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Change of Beneficiary Form

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Enter the full name of the person sending this letter.

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________
________
Email: ________



Date:___________________




________
________
Email: ________



RE: Insurance Policy Number: ________/Owner: ________/Insured: ________



: To whom it may concern:

I am writing to make a change to the insurance policy described above. For reference, the policy number is: ________.

There should be a change made to the primary beneficiary. The primary beneficiary will still be the same individual, but their name has legally changed. The prior name was as follows: ________. The new legal name is as follows: ________. This name change is made due to marriage.

If there is a specific form that must be filled out, please send it to the address or email address at the head of this document. Otherwise, please send a confirmation that the changes have been made.

If you have any questions or anything you would like to discuss with me further, please feel free to contact me.

Sincerely,


________

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________
________
Email: ________



Date:___________________




________
________
Email: ________



RE: Insurance Policy Number: ________/Owner: ________/Insured: ________



: To whom it may concern:

I am writing to make a change to the insurance policy described above. For reference, the policy number is: ________.

There should be a change made to the primary beneficiary. The primary beneficiary will still be the same individual, but their name has legally changed. The prior name was as follows: ________. The new legal name is as follows: ________. This name change is made due to marriage.

If there is a specific form that must be filled out, please send it to the address or email address at the head of this document. Otherwise, please send a confirmation that the changes have been made.

If you have any questions or anything you would like to discuss with me further, please feel free to contact me.

Sincerely,


________