Pay On Death Beneficiary Addendum

Pay-On-Death beneficiary(ies) will own the designated account(s) listed below in the event of the death of all account holders. If two or more beneficiaries are named and survive the death of all account holders, each beneficiary will own the account in equal shares. NOTE: beneficiary(ies) can not be added to Share Draft accounts.
First Beneficiary
Home Phone
  -
Social Security Number/Tax ID
- -
Second Beneficiary
Home Phone
  -
Social Security Number/Tax ID
- -
Third Beneficiary
Home Phone
  -
Social Security Number/Tax ID
- -