Ownership/Beneficiary Change Form For New York Life Annuities - Deferred

Sep 19, 2026

Ownership/Beneficiary Change Form for New York Life Annuities collects policy details and requests changes to ownership and/or beneficiary designations. It includes sections for current and new owners, new joint owner information, and beneficiary replacement requirements with percentage allocations totaling 100%. The form highlights potential tax implications of ownership changes, including W-8/W-9 and documentation needed for non-U.S. owners, trusts, and corporations, and outlines identity verification steps required by federal law.

LanguageEnglish

CategoryForms

FormatPDF

Pages4

Reading Time2 min

AccessFree to download

Ownership and Beneficiary Change Request

Policy details and applicable sections

Ownership change tax implications and required documents

New owner and joint owner information

Ownership procedure and identity verification

Beneficiary designation replacement and percentage rules

Ownership/Beneficiary Change Form For New York Life Annuities Phone: (800) 762-6212 Fax: (866) 858-8956 Attn: NYL Annuities Log in to your account to upload the form and expedite its delivery, or scan the QR code to determine if this transaction can be processed online immediately. [www.newyorkl](www.newyorkl)[ifeannuities.com](ifeannuities.com) Fill in your policy details below and complete the section(s) that applies to the changes you would like to make. 􀀂 Ownership, Sections 1 and 5 􀀂 Beneficiary, Sections 2 and 5 􀀂 Additional Information, Section 4 | Policy number(s) | 􀀍􀂓>􀂈􀂏 􀀁``ÀiÃÃ | | Date of Birth (mm/dd/yyyy) | | | --- | --- | --- | --- | --- | | Owner (first, middle initial, last) | | Social Security or Tax ID number | Telephone number | | | Owner Mailing Address | | City | State | Zip Code | | Joint Owner, if any (first, middle initial, last) | | Social Security or Tax ID number | Telephone | number | 1. 6>5,9:/07 */(5., An ownership change may have tax implications. If the new owner is a non U.S. citizen, a completed W-8 or W-9 is required. If the new owner is a Resident Alien, please send a copy of Green Card. For more information, contact your tax adviser. If changing the ownership to a Trust, please provide a copy of Trust Agreement, including the title page, signature page, and any applicable trustee designation pages and amendments to the Trust. A completed W-8 or W-9 is required. If changing ownership to a grantor trust, please be aware that our contract requires the death benefit to be paid upon the grantor’s death, which could result in adverse tax consequences if the grantor and the annuitant are not the same person. For this reason, we strongly advise you to consult with your tax advisor prior to effecting such change. If changing ownership to a Corporation, please provide a copy of the Corporate Resolution. For Corporations or Entities within the United States, a completed W-9 form is required. For those outside the domicile of the United States, tax certiﬁcation is required. Please refer to the Internal Revenue Service website at [www.irs.gov for](www.irs.gov for) the appropriate W-8 tax form. Note: For annuity products, a change of ownership may create a taxable event. A transfer of ownership to a “non-individual” such as a corporation, partnership or trust may result in a loss of tax deferred status. The existing Beneﬁciary(ies) Designation on the Company’s records will continue as is unless a new Beneﬁciary(ies) Designation is requested by the New Owner(s) . 4O REQUEST A NEW "ENEFICIARY􀀈IES􀀉 $ESIGNATION􀀌 PLEASE see Section 2. An ownership change terminates all scheduled activities. In order to set up new scheduled activities, please ﬁll out the appropriate form(s). IMPORTANT INFORMATION ABOUT PROCEDURES FOR OWNERSHIP CHANGE Federal law requires all ﬁnancial institutions to obtain, verify, and record information that identiﬁes each person who opens an account. What this means for you: When you change policy ownership, we will ask for the new owner’s name, address, date of birth, and other information that will allow us to identify the new owner. We may also ask to see the new owner’s driver’s license or other identifying documents. | New Owner | | | | | | | | --- | --- | --- | --- | --- | --- | --- | | Name (first, middle initial, last) | | | 􀀍􀂓>􀂈􀂏 􀀁``ÀiÃÃ | | | | | Relationship to Annuitant
􀀂 Self 􀀂 Spouse 􀀂 Other: | Social Security or Tax ID number | | Date of Birth (mm/dd/yyyy) | | 􀀂
􀀂 | Male Female | | Country of Citizenship
􀀂 U.S. 􀀂 Other, Country Name: | | If you check “Other” under Country of Citizenship, are you a U.S. Resident Alien? 􀀂 Yes 􀀂 No | | Telephone number | | | | If mailing address is different than residential address or a P.O. Box, please provide residential address. | | | | | | | | Mailing Address Street or P.O. Box City State Zip Code | | | | | | | | Residential Address Street (P.O. Box not acceptab

FAQs

Which sections of the form must be completed for ownership and beneficiary changes?

Ownership changes use Sections 1 and 5, and beneficiary changes use Sections 2 and 5. Additional information is handled in Section 4, as applicable to the requested changes.

What documentation may be required when the new owner is a non-U.S. citizen or a resident alien?

If the new owner is a non-U.S. citizen, a completed W-8 or W-9 is required. If the new owner is a Resident Alien, a copy of the Green Card must be provided.

How are beneficiary designations replaced and how should percentages be handled?

The beneficiaries named on the form replace all previous beneficiaries for the requested class. A percentage is required for each named individual, and percentages must total 100%; if no percentage is provided, New York Life pays equal percentages.

Sep 19, 2026

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