OWNERS AUTHORITY. The Insurer is hereby authorized to recognize the Owner's claim to rights hereunder without investigating the reason for any action taken by the Owner, including its statement of the amount of premiums it has paid on the Policy. The signature of the Owner shall be sufficient for the exercise of any rights under this Endorsement and the receipt of the Owner for any sums received by it shall be a full discharge and release therefore to the Insurer. Any transferee's rights shall be subject to this Endorsement. Signed at ____________________, Illinois, this _______ day of ______________, 2000. WEST POINTE BANK AND TRUST COMPANY By_________________________________ Its________________________________ The Insured accepts and agrees to the foregoing and, subject to the rights of the Owner as stated above, designates the following beneficiary(ies) of the portion of the proceeds described in paragraph (2) above. Primary beneficiary _______________________________________________________ and Secondary/contingent beneficiary_________________________________________ Signed at __________________, Illinois, this ________ day of ____________, 2000. THE INSURED:
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OWNERS AUTHORITY. The Insurer is hereby authorized to recognize the Owner's claim to rights hereunder without investigating the reason for any action taken by the Owner, including its statement of the amount of premiums it has paid on the Policy. The signature of the Owner shall be sufficient for the exercise of any rights under this Endorsement and the receipt of the Owner for any sums received by it shall be a full discharge and release therefore to the Insurer. Any transferee's rights shall be subject to this Endorsement. Signed at ____________________, Illinois, this _______ day of ______________, 2000. WEST POINTE BANK AND TRUST COMPANY ByBy _________________________________ ItsIts _________________________________ The Insured accepts and agrees to the foregoing and, subject to the rights of the Owner as stated above, designates the following beneficiary(ies) of the portion of the proceeds described in paragraph (2) above. Primary beneficiary ________________________________________________________ and Secondary/contingent beneficiary_________________________________________ Signed at __________________, Illinois, this ________ day of _____________, 2000. THE INSURED:
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OWNERS AUTHORITY. The Insurer is hereby authorized to recognize the Owner's claim to rights hereunder without investigating the reason for any action taken by the Owner, including its statement of the amount of premiums it has paid on the Policy. The signature of the Owner shall be sufficient for the exercise of any rights under this Endorsement and the receipt of the Owner for any sums received by it shall be a full discharge and release therefore to the Insurer. Any transferee's rights shall be subject to this Endorsement. Signed at ____________________, Illinois, this _______ day of ______________, 2000. WEST POINTE BANK AND TRUST COMPANY By_________________________________ Its________________________________ The Insured accepts and agrees to the foregoing and, subject to the rights of the Owner as stated above, designates the following beneficiary(ies) of the portion of the proceeds described in paragraph (2) above. Primary beneficiary _______________________________________________________ and Secondary/contingent beneficiary_________________________________________ Signed at __________________, Illinois, this ________ day of _____________, 2000. THE INSURED:
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OWNERS AUTHORITY. The Insurer is hereby authorized to recognize the Owner's claim to rights hereunder without investigating the reason for any action taken by the Owner, including its statement of the amount of premiums it has paid on the Policy. The signature of the Owner shall be sufficient for the exercise of any rights under this Endorsement and the receipt of the Owner for any sums received by it shall be a full discharge and release therefore to the Insurer. Any transferee's rights shall be subject to this Endorsement. Signed at ____________________, Illinois, this _______ day of ______________, 2000. WEST POINTE BANK AND TRUST COMPANY ByBy _________________________________ ItsIts _________________________________ The Insured accepts and agrees to the foregoing and, subject to the rights of the Owner as stated above, designates the following beneficiary(ies) of the portion of the proceeds described in paragraph (2) above. Primary beneficiary _______________________________________________________ and Secondary/contingent beneficiary_______________________________________________ Signed at __________________, Illinois, this ________ day of _____________, 2000. THE INSURED:
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OWNERS AUTHORITY. The Insurer is hereby authorized to recognize the Owner's claim to rights hereunder without investigating the reason for any action taken by the Owner, including its statement of the amount of premiums it has paid on the Policy. The signature of the Owner shall be sufficient for the exercise of any rights under this Endorsement and the receipt of the Owner for any sums received by it shall be a full discharge and release therefore to the Insurer. Any transferee's rights shall be subject to this Endorsement. Signed at ____________________, Illinois, this _______ day of ______________, 2000. WEST POINTE BANK AND TRUST COMPANY ByBy _________________________________ ItsIts ________________________________ The Insured accepts and agrees to the foregoing and, subject to the rights of the Owner as stated above, designates the following beneficiary(ies) of the portion of the proceeds described in paragraph (2) above. Primary beneficiary _______________________________________________________ and Secondary/contingent beneficiarybeneficiary _______________________________________________ Signed at __________________, Illinois, this ________ day of _____________, 2000. THE INSURED:
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OWNERS AUTHORITY. The Insurer is hereby authorized to recognize the Owner's claim to rights hereunder without investigating the reason for any action taken by the Owner, including its statement of the amount of premiums it has paid on the Policy. The signature of the Owner shall be sufficient for the exercise of any rights under this Endorsement and the receipt of the Owner for any sums received by it shall be a full discharge and release therefore to the Insurer. Any transferee's rights shall be subject to this Endorsement. Signed at ____________________, Illinois, this _______ day of ______________, 2000. ----------- ------ ------------- WEST POINTE BANK AND TRUST COMPANY By_________________________________ Its________________________________ By ---------------------------------- Its -------------------------------- The Insured accepts and agrees to the foregoing and, subject to the rights of the Owner as stated above, designates the following beneficiary(ies) of the portion of the proceeds described in paragraph (2) above. Primary beneficiary _______________________________________________________ and -------------------------------------------------------- Secondary/contingent beneficiary_________________________________________ beneficiary ------------------------------------------- Signed at __________________, Illinois, this ________ day of ____________, 2000. ---------------- -------- ------------ THE INSURED:: ----------------------------------- Xxxx X. Xxxxxxxxxx
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OWNERS AUTHORITY. The Insurer is hereby authorized to recognize the Owner's claim to rights hereunder without investigating the reason for any action taken by the Owner, including its statement of the amount of premiums it has paid on the Policy. The signature of the Owner shall be sufficient for the exercise of any rights under this Endorsement and the receipt of the Owner for any sums received by it shall be a full discharge and release therefore to the Insurer. Any transferee's rights shall be subject to this Endorsement. Signed at ____________________, Illinois, this _______ day of ______________, 2000. WEST POINTE BANK AND TRUST COMPANY By_________________________________ Its_________________________________ The Insured accepts and agrees to the foregoing and, subject to the rights of the Owner as stated above, designates the following beneficiary(ies) of the portion of the proceeds described in paragraph (2) above. Primary beneficiary _______________________________________________________ and Secondary/contingent beneficiary_________________________________________ Signed at __________________, Illinois, this ________ day of _____________, 2000. THE INSURED:
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