Exhibit (e)(6)
AMERICAN GENERAL REQUEST FOR INVESTMENT
Life Companies DIVISION/SERIES TRANSFER
AMERICAN GENERAL LIFE INSURANCE COMPANY
_______________________________________________________________________________
Insured/Participant Name:_______________ Policy/Certificate Number: ___________
Enter 100% or all if the entire current balance is to be transferred from one
investment division/series to another investment division/series. Transactions
are effective as of the date this form is received by our Administrative Office.
IMPORTANT: Please refer to your Prospectus for restrictions and specific
information pertaining to Investment Division/Series transfers.
Send completed form to American General Life's Administrative
Office shown in the Policy Information Section of your contract.
TRANSFER FROM: TRANSFER TO:
_______________________________ ________% or $________
_______________________________ Investment Division/Series Name
Investment Division/Series Name _______________________________ ________% or $________
Investment Division/Series Name
__________% or $__________ _______________________________ ________% or $________
Investment Division/Series Name
TRANSFER FROM: TRANSFER TO:
_______________________________ ________% or $________
_______________________________ Investment Division/Series Name
Investment Division/Series Name _______________________________ ________% or $________
Investment Division/Series Name
__________% or $__________ _______________________________ ________% or $________
Investment Division/Series Name
TRANSFER FROM: TRANSFER TO:
_______________________________ ________% or $________
_______________________________ Investment Division/Series Name
Investment Division/Series Name _______________________________ ________% or $________
Investment Division/Series Name
__________% or $__________ _______________________________ ________% or $________
Investment Division/Series Name
TRANSFER FROM: TRANSFER TO:
_______________________________ ________% or $________
_______________________________ Investment Division/Series Name
Investment Division/Series Name _______________________________ ________% or $________
Investment Division/Series Name
__________% or $__________ _______________________________ ________% or $________
Investment Division/Series Name
NOTE: An investment division/series transfer does not affect future payments or
contributions. If you want to change the way future payments or contributions
should be allocated, you must complete a "Request for Change of Allocation"
form.
__________________________________________ ____________________________________________
Signature of Owner Date Signature of Joint Owner/Assignee Date
[ ] Please check if this is an address change
_______________________________________________________________________________________
Number & Street Town or City State Zip
AGLC100553 Rev0609
