Deed To Assign Policies To Individuals By Gift. (Page 4 of 5) in pdf

Deed To Assign Policies To Individuals By Gift. Page 4

scHeDule Details of the Policy

Please complete the

box(es) as appropriate.

Name of Company

Name of Company:

Please insert

Description of Policy

Legal & General

Assurance Society

Limited.

Policy Numbers

PARt e. signAtuRes

Please read all the

IN WITNESS whereof the parties have signed this instrument as a deed

margin notes below

before signing and

leave boxes blank if

not required.

First (or sole) Assignor

Second Assignor

If there is no second

1. Signed and delivered

Assignor then leave

as a deed by the said

the box blank.

Assignor (full name)

2. Signature

Witnessing: Please

3. In the presence of

ensure that all signatures

witness (full name of

are witnessed by an

witness)

independent person.

The same person can

4. Signature of witness

witness all signatures.

Witnesses must be adult

5. Address of witness

and not someone already

named in this Deed

nor their spouse or

civil partner.

6. Date

Date: Please add the date

of signature. Once all

the parties have signed,

the last date on which a

person signed should be

Third Assignor

Fourth Assignor

inserted as the date of

this Deed in the box on

page 2.