_________________________, 20___
							(Date of Letter)



______________________________
(Insurance Company Name)
______________________________
(Policy Change Department)
______________________________
(Street Address)
______________________________
(City, State and Zip Code)

RE: 	_________________________________________
	(Policy Number)
	_________________________________________
	(Life Insurance)
	_________________________________________
      	(Name of Insured)
	_________________________________________
	(Beneficiary Change)

Dear Policy Change Administrator:

	Due to certain changing circumstances, it has been decided that the policy
beneficiary(s) on the above-referenced policy will need to be changed.  Presently
the policy provides for the following individual(s) as beneficiary(s):

	_________________________________________________________________________
	_________________________________________________________________________
	_________________________________________________________________________
	_________________________________________________________________________
	_________________________________________________________________________
	_________________________________________________________________________
	(list beneficiary(s)).

	As of the _____ day of ____________________, 20____, it is desirous that
the beneficiary(s) be changed from the aforementioned listed individual(s) to
the following:

	__________________________________________________________________________
	__________________________________________________________________________
	__________________________________________________________________________
	__________________________________________________________________________
	__________________________________________________________________________
	__________________________________________________________________________
	(name(s) of new beneficiary(s)).

Should there be any internal documents for your office purposes, which need to be
completed in order to effectuate this change, kindly provide those documents to
the undersigned forthwith.  Upon receipt of the documents, same will be signed
directly and returned to your office.  Should there be any questions relative to
the foregoing, please contact the undersigned immediately.

								Very truly yours,



							______________________________
							(Signature)
							______________________________
							(Address)
							______________________________
							(City, State and Zip Code)
							______________________________
							(Phone Number)

LAWCHEK, LTD. LETTER PRO Samples, Copyright 2006
This is not a substitute for legal advice.  An attorney must be consulted.