIL TRIAL DIVISION : TERM, 20 : : No: PETITION TO SETTLE WRONGFUL DEATH AND SURVIVAL ACTIONS TO THE HONORABLE,

More information

APPLICATION FOR ANNUITY. Proposed Annuitant Name: FIRST MIDDLE LAST. Address: STREET CITY STATE ZIP

APPLICATION FOR ANNUITY. Proposed Annuitant Name: FIRST MIDDLE LAST. Address: STREET CITY STATE ZIP APPLICATION FOR ANNUITY Proposed Annuitant Name: FIRST MIDDLE LAST Address: STREET CITY STATE ZIP Social Security Number: Date of Birth: / / Sex: q Male q Female Proposed Second Annuitant Name: (if applicable

More information

CITY OF SAN JOSE DEFERRED COMPENSATION PLAN

CITY OF SAN JOSE DEFERRED COMPENSATION PLAN CITY OF SAN JOSE DEFERRED COMPENSATION PLAN Joinder of the Plan in Marital Dissolution Matters and Requirements for Conforming Domestic Relations Orders This document provides information about the Deferred

More information

CERTIFICATE OF REHABILITATION & PARDON INSTRUCTION PACKET

CERTIFICATE OF REHABILITATION & PARDON INSTRUCTION PACKET SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN DIEGO CERTIFICATE OF REHABILITATION & PARDON INSTRUCTION PACKET FORMS INCLUDED IN THIS PACKET General Information Certificate of Rehabilitation SDSC Form #CRM-208

More information

Allstate ChoiceRate Annuity

Allstate ChoiceRate Annuity Allstate ChoiceRate Annuity Allstate Life Insurance Company P.O. Box 80469 Lincoln, NE 68501-0469 Telephone Number: 1-800-203-0068 Fax Number: 1-866-628-1006 Prospectus dated May 1, 2008 Allstate Life

More information

If you are applying for a government-issued license, certificate, or permit, you must disclose your conviction and expungement.

If you are applying for a government-issued license, certificate, or permit, you must disclose your conviction and expungement. What is an expungement? An expungement reopens your criminal case, dismisses and sets aside the conviction, and re-closes the case without a conviction. In effect, you are no longer a convicted person.

More information

SUPERIOR COURT OF THE STATE OF CALIFORNIA CITY AND COUNTY OF SAN FRANCISCO

SUPERIOR COURT OF THE STATE OF CALIFORNIA CITY AND COUNTY OF SAN FRANCISCO 1 1 1 DENNIS ROBERTS State Bar No. 1 0 Grand Avenue, Suite 1 Oakland, California Telephone: () - Facsimile: () - Attorney for Defendant MATTHEW FLEMING SUPERIOR COURT OF THE STATE OF CALIFORNIA CITY AND

More information

7 50-25. I Thomas Lumsden. PricewaterhouseCoopers LLP. 5 Accountants and Financial Advisors for Official Committee of Unsecured Creditors 6 83A

7 50-25. I Thomas Lumsden. PricewaterhouseCoopers LLP. 5 Accountants and Financial Advisors for Official Committee of Unsecured Creditors 6 83A I Thomas Lumsden 2 PricewaterhouseCoopers LLP 199 Fremont Street FILED 3 San Francisco, CA 94105 SEP - 3 29 Z Telephone: (415) 498-5000 4 Facsimile: (415) 498-6699 una(d qttt, OfflUFTEY HOT 5 Accountants

More information

AMERICAN GENERAL LIFE Insurance Company. 2727-A Allen Parkway, Houston, Texas 77019 1-800-487-5433

AMERICAN GENERAL LIFE Insurance Company. 2727-A Allen Parkway, Houston, Texas 77019 1-800-487-5433 AMERICAN GENERAL LIFE Insurance Company 2727-A Allen Parkway, Houston, Texas 77019 1-800-487-5433 American General Life Insurance Company, a stock Company, referred to in this Policy as We/Us/Our, will

More information

January 24, 2013. Via Federal Express. Los Angeles County v. Superior Court (Anderson-Barker) Supreme Court Case No. S207443

January 24, 2013. Via Federal Express. Los Angeles County v. Superior Court (Anderson-Barker) Supreme Court Case No. S207443 GMSR Greines, Martin, Stein & Richland LLP Law Offices 5900 Wilshire Boulevard, 12'' Floor Los Angeles, California 90036 (31 O) 859-7811 Fax (31 0) 276-5261 www.gmsr.com Writer's E-Mail: tcoates@gmsr.com

More information

SENATE FILE NO. SF0099. Wyoming Structured Settlement Protection Act. Sponsored by: Senator(s) Ross and Representative(s) Luthi A BILL.

SENATE FILE NO. SF0099. Wyoming Structured Settlement Protection Act. Sponsored by: Senator(s) Ross and Representative(s) Luthi A BILL. 00 STATE OF WYOMING 0LSO-0 SENATE FILE NO. SF00 Wyoming Structured Settlement Protection Act. Sponsored by: Senator(s) Ross and Representative(s) Luthi A BILL for AN ACT relating to the civil procedure;

More information

Lincoln Benefit Life Company A Stock Company

Lincoln Benefit Life Company A Stock Company Lincoln Benefit Life Company A Stock Company Home Office Address: 2940 South 84 th Street, Lincoln, NE 68506-4142 Single Premium Immediate Annuity This Contract is issued to the Owner(s) in consideration

More information

MISSISSIPPI LEGISLATURE REGULAR SESSION 1999

MISSISSIPPI LEGISLATURE REGULAR SESSION 1999 MISSISSIPPI LEGISLATURE REGULAR SESSION 1999 By: Senator(s) Turner To: Judiciary SENATE BILL NO. 2841 (As Passed the Senate) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 AN

More information

PENNSYLVANIA STATUTES, ANNOTATED BY LEXISNEXIS(TM) PENNSYLVANIA STATUTES TITLE 40. INSURANCE CHAPTER 40. STRUCTURED SETTLEMENT PROTECTION ACT

PENNSYLVANIA STATUTES, ANNOTATED BY LEXISNEXIS(TM) PENNSYLVANIA STATUTES TITLE 40. INSURANCE CHAPTER 40. STRUCTURED SETTLEMENT PROTECTION ACT For more information please visit Strategic Capital Corporation at www.strategiccapital.com, or contact us at Toll Free: 1-866-256-0088 or email us at info@strategiccapital.com., ANNOTATED BY LEXISNEXIS(TM)

More information

AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES

AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES THIS AGREEMENT is made as of December 1, 2003, by and between the San Francisquito Creek Joint Powers Authority, a body corporate and politic

More information

STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVERSIGHT

STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVERSIGHT STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVERSIGHT INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR A LICENSE UNDER THE CALIFORNIA FINANCE LENDERS LAW (CFLL) WHO IS REQUIRED TO OBTAIN A FINANCE LENDERS

More information

IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA FOR THE COUNTY OF SAN FRANCISCO UNLIMITED JURISDICTION

IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA FOR THE COUNTY OF SAN FRANCISCO UNLIMITED JURISDICTION JAMES C. STURDEVANT (SBN 94551 JESPER I. RASMUSSEN (SBN 121001 THE STURDEVANT LAW FIRM A Professional Corporation 475 Sansome Street, Suite 1750 San Francisco, California 94111 Telephone: (415 477-2410

More information

Chapter No. 758] PUBLIC ACTS, 2000 1 CHAPTER NO. 758 SENATE BILL NO. 484. By Haynes. Substituted for: House Bill No. 1143. By McMillan, Sharp

Chapter No. 758] PUBLIC ACTS, 2000 1 CHAPTER NO. 758 SENATE BILL NO. 484. By Haynes. Substituted for: House Bill No. 1143. By McMillan, Sharp Chapter No. 758] PUBLIC ACTS, 2000 1 CHAPTER NO. 758 SENATE BILL NO. 484 By Haynes Substituted for: House Bill No. 1143 By McMillan, Sharp AN ACT To amend Tennessee Code Annotated, Title 47, Chapter 18,

More information

Matter of McAllister v Genworth Life & Annuity Ins. Co. 2011 NY Slip Op 31213(U) April 27, 2011 Supreme Court, Nassau County Docket Number: 1898/11

Matter of McAllister v Genworth Life & Annuity Ins. Co. 2011 NY Slip Op 31213(U) April 27, 2011 Supreme Court, Nassau County Docket Number: 1898/11 Matter of McAllister v Genworth Life & Annuity Ins. Co. 2011 NY Slip Op 31213(U) April 27, 2011 Supreme Court, Nassau County Docket Number: 1898/11 Judge: Anthony L. Parga Republished from New York State

More information

Synopsis of Nevada Probate Law. Don W. Ashworth Probate Commissioner Eighth Judicial District Court

Synopsis of Nevada Probate Law. Don W. Ashworth Probate Commissioner Eighth Judicial District Court Synopsis of Nevada Probate Law Don W. Ashworth Probate Commissioner Eighth Judicial District Court SYNOPSIS OF NEVADA PROBATE LAW LETTER OF ENTITLEMENT 146.080 This section is only applicable to estates

More information

Case 3:06-cv-00701-MJR-DGW Document 500 Filed 04/30/15 Page 1 of 15 Page ID #13368

Case 3:06-cv-00701-MJR-DGW Document 500 Filed 04/30/15 Page 1 of 15 Page ID #13368 Case 3:06-cv-00701-MJR-DGW Document 500 Filed 04/30/15 Page 1 of 15 Page ID #13368 IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF ILLINOIS ANTHONY ABBOTT, et al., ) ) No: 06-701-MJR-DGW

More information

Single Premium Immediate Annuity (SPIA) Product Training

Single Premium Immediate Annuity (SPIA) Product Training Single Premium Immediate Annuity (SPIA) Product Training As an insurance producer for Western United Life Assurance Company (Western United), you are required to have adequate knowledge of how the specific

More information

The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows:

The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows: STRUCTURED SETTLEMENT PROTECTION ACT Act of Feb. 11, 2000, P.L. 1, No. 1 AN ACT Cl. 12 Regulating certain transfers of structured settlement payments. TABLE OF CONTENTS Section 1. Section 2. Section 3.

More information

1 71 The documents are listed in the Attachment to Proof of Service-Civil (Documents Served) (form PQS-04Q(D)).

1 71 The documents are listed in the Attachment to Proof of Service-Civil (Documents Served) (form PQS-04Q(D)). 1 1 / 27/2015 03:06 T O :1 3 1 0 3 8 2 2 4 1 6 ^ R O M j 3^0) 4 7 7449 P a g e : 2 ATTORNEY OR PARTY W ITHOUT ATTORNEY (Nairn. Stefa B&nwmher, mil M ess): -Marc 8. Hankin, Esq,, Law Offices of M a r c

More information

IN THE COURT OF APPEAL, STATE OF CALIFORNIA FOURTH APPELLATE DISTRICT, DIVISION TWO

IN THE COURT OF APPEAL, STATE OF CALIFORNIA FOURTH APPELLATE DISTRICT, DIVISION TWO IN THE COURT OF APPEAL, STATE OF CALIFORNIA FOURTH APPELLATE DISTRICT, DIVISION TWO THE PEOPLE OF THE STATE OF CALIFORNIA, ) ) E026671 Plaintiff and Respondent, ) ) Superior v. ) Court No. ) FWV-17587

More information

) Plaintiff, ) Defendants. ) )

) Plaintiff, ) Defendants. ) ) . 1 DAVID H. SCHW AR1Z (SBN 62693 ANGELINE O'DONNELL (SBN 258748 2 LAW OFFICES OF DAVID H. SCHWARTZ, INC. 601 California Street, Suite 1800 3 San Francisco, CA 94108-2823 Tel: (415 399-9301 4 Fax: (415

More information

LOCAL RULES SUPERIOR COURT of CALIFORNIA, COUNTY of ORANGE. Chapter 10. Guardianships

LOCAL RULES SUPERIOR COURT of CALIFORNIA, COUNTY of ORANGE. Chapter 10. Guardianships Chapter 10 Guardianships Rule 610.01 Consolidation of Adoption and Guardianship Proceedings If an adoption proceeding is pending involving a minor who is also the subject of a petition for guardianship,

More information

Date. Name Street City, State Zip. Dear Member:

Date. Name Street City, State Zip. Dear Member: C Benefit Services Division P.O. Box 942711 Sacramento, CA 94229-2711 888 CalPERS (or 888-225-7377) Reply To: Section 445 TDD - (916) 795-3240; FAX (916) 795-3988 Date Name Street City, State Zip Dear

More information

RIGHT OF ENTRY RECITALS. A. WHEREAS, CITY owns and operates the Norman Y. Mineta San Jose International Airport ( Airport ); and

RIGHT OF ENTRY RECITALS. A. WHEREAS, CITY owns and operates the Norman Y. Mineta San Jose International Airport ( Airport ); and RIGHT OF ENTRY This Right of Entry Agreement ( AGREEMENT ) is made this day of, 2015, by and between NAME, [an individual/ a corporation/ a limited liability company/ a partnership] ( ENTRANT ) and the

More information

ADMINISTRATING AND ACCOUNTING BEFORE CLOSING THE ESTATE

ADMINISTRATING AND ACCOUNTING BEFORE CLOSING THE ESTATE ADMINISTRATING AND ACCOUNTING BEFORE CLOSING THE ESTATE PINAL COUNTY PROCEDURES TO FILE A PETITION FOR APPROVAL OF FINAL ACCOUNTING OF AN ESTATE INSTRUCTIONS AND FORMS Provided as a Public Service by Amanda

More information

Pacific Life Insurance Company [45 Enterprise Aliso Viejo, CA 92656] [www.pacificlife.com (800) 347-7787]

Pacific Life Insurance Company [45 Enterprise Aliso Viejo, CA 92656] [www.pacificlife.com (800) 347-7787] Pacific Life Insurance Company [45 Enterprise Aliso Viejo, CA 92656] [www.pacificlife.com (800) 347-7787] READ YOUR POLICY CAREFULLY. This is a legal contract between you, the Owner, and us, Pacific Life

More information

STEP-PARENT ADOPTIONS AND TERMINATION OF PARENTAL RIGHTS

STEP-PARENT ADOPTIONS AND TERMINATION OF PARENTAL RIGHTS SUPERIOR COURT OF STANISLAUS COUNTY SELF HELP CENTER STEP-PARENT ADOPTIONS AND TERMINATION OF PARENTAL RIGHTS Material prepared and/or distributed by the Superior Court Clerk s Office IS INTENDED FOR INFORMATIONAL

More information

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF VIRGINIA Alexandria Division NOTICE OF MOTION

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF VIRGINIA Alexandria Division NOTICE OF MOTION tr. UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF VIRGINIA Alexandria Division In re: PATHNET OPERATING, INC., Case No. 0-2266-SSM DEBTOR Chapter 7 GORDON P. PEYTON, CHAPTER 7 TRUSTEE FOR PATHNET

More information

In this policy you, your and yours refer to the Owner of this policy and the Company, us, we and our refer to Reserve National Insurance Company.

In this policy you, your and yours refer to the Owner of this policy and the Company, us, we and our refer to Reserve National Insurance Company. In this policy you, your and yours refer to the Owner of this policy and the Company, us, we and our refer to Reserve National Insurance Company. INSURING AGREEMENT WE WILL PAY the benefits provided in

More information

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF VIRGINIA Richmond Division

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF VIRGINIA Richmond Division UNITED STATES DISTRICT COURT EASTERN DISTRICT OF VIRGINIA Richmond Division INFORMATION ON REPRESENTING YOURSELF (PRO SE) IN A CIVIL ACTION INTRODUCTION The following instructions have been compiled to

More information

UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF CALIFORNIA SAN FRANCISCO DIVISION

UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF CALIFORNIA SAN FRANCISCO DIVISION 1.5 -MARK FOGELMAN (State Bar No. 505) HARVEY L. LEIDERMAN (State Bar No. 55) STEEFEL, LEVITT & WEISS A Professional Corporation. One Embarcadero Center, ('gth Floor San Francisco, Califomhia 1 Telephone:

More information

IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF LOS ANGELES ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) )

IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF LOS ANGELES ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) 1 2 3 4 5 6 7 8 9 Joseph Antonelli, Esq. (SBN 137039 jantonelli@antonellilaw.com Janelle Carney, Esq. (SBN 201570 jcarney@antonellilaw.com Jason Hatcher, Esq. (SBN 285481 jhatcher@antonellilaw.com LAW

More information

Annuitant Mailing Address Street Address City State ZIP Code. Annuitant Social Security Number/Tax I.D. Number Annuitant Date of Birth (mm/dd/yyyy)

Annuitant Mailing Address Street Address City State ZIP Code. Annuitant Social Security Number/Tax I.D. Number Annuitant Date of Birth (mm/dd/yyyy) Annuitization Questions? Call our National Service Center at 1-800-888-2461. Instructions Please type or print. Use this form to begin annuity payments. Complete each section of the form. If you select

More information

New York Life Insurance and Annuity Corporation NYL Guaranteed Lifetime Income Annuity II - Single Life

New York Life Insurance and Annuity Corporation NYL Guaranteed Lifetime Income Annuity II - Single Life Annuitant & Policy Information New York Life Insurance and Annuity Corporation Summary Name: Valued Client Type of Funds: Non-Qualified Date of Birth: 07/18/1949 Payment Frequency: Monthly Sex: Male Purchase

More information

SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE LAMOREAUX JUSTICE CENTER PROBATE DIVISION ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) )

SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE LAMOREAUX JUSTICE CENTER PROBATE DIVISION ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ATTORNEY LAW OFFICES OF ATTORNEY 123 Main St. Suite 1 City, CA 912345 Telephone: (949 123-4567 Facsimile: (949 123-4567 Email: attorney@law.com Attorney for Petitioner, RON A. SUPERIOR COURT OF CALIFORNIA,

More information

Items to Note before Selling an Annuity (Fixed Indexed, Fixed and Variable)

Items to Note before Selling an Annuity (Fixed Indexed, Fixed and Variable) Items to Note before Selling an Annuity (Fixed Indexed, Fixed and Variable) In Good Order Requirements To ensure your new business application will be complete and in good order, please provide Security

More information

FORM - SIMPLE ORDER FOR A STRUCTURED SETTLEMENT. Index No: Upon the application of plaintiff s counsel for judicial approval for a structured

FORM - SIMPLE ORDER FOR A STRUCTURED SETTLEMENT. Index No: Upon the application of plaintiff s counsel for judicial approval for a structured FORM - SIMPLE ORDER FOR A STRUCTURED SETTLEMENT At an IAS Part of the Supreme Court of The State of New York, held in and for the County of Bronx, at the Courthouse thereof, day of, 200. Present: Hon.

More information

SAMPLE DOCUMENT FOR INFORMATION ONLY SUPERIOR COURT OF THE STATE OF CALIFORNIA COUNTY OF SANTA CLARA. Case No.: ) ) ) ) ) ) ) ) ) ) ) ) ) ) )

SAMPLE DOCUMENT FOR INFORMATION ONLY SUPERIOR COURT OF THE STATE OF CALIFORNIA COUNTY OF SANTA CLARA. Case No.: ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) Name, Address and Telephone Number of Person Without Attorney: In Pro Per SUPERIOR COURT OF THE STATE OF CALIFORNIA COUNTY OF SANTA CLARA 0 In the Matter of the Estate of Decedent. Case No.: (FIRST AND

More information

Case:14-26132-EEB Doc#:9 Filed:12/03/14 Entered:12/03/14 15:52:25 Page1 of 6 UNITED STATES BANKRUPTCY COURT DISTRICT OF COLORADO

Case:14-26132-EEB Doc#:9 Filed:12/03/14 Entered:12/03/14 15:52:25 Page1 of 6 UNITED STATES BANKRUPTCY COURT DISTRICT OF COLORADO Case:14-26132-EEB Doc#:9 Filed:12/03/14 Entered:12/03/14 15:52:25 Page1 of 6 UNITED STATES BANKRUPTCY COURT DISTRICT OF COLORADO In re: CLINE MINING CORPORATION, Debtor in a Foreign Proceeding. Chapter

More information

CERTIFICATE OF SERVICE I hereby certify that on March 13, 2007, I electronically filed the foregoing with the Clerk of the Court using the CM/ECF system which will send notification of such filing to the

More information

Security Benefit Advanced Choice Annuity Application Individual Single Purchase Payment Deferred Annuity

Security Benefit Advanced Choice Annuity Application Individual Single Purchase Payment Deferred Annuity Security Benefit Advanced Choice Annuity Application Individual Single Purchase Payment Deferred Annuity Issued by Security Benefit Life Insurance Company. Questions? Call our National Service Center at

More information

IMPORTANT LEGAL NOTICE

IMPORTANT LEGAL NOTICE IMPORTANT LEGAL NOTICE MAIL THE COMPLETED AND SIGNED FORM AND ALL OF YOUR DOCUMENTATION TO: SAN ANTONIO INDEMNITY COMPANY IN RECEIVERSHIP MILFORD CONSULTING, LLC, SPECIAL DEPUTY RECEIVER P.O. Box 279,

More information

DEBT MANAGEMENT COMPANY LICENSE APPLICATION

DEBT MANAGEMENT COMPANY LICENSE APPLICATION State of Indiana DEPARTMENT OF FINANCIAL INSTITUTIONS 30 South Meridian Street, Suite 300 Indianapolis, Indiana 46204 State Form 50291(R8/10) Approved State Board of Accounts 2001 DEBT MANAGEMENT COMPANY

More information

SERFF Tracking #: MALF-128641392 State Tracking #: Company Tracking #: 12 SSA CE-D

SERFF Tracking #: MALF-128641392 State Tracking #: Company Tracking #: 12 SSA CE-D SERFF Tracking #: MALF-128641392 State Tracking #: Company Tracking #: 12 SSA CE-D State: Arkansas Filing Company: John Hancock Life Insurance Company (U.S.A.) TOI/Sub-TOI: A05I Individual Annuities- Immediate

More information

Cities of: Costa Mesa (safety only) Fresno Pasadena San Diego San Jose. Page 1 of 4. my CalPERS 0802

Cities of: Costa Mesa (safety only) Fresno Pasadena San Diego San Jose. Page 1 of 4. my CalPERS 0802 If you are in the process or have already separated from all CalPERS-covered employment, you will need to consider whether you want to keep your retirement contributions on deposit with CalPERS or receive

More information

SUPERIOR COURT OF THE STATE OF CALIFORNIA COUNTY OF SAN FRANCISCO - UNLIMITED CIVIL JURISDICTION

SUPERIOR COURT OF THE STATE OF CALIFORNIA COUNTY OF SAN FRANCISCO - UNLIMITED CIVIL JURISDICTION 1 1 1 1 1 1 1 1 0 1 DENNIS J. HERRERA, State Bar #1 City Attorney THERESE M. STEWART, State Bar #0 Chief Litigation Attorney ELLEN FORMAN, State Bar #1 WAYNE K. SNODGRASS, State Bar #11 K. SCOTT DICKEY,

More information

SINGLE PREMIUM IMMEDIATE ANNUITY

SINGLE PREMIUM IMMEDIATE ANNUITY SINGLE PREMIUM IMMEDIATE ANNUITY United of Omaha Life Insurance Company will pay you the income payments described on the data pages. When the Annuitant dies, we will pay any amount due according to this

More information

CIVIL PRACTICE AND REMEDIES CODE TITLE 6. MISCELLANEOUS PROVISIONS CHAPTER 141. STRUCTURED SETTLEMENT PROTECTION ACT

CIVIL PRACTICE AND REMEDIES CODE TITLE 6. MISCELLANEOUS PROVISIONS CHAPTER 141. STRUCTURED SETTLEMENT PROTECTION ACT CIVIL PRACTICE AND REMEDIES CODE TITLE 6. MISCELLANEOUS PROVISIONS CHAPTER 141. STRUCTURED SETTLEMENT PROTECTION ACT Sec.A141.001.AASHORT TITLE. This chapter may be cited as the Structured Settlement Protection

More information

SUPERIOR COURT OF THE STATE OF WASHINGTON, KING COUNTY NOTICE OF PROPOSED CLASS ACTION SETTLEMENT

SUPERIOR COURT OF THE STATE OF WASHINGTON, KING COUNTY NOTICE OF PROPOSED CLASS ACTION SETTLEMENT SUPERIOR COURT OF THE STATE OF WASHINGTON, KING COUNTY NOTICE OF PROPOSED CLASS ACTION SETTLEMENT If you paid money to Microsoft for an MSN account established in your name at a Best Buy store, never logged

More information

Request for Disbursement / Systematic Withdrawal Form for Qualified Annuities

Request for Disbursement / Systematic Withdrawal Form for Qualified Annuities for Qualified Annuities INSURER Fidelity and Guaranty Life Insurance Company Americom Life and Annuity Insurance Company Service Center: Service Center: PO Box 81497 Lincoln, NE 68501-1497 PO Box 82337

More information

STATE OF NEW MEXICO WORKERS COMPENSATION ADMINISTRATION. WCA No.: PETITION FOR LUMP SUM PAYMENT RETURN TO WORK

STATE OF NEW MEXICO WORKERS COMPENSATION ADMINISTRATION. WCA No.: PETITION FOR LUMP SUM PAYMENT RETURN TO WORK ,, and, WCA No.: PETITION FOR LUMP SUM PAYMENT RETURN TO WORK This form should be used for lump sums after return to work for 6 months, earning at least 80% of the pre-injury wage pursuant to 52-5-12(B).

More information

Attorneys for Respondents/Defendants CITY OF CLAREMONT, TONY RAMOS, LYNNE FRYMAN SUPERIOR COURT OF THE STATE OF CALIFORNIA COUNTY OF LOS ANGELES

Attorneys for Respondents/Defendants CITY OF CLAREMONT, TONY RAMOS, LYNNE FRYMAN SUPERIOR COURT OF THE STATE OF CALIFORNIA COUNTY OF LOS ANGELES SONIA CARVALHO Bar No. 00 Exempt From Filing Fees Pursuant To sonia.carvalho@bbklaw.com Government Code Section KENDALL H. MacVEY Bar No. kendall.macvey@bbklaw.com PAETER GARCIA Bar No. 0 paeter.garcia@bbklaw.com

More information

Immediate Annuity Quotation

Immediate Annuity Quotation Immediate Annuity Quotation Personalized for: Prepared by: Ivon T Hughes Tel: 514-842-9001 Email: info@trustco.ca Fax: 514-842-1085 Reference #: 186078.1 Date Prepared: November 1, 2012 Date Prepared:

More information