IF YOU ARE MARRIED, YOU MUST OBTAIN SPOUSAL CONSENT ON THIS FORM TO THE DESIGNATION OF SOMEONE OTHER THAN YOUR SPOUSE AS YOUR SOLE PRIMARY BENEFICIARY.
CONSENT TO DESIGNATION OF NON-SPOUSE AS BENEFICIARY
I have read the above Designation of Beneficiary completed by my spouse and I hereby consent to the designation by my spouse of the above-mentioned beneficiary other than myself. I realize that as a result of my consent to this designation I waive my interest I might have in the assets subject to such designation. I realize that my consent applies only to this designation and does not apply to any future designation.
*SPOUSES SIGNATURE MUST BE WITNESSED BY A NOTARY PUBLIC