Split Dollar Policy Endorsement. Insured: Xxxxx X. Xxxxxx Insurer: Midland National Life Insurance Company Policy No. 690216 According to the terms of The Cortland Savings and Banking Company Fourth Amended Split Dollar Agreement and Endorsement dated as of , 2011, the undersigned Owner requests that the above-referenced policy issued by the Insurer provide for the following beneficiary designation and limited contract ownership rights to the Insured:
Split Dollar Policy Endorsement. Insured: Xxxxxxxx X. Xxxxxxxxx Insurer: Security Life of Denver Policy No. 1567991 According to the terms of The Cortland Savings and Banking Company Third Amended Split Dollar Agreement and Endorsement dated as of December 3, 2008, the undersigned Owner requests that the above-referenced policy issued by the Insurer provide for the following beneficiary designation and limited contract ownership rights to the Insured:
Split Dollar Policy Endorsement. Insured: Xxxxx X. Xxxxx Insurer: Great-West Life & Annuity Insurance Company Policy No. 85257893 According to the terms of The Cortland Savings and Banking Company Third Amended Split Dollar Agreement and Endorsement dated as of December 3, 2008, the undersigned Owner requests that the above-referenced policy issued by the Insurer provide for the following beneficiary designation and limited contract ownership rights to the Insured:
Split Dollar Policy Endorsement. Insured: Xxxxxxx Xxxxxx Insurer: New York Life Insurance and Annuity Corporation Policy No. 77251005 According to the terms of The Cortland Savings and Banking Company Fourth Amended Split Dollar Agreement and Endorsement dated as of , 2011, the undersigned Owner requests that the above-referenced policy issued by the Insurer provide for the following beneficiary designation and limited contract ownership rights to the Insured:
Split Dollar Policy Endorsement. Insured: Xxxxx X.
Split Dollar Policy Endorsement. Beneficiary Designation Pursuant to the terms of the Prudential Bank Split Dollar Agreement dated as of May 1st, 2019, the undersigned Owner requests that the Policies referenced in the Agreement and issued by the Insurer provide for the following beneficiary designation and limited contract ownership rights to the Employee:
Split Dollar Policy Endorsement. Insured: Xxxxxx X.
Split Dollar Policy Endorsement. Policy No. ____________________ Insured: ____________________ Supplementing and amending the application of Adams County National Bank on ____________________ , 2000 to ("Insurex"), the applicant requests and directs that: BENEFICIARIES
Split Dollar Policy Endorsement. PLUMAS BANK
Split Dollar Policy Endorsement. Insured: Xxxxxx X. Xxxxxxxx Xx. Insurer: Lincoln Benefit Life Company Policy No.: 01N1293546
