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Individual Life 
Fixed Annuity 
Variable Annuity 
Fund Prospectuses

INDIVIDUAL LIFE Mail Individual Life forms to: First Great-West Administrative Service Office P.O. Box 2305 Buffalo, NY 14240-2305
	Form 57 NY Absolute Assignment
	Form 598 NY Beneficiary Designation
	Form 1550R NY Loan Request
	Form 320 NY Request for Pre-Authorized Check Plan Card
	Form 8065 NY Abbreviated Premium Request
	Form 51 NY Change of Name
	Form NY HIPAA
	Form 27 NY Policy Service Request
	Form 26 NY Policy Change Application
	Form 66R NY - Collateral Assignment (use for other than absolute assignment)
	Form 56 NY Avocations & Professional Sports Questionnaire
	Form 24 NY Aviation Questionnaire
FIXED ANNUITY Mail Fixed Annuity forms to: First Great-West Administrative Service Office P.O. Box 989 Buffalo, NY 14240-0989
	Form 57 NY Absolute Assignment
	Form 1070 NY Annuity Minimum Distribution
	Form 369 NY Annuitant's Authorization
	Form 598 NY Beneficiary Designation
	Form 51 NY Change of Name
	Form 8070 NY Employer - Trustee Statement
	Form 8075 NY Life Only Disclaimer
	Form 5200 NY State Tax Withholding
VARIABLE ANNUITY Mail Variable Annuity forms to: First Great-West Administrative Service Office P.O. Box 173921 Denver, CO 80217
Varifund Forms
	Form V1008 NY VariFund Financial Service Form
	Form V1007 NY Non-Financial Service Form
	Form V369 NY Electronic Funds Transfer Request
	Form V1039 NY Telephone Transfer Authorization
	Form V1006 NY Pre-Authorized Check (PAC) Authorization
	Form V1026 NY VariFund Automatic Dollar-Cost-Averaging (DCA) Authorization
	Form V1055 NY Substantially Equal Periodic Payments
	Form V1070 NY Minimum Distribution Form
Trillium Forms
	Form VT1008 NY Trillium Financial Service Form
	Form V1007 NY Non-Financial Service Form
	Form V369 NY Electronic Funds Transfer Request
	Form V1039 NY Telephone Transfer Authorization
	Form V1006 NY Pre-Authorized Check (PAC) Authorization
	Form VT1026 NY Trillium Automatic Dollar-Cost-Averaging (DCA) Authorization
	Form V1055 NY Substantially Equal Periodic Payments
	Form V1070 NY Minimum Distribution Form