CONTRACT CAREFULLY. This is a legal contract between the Owner and LNY. We want to be sure you understand the features and benefits contained in this Contract. IT IS THEREFORE IMPORTANT THAT YOU READ YOUR CONTRACT CAREFULLY. If you have any questions after reading the Contract, we hope you will contact your representative or the Servicing Office of LNY. NOTICE OF RIGHT TO EXAMINE CONTRACT. WITHIN 10 DAYS AFTER THIS CONTRACT IS FIRST RECEIVED, IT MAY BE CANCELLED FOR ANY REASON WITHOUT PENALTY (E.G., NO SALES CHARGE WILL BE DEDUCTED) BY DELIVERING OR MAILING IT TO THE REPRESENTATIVE THROUGH WHOM IT WAS PURCHASED OR TO THE SERVICING OFFICE OF LNY. WHEN THE CONTRACT IS RECEIVED AT THE SERVICING OFFICE, LNY WILL RETURN THE VARIABLE ACCOUNT PLUS AN AMOUNT TO REFLECT ANY DEDUCTED DAILY CHARGES (DAILY CHARGES ARE DESCRIBED IN SECTION 4.04) AND ANY GROSS PURCHASE PAYMENTS MADE TO ANY FIXED ACCOUNT AS OF THE DATE OF CANCELLATION WHERE PERMITTED BY LAW. ALL PAYMENTS AND VALUES PROVIDED BY THIS CONTRACT, WHEN BASED ON THE INVESTMENT EXPERIENCE OF THE VARIABLE ACCOUNT, ARE VARIABLE. THE AMOUNTS MAY INCREASE OR DECREASE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT (SEE ARTICLE 4 AND ARTICLE 8). PRIOR TO THE ANNUITY COMMENCEMENT DATE, THE MAXIMUM MORTALITY AND EXPENSE RISK AND ADMINISTRATIVE CHARGE IS 0.90% AND THEREAFTER IS 0.60%. THE SMALLEST RATE OF INVESTMENT RETURN IS REQUIRED TO ENSURE THAT THE DOLLAR AMOUNT OF VARIABLE ANNUITY PAYMENTS DOES NOT DECREASE IS: 3.60% IF THE ASSUMED INTEREST RATE (AIR) IS 3.0%, 4.60% IF THE AIR IS 4.0% OR 5.60% IF THE AIR IS 5.0% Signed for Lincoln Life & Annuity Company of New York at its Home Office in Syracuse, New York. /s/ Xxxxxx Xxxxx /s/ X.Xxxxxxx Xxxxxx --------------------------------- -------------------------------------- Xxxxxx Xxxxx, President X.Xxxxxxx Xxxxxx, Corporate Secretary TABLE OF CONTENTS ARTICLE PAGE 1 Definitions 4 2 Purchase Payments 6 3 Contract Value 7 4 Variable Account 8 5 DCA Fixed Account 10 6 Transfers, Withdrawals and Surrenders 11 7 Death Benefits 13 8 Annuity Payment Options 15 9 Beneficiary 19 10 Suspension or Deferral of Payments 20 11 General Provisions 21 12 Annuity Purchase Rates Under A Variable Annuity Payment 24 13 Annuity Purchase Rates Under A Fixed Annuity Payment 27 14 Additional Services 28 CONTRACT SPECIFICATIONS CONTRACT NUMBER: 00-0000000 ANNUITANT: CPA AGE AT ISSUE: 50 CONTRACT DATE: AUGUST 14, 2007 INITIAL GROSS PURCHASE PAYMENT: $50,000.00 MATURITY DATE: JULY 13, 2034 OWNER(S): SPECIMEN BENEFICIA...
CONTRACT CAREFULLY. This is a legal contract between the Owner and Us. We want to be sure You understand the features and benefits contained in this Contract. IT IS THEREFORE IMPORTANT THAT YOU READ YOUR CONTRACT CAREFULLY. If You have any questions after reading this Contract, contact Your financial professional or Our Administrative Office.
CONTRACT CAREFULLY. This is a legal contract between you (the “Owner”) and Pacific Life & Annuity Company (hereinafter referred to as “we”, “us”, “our” and the “Company”). We agree to pay the benefits provided under this Contract, subject to its provisions. We have issued this Contract in consideration of the application and payment of the Initial Purchase Payment. BENEFITS AND VALUES PROVIDED UNDER THIS CONTRACT MAY BE ON A VARIABLE BASIS. AMOUNTS DIRECTED INTO ONE OR MORE OF THE VARIABLE INVESTMENT OPTIONS WILL REFLECT THE INVESTMENT EXPERIENCE OF THOSE INVESTMENT OPTIONS. THESE AMOUNTS MAY INCREASE OR DECREASE, AND ARE NOT GUARANTEED AS TO A DOLLAR AMOUNT. THE DETAILS OF THE VARIABLE PROVISIONS BEGIN ON PAGE 10.
CONTRACT CAREFULLY. If You are living on the Annuitization Start Date, We will begin to pay You monthly payments, subject to other provisions of this contract. This date may be changed as provided in this contract. We issue this contract in consideration of the payment of the initial purchase payment.
CONTRACT CAREFULLY. This is a legal contract between you and Union Central.
CONTRACT CAREFULLY. This is a legal contract between the Owner and LNL. We want to be sure you understand the features and benefits contained in this Contract. IT IS THEREFORE IMPORTANT THAT YOU READ
CONTRACT CAREFULLY. This is a legal contract between you and Union Central. RIGHT TO EXAMINE THE CONTRACT. IT IS IMPORTANT TO UNION CENTRAL THAT YOU ARE SATISFIED WITH THIS CONTRACT. YOU HAVE 10 DAYS AFTER YOU RECEIVE IT TO REVIEW THE CONTRACT. IF THIS CONTRACT IS A REPLACEMENT FOR AN EXISTING CONTRACT YOU HAVE 20 DAYS AFTER YOU RECEIVE IT TO REVIEW THE CONTRACT. IF YOU ARE NOT SATISFIED, YOU MAY SEND IT BACK TO US OR GIVE IT TO OUR AGENT. IN SUCH CASE, THIS CONTRACT WILL BE VOID FROM THE BEGINNING. WE WILL REFUND, WITHIN 7 DAYS AFTER THIS CONTRACT IS RETURNED, THE ACCUMULATION VALUE OF THE CONTRACT. IF THIS CONTRACT IS ISSUED AS AN INDIVIDUAL RETIREMENT ACCOUNT, AND YOU RETURN IT DURING THE RIGHT TO EXAMINE PERIOD WE WILL REFUND, WITHIN 7 DAYS AFTER THIS CONTRACT IS RETURNED, ANY PREMIUMS PAID. ALL ACCUMULATION VALUES AND ANNUITY PAYMENTS PROVIDED BY THIS CONTRACT, WHEN BASED ON THE INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNTS. Signed for the Company at Cincinnati, Ohio /s/ Xxxxx X. Xxxxxxxxxx /s/ Xxxx X. Xxxxxx Secretary President Flexible Premium Deferred Variable Annuity Participating ----------------------------- Licensed Resident Agent INTRODUCTION ------------------------------------------------------------ This is a flexible premium deferred variable annuity. This annuity contract provides that the accumulation value will be variable, and annuity payments may be either fixed or variable, or a combination of fixed and variable. You determine the investment allocation for this annuity. You may allocate your premiums to the guaranteed account or the variable account, or a combination of these accounts, in amounts as shown on the schedule page. If you select the guaranteed account, then your accumulation value and annuity payments will be fixed and guaranteed. If you select the variable account, your accumulation value and annuity payments will vary with the investment performance of the separate account's subaccounts. If you select both the guaranteed and variable accounts, then your values and payments will be fixed in part, and variable in part. If you select the variable account, then you must allocate premiums among one or more subaccounts of the variable account. These subaccounts are identified in the contract application and on the schedule page.
CONTRACT CAREFULLY. RIGHT TO EXAMINE THE CONTRACT: [If for any reason you are not satisfied with this Contract, you may return it within 10 days from the date you received it to Safeco Life or to the registered representative who sold you this Contract. When we receive this Contract, we will refund your Contract Value. This may be more or less than your Purchase Payments.] Signed for Safeco Life Insurance Company by: /s/ X.X. Xxxx /s/ Xxxxxxx X. Xxxxxx X.X. Xxxx Xxxxxxx X. Xxxxxx Xx. Vice President and Secretary President INDIVIDUAL FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY NON-PARTICIPATING THIS IS A VARIABLE ANNUITY CONTRACT. WHEN YOUR CONTRACT VALUE AND ANNUITY PAYMENTS ARE BASED ON THE INVESTMENT EXPERIENCE OF THE PORTFOLIOS, THE DOLLAR AMOUNTS ARE NOT GUARANTEED AND WILL INCREASE OR DECREASE. ALL VALUES AND PAYMENTS BASED ON THE GUARANTEED INTEREST PERIOD FIXED ACCOUNT OPTION, WHEN TAKEN BEFORE THE END OF A GUARANTEED PERIOD, MAY BE SUBJECT TO A MARKET VALUE ADJUSTMENT. THE MARKET VALUE ADJUSTMENT MAY CAUSE SUCH VALUES AND PAYMENTS TO INCREASE OR DECREASE. SEE "PURCHASE PAYMENT PROVISIONS", "INVESTMENT OPTIONS", AND "ANNUITY PAYMENT PROVISIONS" FOR DETAILS. Safeco(R) and the Safeco logo are trademarks of Safeco Corporation. PRODUCT: SPINNAKER(R) ADVISOR VARIABLE ANNUITY - [NON-QUALIFIED ANNUITY] OWNER: [Xxxx Xxx] Address: [0000 Xxxx Xx.] [Xxx Xxxx, XX 00000-9999] Date of Birth: [1/01/1969] Age: [35] Sex: [Male] ANNUITANT: [Xxxx Xxx] Address: [0000 Xxxx Xx.] [Any City, ST 99999-9999] Date of Birth: [1/01/1969] Age: [35] Sex: [Male] JOINT OWNER: [Xxxx Xxx] Address: [0000 Xxxx Xx.] [Any City, ST 99999-9999] Date of Birth: [2/01/1969] Age: [35] Sex: [Female] JOINT ANNUITANT: [Xxxx Xxx] Address: [0000 Xxxx Xx.] [Xxx Xxxx, XX 00000-9999] Date of Birth: [2/01/1969] Age: [35] Sex: [Female] CONTRACT NUMBER: [LP12345678] CONTRACT DATE: [5/01/2004] INITIAL PURCHASE PAYMENT: [$50,000] DELIVERED IN THE STATE OF [ANY STATE] AND GOVERNED BY ITS LAWS. MAXIMUM ISSUE AGE: [85]. The contract date must be prior to the Owner's and Annuitant's (including any Joint Owner's and Joint Annuitant's) [86th] birthday. MAXIMUM ANNUITIZATION AGE: [90]. Annuity payments must begin prior to the Annuitant's (including any Joint Annuitant's) [91st] birthday. MINIMUM INITIAL PURCHASE PAYMENT: [$10,000] MINIMUM SUBSEQUENT PURCHASE PAYMENT: [$30] MINIMUM ALLOCATIONS TO THE FIXED ACCOUNT OPTIONS: Dollar Cost Averaging Fixed Account Option - $5,000. Enhanced Fixed Account Option - No minimum. Guaranteed Inter...
CONTRACT CAREFULLY. If You are living on the Annuitization Start Date, We will begin to pay You monthly payments, subject to other provisions of this contract. This date may be changed as provided in this contract. We issue this contract in consideration of the payment of the initial purchase payment. ACCUMULATION VALUES AND ANNUITY PAYMENTS, WHEN BASED ON THE INVESTMENT RESULTS OF THE VARIABLE SUBACCOUNTS, ARE VARIABLE AND NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. SEE THE ACCOUNTS: FIXED AND VARIABLE SECTION FOR VARIABLE ACCOUNT PROVISIONS. OPTIONAL RIDER CHARGES MAY REDUCE THE DEATH BENEFIT AMOUNT TO LESS THAN THE CONTRACT VALUE. SEE THE PAYMENTS TO BENEFICIARIES PROVISIONS. NOTICE OF YOUR RIGHT TO EXAMINE THIS CONTRACT FOR TEN DAYS. If for any reason You are not satisfied with this contract, You may cancel this contract by returning it to Us or Our agent within ten Days after You receive it. - If this is not an IXX contract, upon such cancellation We will refund an amount equal to the sum of: (1) the Contract Value at the end of the Valuation Period during which We receive the contract; and (2) any premium tax charges paid. - If this is an IXX contract, upon such cancellation We will refund all purchase payments which You have paid. - If this contract is intended to replace an existing contract, your right to examine this contract is extended to 30 days or any longer period if required by the state in which it is delivered. This contract will then be considered void from its start. Signed for and issued by RiverSource Life Insurance Company of Minneapolis, Minnesota, as of the Contract Date. -s- SIGNATURE -s- SIGNATURE Secretary President - Flexible Purchase Payments -- Subject to Limitations - Optional Fixed Dollar or Variable Accumulation Values and Annuity Payments - Annuity Payments Begin on the Annuitization Start Date - This Contract is Nonparticipating -- Dividends Are Not Payable ICC12 411382 Page 1 (04/2013) GUIDE TO CONTRACT PROVISIONS
CONTRACT CAREFULLY. We reserve the right to amend this contract as needed to maintain its status as an annuity under the Internal Revenue Code. If this contract is so amended we will send you a copy of the amendment, together with the applicable regulation, ruling or other requirement imposed by the Internal Revenue Service which requires such amendment. We will send you a copy of the amendment, together with applicable regulation, ruling or other requirement imposed by the Internal Revenue Service which requires such amendment. MISSTATEMENT OF AGE OR SEX If the Annuitant's birth date or sex has been misstated, the benefits shall be such as would have been provided based on the correct birth date and sex. The amount of any over payments shall be charged against benefits to be paid after we learn of a misstatement. The amount of any under payments accumulated at an annual effective interest rate of 6% shall be added to benefits to be paid after we learn of a misstatement.
