Designation of Beneficiary

Customer Information

  • OKFirst Name is required
  • OKMiddle Initial is required
  • OKLast Name is required
  • Social Security Number

    --
    OKSocial Security Number is required
  • Date of Birth

    OKDate of Birth is required
  • OKEmail is required
  • Cell/Home Phone

    --
    OKCell/Home Phone is required
  • Work Phone

    --
    OKWork Phone is required
  • OKStreet is required
  • OKCity is required
  • OKState is required
  • OKZip is required

Account Information

  • OKAccount Number is required

Beneficiary Information

  • OKFirst Name is required
  • OKMiddle Initial is required
  • OKLast Name is required
  • Social Security Number

    --
    OKSocial Security Number is required
  • Date of Birth

    OKDate of Birth is required
  • Phone Number

    --
    OKPhone Number is required
  • OKStreet is required
  • OKCity is required
  • OKState is required
  • OKZip is required
  • OKRelationship is required
  • OptionalOKAdditional Comments is required

Security Code

  • OK is required

    By clicking submit below, I instruct Washington Savings Bank to add the above beneficiary to my account number listed. This request supersedes all prior requests and only one beneficiary can be designated per account in accordance with Massachusetts law. I am not depending on Washington Savings Bank for legal or estate planning advice. Other requirements may apply. I agree to be bound by the terms and conditions covered in the appropriate Disclosure Statement and Cardholder Agreement.

  • OKType your name here as your signature is required
  • OKMother's Maiden name or Account Code is required
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