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Beneficiary Worksheet

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					                                 Beneficiary Worksheet

Beneficiaries of Specific Gifts In Your Will

       Item: _______________________________
       Beneficiary(ies): _______________________________
       Address(es): _______________________________
       Alternate Beneficiary(ies): _______________________________
       Address(es): _______________________________
                   _______________________________

       Item: _______________________________
       Beneficiary(ies): _______________________________
       Address(es): _______________________________
       Alternate Beneficiary(ies): _______________________________
       Address(es): _______________________________
                   _______________________________

       Item: _______________________________
       Beneficiary(ies): _______________________________
       Address(es): _______________________________
       Alternate Beneficiary(ies): _______________________________
       Address(es): _______________________________
                   _______________________________

Debts Forgiven

Amount Forgiven: _______________________________
Debtor: _______________________________
Date of loan: _______________________________

Amount Forgiven: _______________________________
Debtor: _______________________________
Date of loan: _______________________________

Amount Forgiven: _______________________________
Debtor: _______________________________
Date of loan: _______________________________

Residuary Beneficiary or Beneficiaries

Residuary beneficiary(ies) and percentage each one receives:

_________________________________________________                        ___%

_________________________________________________                        ___%

_________________________________________________                        ___%

Alternate Residuary Beneficiary or Beneficiaries

Alternate residuary beneficiary(ies) and percentage each one receives:

_________________________________________________                        ___%

_________________________________________________                        ___%

_________________________________________________                        ___%

				
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