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 π π π π π π π π
Appears in 1 contract
Sources: Limited Insurance Agreement
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 π π π π π ο― ο― ο― ο― ο― ο― ο― ο―π π π
Appears in 1 contract
Sources: Limited Insurance Agreement