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Make your life a little bit simpler

2021 Massachusetts Mutual life Insurance Company (MassMutual ), Springfield, MA 01111-0001. All rights reserved. 1021 CRN202309-284113 Make your lifea little bit simpler It only takes a few minutes to create your secure MassMutual online account, and the benefits can last a lifetime. Ready to get started? Just go to the MassMutual AppSecure 24/7 accessSkip paper forms, make changes onlineMake address and contact updates anytimeEasily change beneficiariesMake payments with a few clicksManage paperless preferences and moreWHAT DOES AN ONLINE ACCOUNT GET YOU? Consult with your financial professional on the best way to take advantage of online account 1 of 6 Beneficiary Change Request FR2265-US 0818 Beneficiary Change RequestUse for life Post Issue only; not for use with Annu-ities, Qualified Plans or Disability IncomeUse this form to change the Beneficiary on an existing MassMutual policy.

Type (Select one): Irrevocable Trust Revocable Trust Trust under Insured’s Will (Skip to next beneficiary) Estate of Insured (Skip to next beneficiary) Corporation Other (Specify): Full legal name: Date Trust was established (Complete if Irrevocable Trust or Revocable Trust is selected above; mm/dd/yyyy):

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  Trust, Life, Irrevocable, Irrevocable trust, Trust trust

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