CALIFORNIA CONSUMER PRIVACY ACT (CCPA) REQUEST TO KNOW AND/OR DELETE

At Magna Life Settlements, Inc. (“Magna”), your privacy is important to us. We sell personal information as defined by the California Consumer Privacy Act (CCPA). We will only sell your information to another life settlement provider or viatical settlement provider. For more information about how personal and household information is collected and used, please review our CCPA Privacy Notice.

If you are an authorized person and want to make a privacy request for yourself or on behalf of someone else, please complete the following form. The information provided will be used to verify your right to request this information and to respond to your request.

If you have any questions, call us at 888-996-2475 Mon — Fri, between 8:00 am and 6:00 pm CST.

Consumer Information

Name of Consumer (First, Middle, Last)*

Prior Name (if Applicable)

Address*

Address Line 2

City*

State*

ZIP Code*

Email address

Phone Number 1*

Phone Number 2

Requester Information

If you are both the consumer and requester, please skip to the next section.

Name of Requester (First, Middle, Last)

Relationship to Consumer

If other, please explain

Address

Address Line 2

City

State

ZIP Code

Email address

Phone Number 1

Phone Number 2

If you are requesting information as an authorized agent, additional documentation will be required, and we will contact you about your request.

Consumer Type

To help us respond to your request, please indicate your consumer type.*

Other

Request Type

Please indicate the type of request you would like to make.*

Preferred method for responding to your request.*

By selecting the submit button below, I declare under penalty of perjury that I am the consumer whose Personal Information is the subject of this request or an authorized requester on behalf of such consumer.