THE FINAL JUDGEMENT ENTERED BY THE TRIAL JUDGE ANDREW BENCH AND ENTER ORDERS TO VALIDATE THE MOST RECENT BENEFICIARY CHANGE FORM ENTERED INTO RECORD BY STONBRIDGE LIFE INSURANCE COMPANY. CERTIFICATE OF SERVICE
I HEREBY CERTIFY THAT A COPY HAS BEEN FUNISHED TO STONEBRIDGE LIFE INSURANCE COMPAN AND ROBERT YURIK BY MAIL DELIVERY ON AUGUST 19,2015
ERNSTINE PHILLIPS 104 MEADOW DR. CONVERSE, TX 78109
ERNESTINE PHILLIPS V tf?TONEBRlDGE LIFE Insurance Cwapany 27QOVASI RUfttetany • BmD"TBQ"7SB&VBO
March 30.20M
Important Iranranee tnfbiiiwltons Open DARLENE INEZ TRAINOR V04 JERK1GAN ST COMMERCE TX 75428
APR 20WW y PeflqrfCQrtffl do (he life off: DARLENE INEZ TRMNOR
Dear DARLENE INEZ
bi enter to change the paOcy/cerfificata, ptease provide the hdomannm requested below, main a copy of flsa term for your i snd return ite completed latin.
pgWEF?r-Affy CHANGE REQlBsSI I, bte unaatalgnad polcyoaj^ opfional methods of seUamenL Hany, and ohanga the benofldary of aakl policy as Mow: Primary Beneficiary (or BanafiGhnlaa}, B Bring; Jbm , RriaBMHlgii . amrtAridraa.ahr. State. ZIP
The pravtsfans bi fee Denefldary Change lake pmoadenea over any printed pfovhtooa In the poScy wMcb aaWaah a benaflctey. Unlasa oftawdaa provided above. ihepTOCeeasghaabepaMmatoHpsunt Whan mow lhan one pitaa^ bwanTea^ survivor, untoa oftentfseprovided above. Thb also epptavjean more than oneCmrBnoert Bsnafldary to nerosd. Wi"beiBnTelafye"vhwtF"tasun* request, art tyreconang the)hn*^^ mo poBcy to he aubnfibal to the Company far endeonaaara a! enaopa tf beneBeta^ cfeatananoit~of the new beoefidaiy (or benenclanw) shall baoome rffecora es of the date cf-me raaaaat far such chanao, provided, hovaver, tie raquaa? riant ba Bnt lacahred and recorded by the Company. Any paynwm mad^ by tto Company prior to " unjiinint and ebaD iMuJuiimjb the Cornpeny from BabURy. If a bust or traatea banancbny la named, the. Company may makepBymatftamaniBdcn-tta and shall not be required to lode attarnwapjSceflm& I ondnaaaal ttattttaa Berwllc^ data I flbjnad the request I further undanaand and agree that any payment made prior to tto receipt and recordingotuaBBSfiefktery Change affl ba affected. .-rtPmrawlraMred Djbj _ SanaJujejal^Ban
w APR1S20M STQHEBJUEXjE LIFE . Insurance Company - 2A)OW"RflnoParlw"iy"PtBnq,'fc"i7S07S"200 December 03,2002
DARLENE INEZ TRAINOR 11542 RANCH LANE LOT8B FREDRICKSHURG VA 22407
PtoBcyflSaftflhaoaNiimbBr: 72W794438 Obtto Lffoeft DARLENE INEZ TRAINOR
Dear DARLENEWEZ TRAINOR
Inorder to change the beneficiary of your poUcy/certflteate, please provide the information requested below, make a copy ol thb torm tor your records, and returnthe completed term.
BENEFICIARY CHANGE REQUEST ............ ;,. - .-.'- .. L me undonrfgned poficyowner, do hereby feqiaaAnw Company to revoto aialap"D^:0 BaswfidaryiorBonofiBBrieflJ.HfttoB; * • •
RalallorehlP StreetAdaress.Cttv.Steta.ao
ThefravanRBfai the Berwfk^Change tata precedent estabBsh e bertefidary. Unless cfhenvtea proMedahewe, the proceeds shall be paid toa lumpsum. When mo" trian cm pdrhaiy baro survivor, untasaotherwise providedabove. ThatateoappBsa whan moretttanoneConflngenlBeneficiary b named. It no benefieatfy survbea the Insured, me pc^ proceeds ^1 be p^ to trie fnsa,-5db estate. I hereby request and by recording this [nstnflnsnt Bio Cornpany hereby agrees, that any provision of Bte pofisy requiring Bus poBoy to be submBted to the Company tor endorsement of change of banefidary thereon be waived. The destanafion of trionew banaftcavy(or beneftdaries) shall become enecaVeas of