Life Settlement Document Ii Form - Arkansas Securities Department

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This disclosure document is mandated by the Arkansas Securities Department
Life Settlement Document II
Read Immediately Upon Receipt
You are purchasing a life settlement contract. A life settlement contract is an agreement for
the purchase of the death benefit of life insurance policy. The individual whose life insurance
policy is being sold is called insured.
Right to Rescind
By law, you have the right to rescind the purchase of this investment by giving written notice of
your intention to rescind. To be effective, your written notice of rescission must be postmarked
no later than 15 days following the later of:
a.
the date on which you paid for your investment; or
b.
the date on which you received this disclosure document.
It must be mailed, postage prepaid, to:
Name:
Address:
What are you purchasing
You are investing $ ________ and will receive $ ________ upon the death of the insured.
The life expectancy of the insured in whose policy you are investing is ________.
You are purchasing (check one):
______% (percent) ownership of a life insurance policy with a $ _______ death benefit.
the entire ownership of a life insurance policy with a $ ________ death benefit.
______% (percent) of the death benefit of a life insurance policy with a $ ________
death benefit.
the entire death benefit of a life insurance policy with a $ ________ death benefit.
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