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LINCOLN AMERICAN LEGACY RETIREMENTSM GVA



Plan Support Materials and Forms

Materials on this page:


Forms Participant Trustee TPA Agent
EM11137-DLN [Fillable] Blackout Notice and Instructions x x
EM-30060-LA-N Blanket Authorization x x x
EM91506-DLN Change of Beneficiary x x x x
EM-29735 Change of Personal Information x x x x
EM30007 [Fillable] Loan Default Request x x
EM28114-LD-TB Request for Contract and Plan Services x x x
ALR-50896 Promissory Note x x x x
EM27607-LD-TB Request for Contract x x x
ALR-50895 Truth in Lending x x x x

Forms provided through this web site are for the convenience to our customers and do not provide fiduciary guidance. Any decisions should be discussed with your financial advisor. We do not provide legal or tax advice.

Hello future.
Lincoln Financial Group is the marketing name for Lincoln National Corporation and insurance
company affiliates, including The Lincoln National Life Insurance Company, Fort Wayne, IN,
and in New York, Lincoln Life & Annuity Company of New York, Syracuse, NY. Variable products
distributed by broker/dealer-affiliate Lincoln Financial Distributors, Inc., Radnor, PA. Securities
and investment advisory services offered through other affiliates. Explore Lincoln.


LFD0607-1577
LCN-2008249busrep