| 19474 | 403(b) Employer Information | | Prudential Annuities (Advanced Series) | ORD 200748 | 04/18/2011 | 02/01/2011 | Details |
| 26387 | 403(b) Salary Reduction | | Prudential Annuities (Advanced Series) | ORD 200942 | 04/18/2011 | 10/01/2010 | Details |
| 23694 | Advisor Instruction Guide | | Prudential Annuities (Advanced Series) | ORD 03923 | 01/24/2011 | 09/01/2010 | Details |
| 20161 | Annuitization Change Request | | Prudential Annuities (Advanced Series) | ORD 200875 | 10/12/2010 | 10/01/2010 | Details |
| 5606 | Annuity and Variable Life Ins Death Benefits Claim | Each Beneficiary must complete a separate set of forms. | Prudential Annuities (Advanced Series) | ORD 04278 | 04/30/2013 | 05/01/2013 | Details |
| 24100 | Annuity Change | | Prudential Annuities (Advanced Series) | ORD 03994 | 05/16/2013 | 05/13/2013 | Details |
| 20163 | Authorization - Custodian | | Prudential Annuities (Advanced Series) | ORD 03997 | 04/18/2011 | 10/01/2010 | Details |
| 26399 | Authorization - UT | | Prudential Annuities (Advanced Series) | ORD 200937 | 04/18/2011 | 10/01/2010 | Details |
| 24909 | Authorization to Convert from a Traditional IRA | to a Roth IRA | Prudential Annuities (Advanced Series) | ORD 203370 | 02/25/2013 | 02/01/2013 | Details |
| 22613 | Beneficiary and Predetermined Payout Election | For use with Advanced Series Variable Annuities. | Prudential Annuities (Advanced Series) | ORD 04398 | 04/30/2013 | 05/01/2013 | Details |
| 20160 | Beneficiary Annuity Certification | | Prudential Annuities (Advanced Series) | ORD 202159 | 04/18/2011 | 11/01/2010 | Details |
| 26395 | Broker/Dealer Firm – Authorization | | Prudential Annuities (Advanced Series) | ORD 200936 | 04/18/2011 | 11/01/2010 | Details |
| 852 | Certificate of Entity Ownership | This form may be required when an entity is to own an annuity, when there is a change of ownership to an entity or when an entity is making a Death Benefit claim as a beneficiary. | Prudential Annuities (Advanced Series) | ORD 03995 | 11/01/2011 | 08/01/2011 | Details |
| 26389 | Change of Broker Dealer/Representative | Authorization | Prudential Annuities (Advanced Series) | ORD 201824 | 04/18/2011 | 11/01/2010 | Details |
| 26397 | Client Replacement Acknowledgement - AZ | | Prudential Annuities (Advanced Series) | ORD 201326 AZ | 04/18/2011 | 11/01/2010 | Details |
| 26398 | Client Replacement Acknowledgement - FL | | Prudential Annuities (Advanced Series) | ORD 201326 FL | 04/18/2011 | 11/01/2010 | Details |
| 26390 | Contingent Owner | | Prudential Annuities (Advanced Series) | ORD 200944 | 04/18/2011 | 11/01/2010 | Details |
| 22501 | Custodial Election of Optional Living Benefits | For use with XTra Credit Six, XTra Credit Eight, ASAP III, APEX II, ASL II, CHOICE 2000, AS Cornerstone. | Prudential Annuities (Advanced Series) | ORD 202681 | 04/28/2013 | 05/01/2013 | Details |
| 22303 | Election of Optional Living Benefits - CW | For use with XTra Credit Six, XTra Credit Eight, ASAP III, APEX II, ASL II, CHOICE 2000, AS Cornerstone | Prudential Annuities (Advanced Series) | ORD 202538 | 04/28/2013 | 05/01/2013 | Details |
| 24066 | Election of Optional Living Benefits - NY | For Use With Advanced Series Variable Annuities | Prudential Annuities (Advanced Series) | ORD 202538 NY | 04/28/2013 | 05/01/2013 | Details |
| 24103 | Electronic Funds Transfer (EFT) | | Prudential Annuities (Advanced Series) | ORD 04277 | 02/25/2013 | 02/01/2013 | Details |
| 11135 | Fixed Annuitization | | Prudential Annuities (Advanced Series) | ORD 04136 | 02/25/2013 | 02/01/2013 | Details |
| 11132 | Investment Advisor Authorization | Advisor's Choice | Prudential Annuities (Advanced Series) | ORD 03999 | 10/31/2011 | 08/01/2011 | Details |
| 25491 | Limited Power of Attorney - NY | | Prudential Annuities (Advanced Series) | ORD 200871 NY | 10/31/2011 | 08/01/2011 | Details |
| 17493 | Living Children Disclosure | | Prudential Annuities (Advanced Series) | ORD 201324 | 04/18/2011 | 02/01/2011 | Details |