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Get Mony Life Insurance Form 10481

R) (Page 1 of 5) Form No. 10481 (11/2006) INSTRUCTIONS FOR COMPLETING THIS FORM Section 1. Designation of Beneficiary and Method of Payment Payment will be made in one sum. Settlement Option is not available unless elected on Beneficiary, Rights and Settlement Option Request (Form 4113). Complete the beneficiary designation (FIRST, SECOND), using the sample wordings on Page 2 as a guide for completing your designation. It is not necessary to designate a SECOND beneficiary, but the space is prov.

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