Form Cs06893 - Life Beneficiary And Name Change Form Page 3
Download a blank fillable Form Cs06893 - Life Beneficiary And Name Change Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Cs06893 - Life Beneficiary And Name Change Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3INSTRUCTIONS
Almost all benefi ciary changes can be requested by using this form and following the examples below. However, if there is any question
concerning the completion of the request or if a benefi ciary designation is desired which cannot be requested on this form, contact your
local representative or Agency which services your policy.
1. Complete a separate request for change of benefi ciary for each policy to be changed, unless the owner and all information is the same
for all policies.
2. This form is to be forwarded to the Company. When the benefi ciary change is recorded in the Home Offi ce, Service or Administrative
Offi ce, a copy will be acknowledged and returned to be attached to the policy.
3. If unnamed children are to be benefi ciaries, specify one of the following: “my lawful children” or “children born of my marriage to
(name of spouse)”.
4. This form is not to be used to elect an Optional Method of Settlement
Examples of The Most Frequently Used Benefi ciary Designations
Individual (Always show relationship
Primary Benefi ciary, if living
otherwise Contingent Benefi ciary,
otherwise, Second
to the insured)
if living
Contingent
one benefi ciary
Mary Doe Smith, wife
(leave blank)
(leave blank)
one primary benefi ciary and one
Mary Doe Smith, wife
John Henry Smith, son
(leave blank)
contingent benefi ciary
two primary benefi ciaries and one
Ernest Lee Smith, father
Susan Smith Williams, sister
(leave blank)
contingent benefi ciary
Helen Jones Smith, mother
one primary benefi ciary, unnamed
Mary Doe Smith, wife
children born of my marriage to
Ernest Lee Smith, father
children as fi rst contingent benefi ciary
Mary Doe Smith
Helen Jones Smith, mother
and two second contingent
benefi ciaries
unequal distribution (always use
one-half to Helen Jones Smith, mother
an individual Contingent
(leave blank)
fractional or percentage proportions)
one-fourth to Susan Smith Williams, sister
Benefi ciary, such as William
one-fourth to Harry Lewis Smith, brother
Smith, nephew
34% to Helen Jones Smith, mother
33% to Susan Smith Williams, sister
33% to Harry Lewis Smith, brother
Business
Corporate benefi ciary
XYZ Company, Inc
(leave blank)
(leave blank)
Greensboro, NC
Partner
George Allen Miller, partner
(leave blank)
(leave blank)
Other
Insured’s estate
Executors, Administrators or Assigns of the insured
(leave blank)
(leave blank)
Formal Trust Agreement
Trustee (Show Name and Address) under Trust
(leave blank)
(leave blank)
Agreement Dated (show date)
Trustee Under Last Will
Trustee (put name and address if Trustee is named) Under last
(leave blank)
(leave blank)
Will and Testament of Insured (include date of document)
Please Sign and Date on page 2 under Section titled “Authorizations and Signatures”
SIGNATURE REQUIREMENTS
Owner
Signature(s) Required
Individual
Policy Owner
Corporation, Bank of Financial Institution
One offi cer signature with title. We require a corporate resolution, which names all offi cers
authorized to sign on behalf of corporation.
Conservator or POA
Signature of Conservator or POA dated within the last 3 years. We require that a copy of POA
document be on fi le. If dated more than 3 years, we require an affi davit to accompany the request.
Trust
All Trustee(s) as authorized by the required trust documentation. We require the title pages (which
indicate the full name of the trust with the date of trust along with the trustee names) and signatory
pages of trust.
Partnership or LLC
We require one general/managing partner signature and a copy of the Partnership agreement for
Partnerships OR one managing member’s signature with a copy of the operating agreement for LLCs.
Custodian/Minor
We require court order - “Letter of Guardianship” or UGMA or UTMA paperwork.
Signed by an “X”
If signor is unable to sign and must sign with an “X” we require signature be notarized.
Stamped signatures
We will not knowingly accept a stamped signature.
All other interested parties
Contact customer service to verify signature(s) needed.
Irrevocable benefi ciary
A benefi ciary, named by you as irrevocable, whose written consent is necessary for you to exercise
any right specifi ed in this policy.
Lincoln Financial Group is the marketing name for Lincoln National Corporation and its affi liates.
Page 3 of 3
CS06893
10/10
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal