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This Qualified Assignment and Release Agreement is signed in one or more counterparts as of the Effective <br />Date by the following: <br />Assl <br />By: <br />Title: <br />Assignee: Pacific Life & Annuity Services. Inc <br />By: <br />Authorized Representative <br />Title: <br />Assignee: Pac& Life &Annuity Services Inc <br />By: <br />Authorized Representative <br />Title: <br />clw mant(s)� MARIA QUINTANILLA A <br />I <br />R <br />70/11 [PL ISS OAR] Page 5 of 6 W26140.11A <br />