web analytics

Pledge Of Life Insurance

Free Printable Pledge Of Life Insurance FormFree Printable Pledge Of Life Insurance Form

This review list is intended to educate you on the subject of this document and to facilitate you in its preparation. Similar to the pledge of stock assets, the pledge of life insurance proceeds is similar. Advice and guidance on this matter can be found in the notes to the Pledge of Stock form. This advice is offered to ensure that you understand that there are no fundamental differences in the effect of these pledges except that an insurance pledge cannot be “sold” like a stock asset.


1. Make several copies. Ascertain that each relevant person receives a copy

Pledge of Life Insurance

______________, referred to as DEBTOR, and __________, referred to as CREDITOR, agree:
______________ is indebted to CREDITOR in the amount of $______ (_____________________&___/100 dollars) by the terms of the agreement named _________________, dated ____________. DEBTOR assigns to CREDITOR the following policy of life insurance:
Policy number: __________________________________________________

Face amount: $___________(_______________________&____/100 dollars)
Amount of loans/charges against policy: $___________(_____________ __________&____/100 dollars) as collateral for the debt.

Any and all proceeds from the policy are assigned to the CREDITOR, to the extent of principal and interest due upon the debt, and any renewals and extensions thereof. The DEBTOR shall prepare any further instruments required to effect this pledge. Any proceeds that exceed the above obligations shall be immediately turned over to the Estate of Debtor.

Dated: _________________________



Pledge of Life Insurance
Review List

This review list is provided to inform you about this document in question and assist you in its preparation. The Pledge of Life Insurance proceeds is similar to that for the Pledge of Stock assets. See the notes under the Pledge of Stock document for advice and counsel on this subject. This suggestion is made to be sure you understand there are no material differences between the effect of these pledges other than you can not “sell” an insurance pledge as you can a stock asset.

1. Make multiple copies. Be sure each relevant party has a copy.

Download ODT Download DOC Download DOCX Download RTF Download PDF

Leave a Reply