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
• Click on the “Find a form” box on www.johnhancock.com/annuities.
• 
• Click the link to submit online.
• 
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• 

• 

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• 



and submit it with this form. Both forms must be completed before we will process an owner change.


• 

• 


• 

• 


• 


• 



Issuer: John Hancock Life Insurance Company (U.S.A.), Lansing, MI (not licensed in New York). Issuer in New York: John Hancock Life Insurance Company of New York, Valhalla, NY.
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


• 


• 




www.johnhancock.com/annuities

 
 



Visit the forms page at www.johnhancock.com/.


Contract number
   
Phone number Email address
 Please check if the address provided is a permanent address change for all your annuity contract(s).
  
   

   
Phone number Email address

  
Issuer: John Hancock Life Insurance Company (U.S.A.), Lansing, MI (not licensed in New York). Issuer in New York: John Hancock Life Insurance Company of New York, Valhalla, NY.
1307217 (5/21) Page 2 of 7



Add a co-owner



  Female
  
  
 
  
Phone number Email address

  



 Estate Partnership C Corporation
   




 








  
  
  

  
Issuer: John Hancock Life Insurance Company (U.S.A.), Lansing, MI (not licensed in New York). Issuer in New York: John Hancock Life Insurance Company of New York, Valhalla, NY.
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


  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

  
Issuer: John Hancock Life Insurance Company (U.S.A.), Lansing, MI (not licensed in New York). Issuer in New York: John Hancock Life Insurance Company of New York, Valhalla, NY.
1307217 (5/21) Page 4 of 7
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


  
  
  

  

  
  
  

  

  
  
  

  

Issuer: John Hancock Life Insurance Company (U.S.A.), Lansing, MI (not licensed in New York). Issuer in New York: John Hancock Life Insurance Company of New York, Valhalla, NY.
1307217 (5/21) Page 5 of 7








 

  Guardian Other


 

  Guardian Other



















 

  Guardian Other


 

  Guardian Other


 
Issuer: John Hancock Life Insurance Company (U.S.A.), Lansing, MI (not licensed in New York). Issuer in New York: John Hancock Life Insurance Company of New York, Valhalla, NY.
1307217 (5/21) Page 6 of 7



 

 
 

 



Go to www.johnhancock.com/annuities to create an online account

Issuer: John Hancock Life Insurance Company (U.S.A.), Lansing, MI (not licensed in New York). Issuer in New York: John Hancock Life Insurance Company of New York, Valhalla, NY.
1307217 (5/21) Page 7 of 7
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Completed 9 April 2022

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