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GUGGENHEIM LIFE AND ANNUITY COMPANY 401 PENNSYLVANIA PARKWAY, SUITE 300 INDIANAPOLIS, INDIANA 46280 GUGGENHEIMLIFE.COM IMMEDIATE ANNUITY CLAIM FORM STATEMENT OF BENEFICIARY Deceased Information: Name:
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How to fill out a statement of beneficiary:

01
Begin by clearly identifying the purpose of the statement of beneficiary. Is it for a life insurance policy, retirement account, or other financial instrument? Understanding the specific context will help ensure accurate completion.
02
Gather all necessary information. This typically includes the beneficiary's full name, date of birth, contact information, and relationship to the account holder or policyholder. Additionally, you may need to provide the beneficiary's social security number or other identifying details.
03
Carefully review the instructions provided by the financial institution or insurance company. They may have specific requirements or forms to be used.
04
Fill in the requested information accurately and legibly. Double-check all spellings and numbers to avoid any mistakes that could cause delays or complications in the future.
05
If required, consider designating primary and contingent beneficiaries. Primary beneficiaries are typically the first to receive the benefits, while contingent beneficiaries are named as backup recipients if the primary beneficiaries are unable to receive them.
06
Sign and date the statement of beneficiary as required. Keep a copy for your records and submit the original document to the appropriate institution or insurance company.
07
It is always a good idea to review and update your statement of beneficiary periodically. Life circumstances change, and you may need to make revisions to ensure your intended beneficiaries are accurately reflected.

Who needs a statement of beneficiary?

01
Individuals who have a life insurance policy should complete a statement of beneficiary to outline who will receive the policy's benefits in the event of their death.
02
Those who have retirement accounts, such as a 401(k) or an IRA, should also complete a statement of beneficiary. This ensures that their chosen beneficiaries will receive the funds in the account upon their passing.
03
Similarly, individuals with investment accounts or other financial assets may be required to designate beneficiaries through a statement of beneficiary. This enables the proper distribution of the assets according to the account holder's wishes.
Remember to consult with legal and financial professionals if you have any specific questions or concerns regarding the completion of a statement of beneficiary.
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The statement of beneficiary is a document that identifies the individuals or entities who will benefit from a trust, estate, or retirement account.
The trustee, executor, or account holder is typically required to file the statement of beneficiary.
The statement of beneficiary can be filled out by providing the names, addresses, and relationship to the beneficiary.
The purpose of statement of beneficiary is to ensure that the assets are distributed according to the wishes of the account holder or decedent.
The statement of beneficiary must include the full names, addresses, and relationship to the beneficiary of all individuals or entities who will receive the assets.
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