Viatical Disclosure Document Ii Form - Arkansas Securities Department Page 4

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Before these additional payments are due, you will be notified of when and to whom to
make your premium payments.
Use of your investment funds
Of the amount you are investing:
$
will be used to purchase the policy from the viator.
$
will be set aside to pay premiums on the policy.
$
will be used to pay a commission to the person who sold you the policy.
$
will be used to pay administrative expenses and other transaction costs.
The Arkansas Securities Department is the agency of state government responsible for
the licensing of brokerage firms, investment advisers and their employees, the
registration of securities and the enforcement of the Arkansas Securities Act. Anyone
with questions or concerns about viaticals may contact the Arkansas Securities
Department at the address and telephone numbers listed below.
Arkansas Securities Department
Heritage West Building, Suite 300
201 East Markham
Little Rock, Arkansas 72201
501/324-9260 or 1-800-981-4429
Page 4

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