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SAMPLE BENEFICIARY DESIGNATIONS One Beneficiary Only ...

www.ksbankers.com/userfiles/EmployeeBenefits/SampleBeneficiaryDesignations.pdf

SAMPLE BENEFICIARY DESIGNATIONS. One Beneficiary Only—. Jane Doe, wife. Two Beneficiaries—. Jane Doe, wife, and Mary Doe, daughter, equally or to  ...

Beneficiary Designation Form - State Securities Corporation

www.ssc-life.com/uploads/5/4/8/4/5484400/beneficiary_change_form_trans_term.pdf

This Beneficiary Designation cancels all prior Beneficiary Designations and settlement agreements .... Primary: Jane Doe, Mother 75%; John Doe, Brother, 25 %.

DESIGNATION OF LIFE INSURANCE BENEFICIARIES (doc)

www.oregon.gov/doc/GENSVC/docs/payroll_news/beneficiaries.doc

The primary beneficiary (ies) will be recognized first, by the insurance ... Mary Doe (wife), Jane Doe, and Tom Doe (children), equally, survivors or survivor. -or-.

GUIDE CHART

www.insurance.ada.org/upload/forms/ada-insurance-plans-dentist-beneficiary-change-form.pdf

GUIDE CHART. COMMON BENEFICIARY DESIGNATIONS. Proposed Beneficiary. Insert Name. 1. Wife. Jane Doe. 2. Named Children. Mary Doe & James Doe.

Beneficiary Designation Form

www.wellesley.edu/sites/default/files/assets/departments/humanresources/files/forms/beneficiary_designation_form.doc

See Page 3 of this form for sample beneficiary designations and more information. ... Jane Doe, Mary Doe and Richard Doe, children, or survivor(s) of them, ...

U.S. Coast Guard DESIGNATION OF BENEFICIARY FOR PAYMENT ...

www.uscg.mil/forms/cg/CG_3600.pdf

I HEREBY designate the following beneficiary(ies) to receive retired pay due and ... If any of your designated beneficiaries dies, or if you divorce, ... Jane L. Doe*.

Instructions for Naming or Changing a Beneficiary - The Standard

www.standard.com/annuities/eforms/12258.pdf

If the annuity contract is owned by a partnership, the beneficiary designation ... my son, James Doe, my son, William Doe, my daughter, Jane Doe and any other  ...

Minnesota Life - Beneficiary Designation and Change ... - ARBenefits

portal.arbenefits.org/Benefits/2016MLBenDesignation.pdf

Jun 1, 1991 ... The primary and contingent beneficiary(ies) determines the order in which beneficiaries become eligible to ... For example: Jane Doe, wife.

Beneficiary Designation Guide - MSRS

www.msrs.state.mn.us/documents/10179/59322/Beneficiary Designation Guide/f1fae5a6-2d07-4bae-a75d-c22489cbe735

Primary: Jane Doe xxxlxxlxxxx. Daughter xxlxxlxxxx. 50%. PER STIRPES VS. PER CAPITA BENEFICIARY DESIGNATION. MNDCP Beneficiary Designation ...

Beneficiary Designation and Change Request

www.fau.edu/hr/files/Group_Life_Ins_Beneficiary_Designation_Form_2008.pdf

Jun 1, 1991 ... The primary and contingent beneficiary(ies) determines the order in which beneficiaries become eligible to ... For example: Jane Doe, wife.

More Info

wording for beneficiary designations - AMA Insurance

www.amainsure.com

TYPE OF BENEFICIARY. SAMPLE WORDING. 1. The Insured's Estate. Estate of the Insured. 2. One Beneficiary. Jane Doe, wife. 3. Two Beneficiaries. John Doe ...

Change of Beneficiary - American Fidelity

americanfidelity.com

Please use the attached form to request a change in beneficiary. Do not complete the Change .... The John J. Doe Trust dated xx/xx/xxxx, Jane Doe as. Trustee ...

Beneficiary Designation Under Group Life Insurance Policy

www.mtgilead.k12.oh.us

Company® (AUL), it is requested the beneficiary of any policy proceeds payable ... Sample: Jane Doe and Mary Doe, cousins, in equal shares, or their survivors.