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 Melissa C. Smith
Date of Birth 05/20/1978
Social Security Number ***-**-7414
Relationship Child
Percentage 33.3%
   
Name Mary Ann Smith
Date of Birth 01/20/1998
Social Security Number ***-**-8745
Relationship Child
Percentage 33.3%