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Letter to Insurance Company: Changing Your Beneficiary.

Dear (Name of Insurance Agent):

As of (date), I would like to change (the/some of the) (Beneficiary/Beneficiaries) on my life insurance policy.  My policy number is (Number).

Presently, (name(s) (is/are)) listed as my (Beneficiary/Beneficiaries).  I would like (him/her/them) to be replaced with (name(s) of new beneficiary/beneficiaries).  All of the other information, such as amount and disbursement instructions, should remain unchanged. 
Thank you for your assistance.

(Your Name)


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