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.
Sincerely.
(Your Name)
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