Contingent Beneficiary Designation. If one or more of my primary beneficiaries dies before I die, I direct that any vested Awards under the Plan that are unpaid or unexercised at my death and that might otherwise have been paid to that beneficiary be: ___Allocated to my other named primary beneficiaries in proportion to the allocation given above (ignoring the interest allocated to the deceased primary beneficiary); or ___Allocated, in the proportion specified, among the following contingent beneficiaries: % to (Name) (Relationship) Address: % to (Name) (Relationship) Address: % to (Name) (Relationship) Address: % to (Name) (Relationship) Address:
Contingent Beneficiary Designation. If one or more of my primary beneficiaries dies before I die, I direct that any vested Awards under the Plan that are unpaid or unexercised at my death and that might otherwise have been paid to that beneficiary be:
Contingent Beneficiary Designation. If no Primary Beneficiary named above shall survive me, I designate such of the following person(s) who shall survive me as my Contingent Beneficiary(ies).
Contingent Beneficiary Designation. If Primary or Contingent Beneficiary # , Name predeceases account holder(s), I (we) wish to have Beneficiary’s portion granted to the following Contingent Beneficiary:
Contingent Beneficiary Designation. If ❑ Primary or ❑ Contingent Beneficiary # , Name predeceases account holder(s), I (we) wish to have Beneficiary’s portion granted to the following Contingent Beneficiary:
7. Type: Contingent Name (First, Middle, Last) DOB % Percentage Relationship to Account Holder Social Security # Home Address (P.O. Box unacceptable) If ❑ Primary or ❑ Contingent Beneficiary # , Name predeceases account holder(s), I (we) wish to have Beneficiary’s portion granted to the following Contingent Beneficiary:
8. Name (First, Middle, Last) DOB % Percentage Relationship to Account Holder Social Security # Home Address (P.O. Box unacceptable) If ❑ Primary or ❑ Contingent Beneficiary # , Name predeceases account holder(s), I (we) wish to have Beneficiary’s portion granted to the following Contingent Beneficiary:
9. Name (First, Middle, Last) DOB % Percentage Relationship to Account Holder Social Security # Home Address (P.O. Box unacceptable) If ❑ Primary or ❑ Contingent Beneficiary # , Name predeceases account holder(s), I (we) wish to have Beneficiary’s portion granted to the following Contingent Beneficiary:
10. Name (First, Middle, Last) DOB % Percentage Relationship to Account Holder Social Security # Home Address (P.O. Box unacceptable) If ❑ Primary or ❑ Contingent Beneficiary # , Name predeceases account holder(s), I (we) wish to have Beneficiary’s portion granted to the following Contingent Beneficiary:
11. Name (First, Middle, Last) DOB % Percentage Relationship to Account Holder Social Security # Home Address (P.O. Box unacceptable) If ❑ Primary or ❑ Contingent Beneficiary # , Name predeceases account holder(s), I (we) wish to have Beneficiary’s portion granted to the following Contingent Beneficiary:
12. Name (First, Middle, Last) DOB % Percentage Relationship to Account Holder Social Security # Home Address (P.O. Box unacceptable)
Contingent Beneficiary Designation. If one or more of my Primary Beneficiaries dies before I die, I direct that any amounts payable on my death under this Agreement that might otherwise have been paid to that Beneficiary: Be paid to my other named Primary Beneficiaries in proportion to the allocation given above (ignoring the interest allocated to the deceased Primary Beneficiary); or Be distributed among the following Contingent Beneficiaries.
Contingent Beneficiary Designation. I hereby designate the following person(s) or entity(ies) as my contingent beneficiary , to whom payment of my remaining benefit under the Agreement at my death shall be made if no person or entity designated as primary beneficiary survives me or if all persons or entities designated as primary beneficiary die or cease to exist before payment in full of my benefit:
3. ELECTION OF AUTOMATIC BENEFICIARY DESIGNATION RULES. □ (Check only if automatic beneficiary elected.) I hereby elect to have my remaining benefit under the Agreement at my death paid in accordance with the automatic beneficiary selection order of the Agreement.
Contingent Beneficiary Designation. Please list all contingent beneficiaries below. For each contingent beneficiary, please provide the number of the Primary Beneficiary above for which the contingent beneficiary is being designated. Percentage listed for contingent beneficiaries must total 100%. Date of birth is required for any beneficiary that is an individual. Tax ID is required for any beneficiary that is an entity. Custodian name is required for any beneficiary that is a minor. Contingent Beneficiaries - Per Stirpes Designation (optional) Personal Representative Designation
Contingent Beneficiary Designation. If one or more of my primary beneficiaries dies before I die, I direct that any vested Awards under the Plan that are unpaid or unexercised at my death and that might otherwise have been paid to that beneficiary be: ¨ Allocated to my other named primary beneficiaries in proportion to the allocation given above (ignoring the interest allocated to the deceased primary beneficiary); or ¨ Allocated, in the proportion specified, among the following contingent beneficiaries: % to (Name) (Relationship) Address: % to (Name) (Relationship) Address: % to (Name) (Relationship) Address: Note: You are not required to name more than one contingent beneficiary but, if you do, the sum of these percentages may not be greater than 100 percent. (Signature) (Date) (Print Name) Please return an executed copy of this form to the following: Xxxxx Xxxxxxx, Vice President, Human Resources Manager, Rurban Financial Corp., 000 Xxxxxxx Xxxxxx, Xxxxxxxx, Xxxx 00000.
Contingent Beneficiary Designation. Total Contingent Beneficiary Share % must equal 100%
