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LIC Annuity Existence Certificate Form

The document is a letter from an insurance company to an annuity policyholder. It informs the policyholder that a certificate of existence is required to continue receiving annuity payments. An enclosed form must be signed by the policyholder, attested by a competent authority such as a bank manager or government official, and returned by a specified date to release the next annuity payment.

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Ramesh Kothapalli
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6K views2 pages

LIC Annuity Existence Certificate Form

The document is a letter from an insurance company to an annuity policyholder. It informs the policyholder that a certificate of existence is required to continue receiving annuity payments. An enclosed form must be signed by the policyholder, attested by a competent authority such as a bank manager or government official, and returned by a specified date to release the next annuity payment.

Uploaded by

Ramesh Kothapalli
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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IPP CELL ________ Zonal Office.

Address / Tel.Nos./ Email ID

Ref : Date :

To,
The Annuitant,
(Name & Address)

Dear Sir / Madam

Re : Certificate of Existence
under Annuity Policy No./s._______________

__________________________________________

This is to inform you that the requirement of Certificate of


Existence has become due.

In order to enable us to continue the payment of Annuity with


effect from ___________, we enclose herewith the format of
Certificate of Existence to be attested by a Competent Authority
and to be returned to the LIC Office immediately on or before
___________,in order to enable us to release the Annuity.

Thanking You,

Yours Faithfully,

Asstt. Secretary (IPP Cell)/


Sr./Branch Manager

(Since this is a computer generated output, signature not


required).
Policy No./s______________________________________________________

Name of Annuitant:____________________________

CERTIFICATE OF EXISTENCE

(The below mentioned Form should be signed on or after


_________________ by the Annuitant and ATTESTED by any of the
following :
Bank Branch Manager / Gazetted Officer / Registered Medical
Practitioner /Post Master / School/College Principal / LIC Class-I
Officer / LIC Development Officer / LIC Agent (STAMPED ALONGWITH
THEIR REGISTRATION NOS./CODE NOS./AGENCY NOS.)

“I,_________________________________________________hereby certify

that Shri/Smt_______________________________________Son / Daughter

of __________________________________________ personally appeared

before me on __________________ and has signed in my presence and

his / her signature is attested below. I am fully satisfied about

his/her identity”.

Dated at______________ this ________day of ________________20___.

Signature of the Counter signature of


Certifying

Annuitant__________________ Authority_______________________
(Stamped)

Address :___________________ Designation_____________________

___________________ Address :_______________________

____________________ _______________________

____________________ ______________________

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