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Get AS-2 2011

Ansfer and set over to the Funeral Home the sole right to collect from ________________________ (“Insurance Company”) the net proceeds of Policy/Contract Number _______________, when it becomes a claim by death of the insured. It is expressly understood that the Company is hereby authorized and directed to release and pay the net death benefits payable, as determined by the provisions of the above stated Policy/Contract, to the Funeral Home upon receipt of a properly certified Death Certific.

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