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Please click on your state to download the forms necessary for a life settlement appraisal.

Or select the policy owner's state of residence from the drop-down menu to access the group of forms necessary in that particular state. All forms can be downloaded and printed, making it easy to fax or mail forms to your clients. If you prefer, you may also email forms by downloading the pdf file and sending it as an attachment.




Important Limitations |Terms & Conditions | Privacy Notice | Compliance Statement | Disclosures | Disclaimer © 2006 Life Asset Group, LLC. All rights reserved.

*IN TEXAS, D/B/A LAG SETTLEMENTS, LLC (See also Important Limitations in Texas)

Life Asset Group, LLC and/or Gary E. Brecka, as an individual, are licensed as a life settlement broker or viatical settlement broker in the following regulated states.

Gary E. Brecka, individually, can broker a life insurance policy owned by a resident of the following states: AR, CO, FL, GA, HI, IN, KS, KY, LA, MD, ME, MS, MT, NV, NC, NJ, OK, PA, TN, TX, UT, VA.

Life Asset Group, LLC, as a licensed entity, can broker a life insurance policy owned by a resident of the following states: AR, CT, FL, HI, LA, MD, ME, NV, NJ, OH, OK, PA, TX*, VA.

Depending on the medical condition of the insured, Life Asset Group, LLC and/or Gary E. Brecka, as an individual, may or may not be able to broker a life insurance policy owned by a resident of the following states: CA, DE, IL, MA, MI, MN, NM, NY, OR, VT, WA, WI.

Life Asset Group, LLC and/or Gary E. Brecka, as an individual, may broker a life insurance policy owned by a resident of the following states that are not regulated and do not require licensure: AL, AZ, DC, ID, MO, NH, RI, SC, SD, WY.

Life Asset Group, LLC is in the process of becoming licensed in the following states: AK, IA, NE, ND, WV, PR.

*IN TEXAS, D/B/A LAG SETTLEMENTS, LLC

This Compliance Notice is current as of August 26, 2008 and is subject to change.