Common use of BENEFICIARY DETAILS Clause in Contracts

BENEFICIARY DETAILS. If beneficiary is a trust, provide name of trust and trustee(s), date of trust and if trust is revocable or irrevocable. If beneficiary is a business, list name of business, city and state where located and the form of business. Name: First Middle Last Relationship to Proposed Insured Age Beneficiary Class Primary Secondary/Contingent o o o o o o

BENEFICIARY DETAILS. If beneficiary is a trust, provide name of trust and trustee(s), date of trust and if trust is revocable or irrevocable. If beneficiary is a business, list name of business, city and state where located and the form of business. Name: First Middle Last Relationship to Proposed Insured Age Beneficiary Class Primary Secondary/Contingent o o o o o o o