Date Prepared Clause Samples
Date Prepared. [01/01/2008] Insured [J▇▇▇ ▇▇▇] Contract Number [9999999] [5.00%] deducted from each premium payment [$10.00] per month for all Contract Years [Contract Years [1-5] [$0.05] per month per 1,000 of Specified Amount] [Contract Years [6+] [$0.00] per month per 1,000 of Specified Amount] [$10.00] per month for all Contract Years [Contract Years [1-20] [$0.05] per month per 1,000 of Specified Amount] [Contract Years [21+] [$0.00] per month per 1,000 of Specified Amount]
Date Prepared. [01/01/2008] Insured [J▇▇▇ ▇▇▇] Contract Number [9999999] Planned Premium Payment: [$70.00 Monthly]
Date Prepared. [01/01/2008] Insured [J▇▇▇ ▇▇▇] Contract Number [9999999] [KCL Fixed Account Subaccounts that invest in the Kansas City Life Variable Life Separate Account: AIM V.I. Capital Appreciation Fund (Series I Shares) AIM V.I. Core Equity Fund (Series I Shares) AIM V.I. Technology Fund (Series I Shares) American Century VP Capital Appreciation Fund American Century VP Income & Growth Fund American Century VP International Fund American Century VP Mid Cap Value Fund American Century VP Ultra® Fund American Century VP Value Fund American Century VP Inflation Protection Fund (Class II) Calamos Growth and Income Portfolio Dreyfus Appreciation Portfolio – Initial Shares Dreyfus Developing Leaders Portfolio – Initial Shares Dreyfus Stock Index Fund, Inc. – Initial Shares The Dreyfus Socially Responsible Growth Fund, Inc. – Initial Shares Federated American Leaders Fund II Federated High Income Bond Fund II *Federated Prime Money Fund II Fidelity VIP Contrafund Portfolio (Service Class 2) Fidelity VIP Freedom Income Portfolio (Service Class 2) Fidelity VIP Freedom 2010 Portfolio (Service Class 2) Fidelity VIP Freedom 2015 Portfolio (Service Class 2) Fidelity VIP Freedom 2020 Portfolio (Service Class 2) Fidelity VIP Freedom 2025 Portfolio (Service Class 2) Fidelity VIP Freedom 2030 Portfolio (Service Class 2) Franklin Global Real Estate Fund (Class 2) Franklin Small-Mid Cap Growth Securities Fund (Class 2) T▇▇▇▇▇▇▇▇ Developing Markets Securities Fund (Class 2) T▇▇▇▇▇▇▇▇ Foreign Securities Fund (Class 2) JPMorgan Mid Cap Value Portfolio JPMorgan Small Company Portfolio JPMorgan U.S. Large Cap Core Equity Portfolio MFS Growth Series MFS Research Series MFS Research Bond Series MFS Strategic Income Series MFS Total Return Series MFS Utilities Series S▇▇▇▇▇▇▇ Capital Portfolio (Class 2) S▇▇▇▇▇▇▇ Communications and Information Portfolio (Class 2) S▇▇▇▇▇▇▇ Smaller-Cap Value Portfolio (Class 2) * The Federated Prime Money Fund II Subaccount is referred to in this contract as the money market Subaccount.] J176
Date Prepared. [01/01/2008] Insured [J▇▇▇ ▇▇▇] Contract Number [9999999] Age Corridor Percentage Age Corridor Percentage Age Corridor Percentage J177 J177
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