Nexan,
You don't need a macro. You can use Find and Replace with wildcards.
Find: (REASON:*^l)(STATE:*^l)(Q11B TEXT:*^l)
Replace with: \1\3
Note if your lines are broken with paragraphs vice linebreaks then use ^13
instead of ^l

Signature
Greg Maxey/Word MVP
See:
http://gregmaxey.mvps.org/word_tips.htm
For some helpful tips using Word.
> I'm trying to figure out how to create a macro that will eliminate
> the second instance of a word in a repeating list of words. It looks
[quoted text clipped - 18 lines]
> How can I create a macro to eliminate only the second instance of
> "STATE: (variable text)"?