The beneficiaries are:

Name	Date of Birth	State of Residence
{List:{BeneName#X}	{BeneDOB#X}	{BeneState#X}
|{BeneName#X}	{BeneDOB#X}	{BeneState#X}
|{BeneName#X}	{BeneDOB#X}	{BeneState#X}

}

TheFormTool (c) 2020 Snapdone, Inc.
Label	Question	Answer
BeneName	List the beneficiaries	Alex Boswell Fran Mahoney Gwen Hopper
BeneDOB	Each beneficiary’s date of birth?	Alex Boswell: 5/1/60 Fran Mahoney: [??] Gwen Hopper: [??]
BeneState	Each beneficiary’s state of residence?	Alex Boswell: Washington Fran Mahoney: Oregon Gwen Hopper: Idaho