APPENDIX C.
AR ADC 054.01.82 App. CArkansas Administrative CodeEffective: January 8, 2021
Effective: January 8, 2021
Ark. Admin. Code 054.01.82 App. C
APPENDIX C.
Consumer Decision to Purchase an Annuity NOT Based on a Recommendation
Do Not Sign This Form Unless You Have Read and Understand It.
Why are you being given this form? You are buying a financial product -- an annuity.
To recommend a product that effectively meets your needs, objectives and situation, the agent, broker, or company has the responsibility to learn about you, your financial situation, insurance needs and financial objectives.
If you sign this form, it means you know that you're buying an annuity that was not recommended.
Statement of Purchaser:
I understand that I am buying an annuity, but the agent, broker or company did not recommend that I buy it. If I buy it without a recommendation, I understand I may lose protections under the Arkansas Insurance Code.
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Customer Signature
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Date
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Agent/Producer Signature
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Date
Credits
Adopted Jan. 8, 2021.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 054.01.82 App. C, AR ADC 054.01.82 App. C
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