Bank Draft Authorization

This authorization MUST be printed and filled out rather than submitted over the internet. National Income requires an original signature on a bank draft authorization and a void check from the account to be drafted. Other types of requests (such as name and address change) do not require signatures allowing you to request these services via the internet.

Send authorization with the original signature and a void check to:

National Income Life Insurance 
PO BOX 5009 
Syracuse , New York
13220


  (for Policyowner Service main page)