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Letter for Request To Change Policy Beneficiary

This letter informs an insurance company that you wish to change the beneficiary of an existing policy.

1234, Main Street
Boston, MA 02123

05 April, 2005

<Recipient Address Goes Here>


Re: Policy No. <policy number>

With regard to the above-referenced policy of insurance, I would like to change the beneficiary information. Instead of <current beneficiary>, I would like to name <desired beneficiary> as the <sole/co->beneficiary of this policy.

Thank you for your attention to this request. If you have any questions concerning this change, please do not hesitate to contact me.


Jim Karter

encl: <List of enclosed items goes here>

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