Beneficiary Information

Primary Beneficiary(ies)
Name Allison C. Smith
Date of Birth 03/23/1960
Social Security Number ***-**-1315  
Relationship Spouse  
Percentage 100%  
Contingent Beneficiary(ies)
Name Erin M. Smith
Date of Birth 01/02/1995
Social Security Number ***-**-6488  
Relationship Child  
Percentage 33.3%  
Name Mellisa C. Smith
Date of Birth 05/20/1978
Social Security Number ***-**-7414  
Relationship Child  
Percentage 33.3%  
Name Mary Ann Smith
Date of Birth 01/02/1998
Social Security Number ***-**-8745  
Relationship Child  
Percentage 33.3%  

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