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Certification and Acknowledgement of Trust Agreement (OL4132) (new business only)

Use this form to certify the existence of a trust, as well as current trustees and/or successors.

Form OL4132 (new business only)

Mailing Instructions & Phone Numbers

After filling out this form, please return both copies to:

All term life, whole life insurance and policies beginning with the letters F, J, K, L, N, S or Y, return to:

Phoenix Life Insurance Company
P.O. Box 8027
Boston, MA 02266-8027

Overnight Address
PLIC
30 Dan Road, Suite 8027
Canton, MA 02021-2809

To speak to a customer service representative, call: 1-800-628-1936
Hours: Monday - Friday, 8:30 a.m. to 5 p.m. ET

All annuities variable and universal life policies and contracts beginning with the letters Q, U, UN, V and VR, return to:

Phoenix Variable Products Mail Operations
P.O. Box 8027
Boston, MA 02266-8027

Overnight Address
Phoenix Variable Products Mail Operations
30 Dan Road, Suite 8027
Canton, MA 02021-2809

To speak to a customer service representative, call: 1-800-541-0171
Hours: Monday - Friday, 8:30 a.m. to 6 p.m. ET

©2001-2016 The Phoenix Companies, Inc.

Insurance and annuities issued by Phoenix Life Insurance Company (PLIC) (East Greenbush, NY), PHL Variable Insurance Company (PHLVIC) (Hartford, CT) and Phoenix Life and Annuity Company (PLAC) (Hartford, CT). PHLVIC is not authorized to conduct business in NY and ME. PLAC is not authorized to conduct business in CA, GA, MA, ME, MN, NH, and NY and not authorized to conduct variable universal life insurance business in ID and LA. The insurers referenced are separate entities and each is responsible only for its own financial condition and contractual obligations.

Securities distributed by 1851 Securities, Inc. (Hartford, CT), member FINRA.

Members of The Phoenix Companies, Inc.

Not all products and services described here are available in all states of the USA.