CONTRACT DATA CONTRACT Sample Clauses

CONTRACT DATA CONTRACT. NUMBER 9999999 BENEFICIARY ANNUITANT As stated in the application or in the J▇▇▇ ▇. ▇▇▇ last beneficiary designation filed with us OWNER CONTRACT DATE As stated in the application or in the last November 01, 2000 ownership designation filed with us ISSUE AGE MATURITY DATE 35 November 01, 2030 SEX MONTHLY LIFE Male Income Factor $5.65 per $1,000 of Maturity Proceeds GUARANTEED PAYMENT PERIOD 120 Months SECTION 1. CONTRACT DATA (CONTINUED) DATE PREPARED: 11/01/2000 ANNUITANT CONTRACT NUMBER J▇▇▇ ▇. ▇▇▇ 9999999 FORM NO BENEFIT DESCRIPTION ANNUAL AMOUNT PREMIUM PAYABLE J157 Flexible Premium $10,000 To age 65* Variable Annuity Contract -Nonparticipating- TOTAL ANNUAL PREMIUM $10,000 * Premiums are payable according to the flexible premium provision of this contract.