Transcription of AMERICAN INCOME LIFE INSURANCE COMPANY
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AMERICAN INCOME LIFE INSURANCE COMPANY
AMERICAN INCOME life INSURANCE Box 2608 Waco, TX 76797 POLICY SERVICE REQUESTBENEFICIARY CHANGEP rint this form from your internet browser screen. After you fill out the form, mail it (with an ORIGINAL signature) to the following address: AMERICAN INCOME life INSURANCE Box 2608 Waco, Texas 76797 POLICY NUMBER INSURED OWNER Primary Beneficiary:Unless otherwise specified, proceeds to bepaid in equal shares to the survivor(s)AddressRelationshipBirthdate Contingent Beneficiary to be paid if no surviving Primary Beneficiary at the time of death:Unless otherwise specified, proceeds to bepaid in equal shares to the survivor(s)AddressRelationshipBirthdate COMMENTS: _____ _____Date Signature of Owner** IT IS NOT NECESSARY TO SEND US YOUR POLICY **
AMERICAN INCOME LIFE INSURANCE COMPANY P.O. Box 2608 Waco, TX 76797 POLICY SERVICE REQUEST BENEFICIARY CHANGE Print …
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