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N BOX 6042, DARTMOUTH COLLEGE, HANOVER, NEW HAMPSHIRE 03755 YOUR LAST NAME FIRST NAME SOCIAL SECURITY NUMBER BENEFICIARY MIDDLE INITIAL DATE OF BIRTH PRIMARY OR PERCENT OF CONTINGENT* BENEFIT ADDRESS (circle one) NAME (if two or more persons) SOCIAL SECURITY NUMBER RELATIONSHIP TO YOU P* C* P C P C P C P C NAME SOCIAL SECURITY NUMBER RELATIONSHIP TO YOU NAME SOCIAL SECURITY NUMBER RELATIONSHIP TO YOU NAME SOCIAL SECURITY NUMBER RELATIONSHIP TO YOU NAME SOCIAL SECURITY NUMBER R.

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Write only one beneficiary on each line. Make sure that you write the full names of all beneficiaries. For example, if you name you children as beneficiaries, DO NOT merely write “children” on one of the lines; instead write the full names of each of your children on separate lines.

The person to whom the payment is to be made needs to be added as a 'beneficiary' and his bank account details provided in order to transfer the funds. These include the name of the beneficiary account holder, account number, bank and branch name, and the IFSC code of the beneficiary bank branch.

spouse, partner, children, parents, brothers and sisters, business partner, key employee, trust and charitable organization.

Most beneficiary designations will require you to provide a person's full legal name and their relationship to you (spouse, child, mother, etc.). Some beneficiary designations also include information like mailing address, email, phone number, date of birth and Social Security number.

This is the person that receives the benefit upon death. The beneficiary designation on file at the time of death is binding in the payment of your benefits. Whenever you have a life event, such as a marriage, divorce or birth of a child, review and update your beneficiary designations.

Your original designation remains in force whether it still reflects your wishes or not, until you submit another form to cancel prior designations or to designate a new beneficiary. A designation of beneficiary form outlines your desire to have the funds due upon your death paid out in a particular way.

“A beneficiary is anyone you name in your Estate Plan who will ultimately benefit from your estate. The benefits could be in the form of money or anything else you pass down. Beneficiaries are an important part of your plan, as they give purpose and guidance for what you're leaving behind.”

Make sure your percentage designations total 100% under Employee's Primary Beneficiary(ies), AND 100% under Employee's Contingent Beneficiary(ies) (if applicable). Do not combine totals for Primary and Contingent to equal 100%.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232