If you are an investor in a Mutual Benefits Keep Policy Trust viatical settlement contract and need to inform us of a change in your current contact information, please print and complete the following form. Please be sure to sign it before a notary public.

Every investor must complete the form and return it along with a current government issued picture identification.

If you are an investor in a Mutual Benefits Keep Policy Trust viatical settlement contract and would like to receive a printed annual summary report, please print and complete the following form.