Exhibit 10.2
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720 East Wisconsin Avenue Milwaukee, WI 53202 | | OWNER ENDORSEMENT |
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POLICY NUMBER(S) | INSURED NAME (FOR JOINT LIFE INCLUDE BOTH INSURED NAMES) Steven Wierschem |
IMPORTANT: If any page of this form is incomplete or altered, additional paperwork may be necessary.
1. Employer - The Owner of the policy(ies) will be:
The Owner alone may exercise all policy rights, except that the Owner will not have the rights as specified in Section 2.
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PRINT: FULL NAME OF BUSINESS/ENTITY (APPLICANT), CITY AND STATE OF LOCATION First Federal Bank, Waukesha, WI |
Northwestern Mutual will have the right to rely on any statement signed by said Owner setting forth the amount referred to in Section 3 below, and any decisions made by Northwestern Mutual in reliance upon such statement will be conclusive and will fully protect Northwestern Mutual.
2. Employee (The Insured)
The Insured will have the rights to designate and change the beneficiaries of and assign the balance of the death proceeds not payable to the Owner as specified in the option selected in Section 3 below. (This paragraph will not limit the rights of the Owner as specified in the option selected in Section 3 below.)
Unless otherwise designated, the Insured designates his/her estate as direct beneficiary of the balance of the death proceeds specified in the option selected in Section 3 below.
3. Designation of Interests - Select ONE of the following options.
☐ Option 1. Employer's interest limited to the premiums paid by employer only.
The Owner designates itself or its successors as direct beneficiary of an amount equal to premiums it has paid to Northwestern Mutual for the policy on the date of death of the Insured.
☐ Option 2. Employer's interest limited to the greater of the premiums paid by employer or cash value (in this document, the term "cash value" includes any nonguaranteed dividend that may be paid at termination of the policy).
The Owner designates itself or its successors as direct beneficiary of the greater of an amount equal to the cash value as of the date to which premiums have been paid, or premiums it has paid to Northwestern Mutual for the policy on the date of death of the Insured.
☐ Option 3. Employer's interest limited to the cash value as of date of Insured's death.
The Owner designates itself or its successors as direct beneficiary of an amount equal to the cash value of the policy on the date of death of the Insured.
☐ Option 4. Employer will receive a specified dollar amount or percentage.
| ENTER $$ OR % | |
The Owner designates itself or its successors as direct beneficiary of | | of the proceeds. |
The Insured will have the rights to designate and change the beneficiary(ies) of the remaining proceeds. |
☒ Option 5. Insured's beneficiary (ies) will receive a specified dollar amount or percentage.
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| ENTER $$OR% | |
| one(1) times Salary up | |
The Insured will have the rights to designate and change the beneficiary(ies) of and assign | to $100,000 | |
of the death proceeds.The Owner designates itself or its successors as direct beneficiary of the remaining death proceeds. |
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