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Get North American Company L-2402 2012

Social Security Number/Tax Identification Number (TIN) The policy proceeds payable upon the death of the insured for each policy listed above will be paid to the beneficiaries named herein. Section 2: Owner (If different than Insured) If there are multiple owners, please designate one address for all policy correspondence to be mailed to since our administrative systems will only allow one address for mailing. Please note: If you do not indicate an address for mailing, the first owner listed.

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