State of California Department of Insurance Life Settlement Provider Disclosure to Owner (To be provided prior to the execution of the life settlement contract)
IMPORTANT: READ THIS DISCLOSURE FORM BEFORE SIGNING ANY LIFE SETTLEMENT CONTRACT.
The Commissioner may consider any failure to provide the disclosures in this form as a basis for suspending or revoking a provider's license. You should carefully read all of the following points and seek financial, insurance, tax and other advice where appropriate.
Broker's (printed) name: ______________________________
Address: ______________________________
Telephone: ______________________________
LIFE INSURANCE POLICY OWNER'S ACKNOWLEDGMENT: I have read and fully understand this disclosure form and have received a copy to keep for my records.
LIFE INSURANCE POLICY OWNER | LIFE SETTLEMENT PROVIDER | |
By:___________________________ | By:___________________________ | |
Printed Name:___________________________ | Printed Name:___________________________ | |
Date:___________________________ | Date:___________________________ |
Cal. Code Regs. Tit. 10, § 2548.30
2. Change without regulatory effect amending NOTE filed 1-24-2012 pursuant to section 100, title 1, California Code of Regulations (Register 2012, No. 4).
3. Renumbering of former section 2548.30 to section 2548.31 and renumbering and amendment of former section 2548.29 to new section 2548.30 filed 11-25-2014; operative 1-1-2015 (Register 2014, No. 48).
Note: Authority cited: Section 10113.35, Insurance Code; CalFarm Ins. Co. v. Deukmejian, 48 Cal.3d 805 (1989); 20th Century Ins. Co. v. Garamendi, 8 Cal.4th 216 (1994). Reference: Section 10113.2, Insurance Code.
2. Change without regulatory effect amending Note filed 1-24-2012 pursuant to section 100, title 1, California Code of Regulations (Register 2012, No. 4).
3. Renumbering of former section 2548.30 to section 2548.31 and renumbering and amendment of former section 2548.29 to new section 2548.30 filed 11-25-2014; operative 1/1/2015 (Register 2014, No. 48).