Common use of Please explain Clause in Contracts

Please explain. [ ] NO -------------------------------------------------------------------------------- CERTIFICATION -------------------------------------------------------------------------------- I certify that to the best of my knowledge I have presented to the Company all pertinent facts, have asked all questions and have completely and correctly recorded the Applicant's and Annuxxxxx'x xnswers in accordance with the instructions. I know nothing unfavorable about the Annuitant that is not stated in the application or accompanying letter. I further certify that I have reasonable grounds for believing the purchase of the annuity applied for is suitable as an investment for the Annuitant based on the information furnished by the Applicant and Annuitant and contained herein. If this application is for a Variable Annuity, I certify that a current Prospectus or Offering Circular and Report was delivered and that no written sales materials other than those furnished by the Home Office were used. Agent Phone Number | x_____________________________________________________|________________________ Signature of Agent General Agent's approval for VARIABLE ANNUITIES only (signature of GENERAL AGENT or APPOINTED REGISTERED REPRESENTATIVE) x________________________________ __________________________________________ Signature Print Name or use stamp | | | |_________________________________________ 51 -------------------------------------------------------------------------------- DEMOGRAPHICS -------------------------------------------------------------------------------- ANNUITANT'S EDUCATION [ ] Some Education [ ] High School [ ] Associate Degree [ ] Some College [ ] Bachelors [ ] Masters [ ] Attorney at Law [ ] Doctorate NUMBER OF CHILDREN Number | [ ] None | |_________ OCCUPATION INDUSTRY SOURCE OF APPLICANT [ ] Business Owner [ ] Agriculture, Forestry &Fishing [ ] Agent's Own Policyowner [ ] Clerical [ ] Construction [ ] Orphan Policyowner [ ] Consultant [ ] Finance, Insurance &Real Estate [ ] Referred Lead [ ] Craftsman [ ] Manufacturing [ ] Acquaintance [ ] Homemaker [ ] Mining [ ] Newcomer Service [ ] Legal [ ] Nonclassifiable Establishments [ ] Cold Canvass [ ] Managerial/Executive [ ] Public Administration [ ] Lead Letter Reply [ ] Medical [ ] Retail Trade [ ] Published Sources [ ] Professional [ ] Services [ ] Walk-in [ ] Sales [ ] Transportation, Communication [ ] Family member or yourself & Utilities [ ] Service Worker Other [ ] Technical [ ] Wholesale Trade | |______________________________ -------------------------------------------------------------------------------- CONTRACT DELIVERY INSTRUCTIONS -------------------------------------------------------------------------------- Deliver contract package to the servicing agent at the: [ ] GA office [ ] DA office [ ] Agent's own office -------------------------------------------------------------------------------- PRODUCTION AND COMMISSION CREDITS -------------------------------------------------------------------------------- Primary or Secondary If secondary contract, Agent Number Agents Full Name*: Last, First % Interest Contract (P or S) secondary Appt. Agt. No. | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ *Commissions are payable only to Registered Representatives of Northwestern Mutual Investment Services, LLC. General Agent's Number General Agent's Stamp | | |_______________________ | | |_________________ ----------------------------------------------------------------------------------------------------------------- A Annuitant Amount Plan | | | |_________________________________|$_________|_________________________________ RECEIPT If the premium or purchase Received of___________________________________________________________________ payment is paid at the time of application, this receipt the sum of $__________________________________________________________________ must be completed and given for the Annuity applied for in the application to The Northwestern Mutual LIfe to the Applicant. No other Insurance Company, 720 Xxxx Xxxxxxxxx Xxx., Xxxxxxxxx, XX 00000. xxceipt will be recognized by the Company. Place and Date Agent | | |_________________________________|____________________________________________ ALL CHECKS SHOULD BE PAYABLE TO NORTHWESTERN MUTUAL LIFE. DO NOT MAKE THE CHECK PAYABLE TO THE AGENT OR LEAVE THE PAYEE BLANK.

Please explain. [ ] NO -------------------------------------------------------------------------------- CERTIFICATION -------------------------------------------------------------------------------- I certify that to the best of my knowledge I have presented to the Company all pertinent facts, have asked all questions and have completely and correctly recorded the Applicant's and Annuxxxxx'x xnswers in accordance with the instructions. I know nothing unfavorable about the Annuitant that is not stated in the application or accompanying letter. I further certify that I have reasonable grounds for believing the purchase of the annuity applied for is suitable as an investment for the Annuitant based on the information furnished by the Applicant and Annuitant and contained herein. If this application is for a Variable Annuity, I certify that a current Prospectus or Offering Circular and Report was delivered and that no written sales materials other than those furnished by the Home Office were used. Agent Phone Number | x_____________________________________________________|________________________ Signature of Agent General Agent's approval for VARIABLE ANNUITIES only (signature of GENERAL AGENT or APPOINTED REGISTERED REPRESENTATIVE) x________________________________ __________________________________________ Signature Print Name or use stamp | | | |_________________________________________ 51 50 -------------------------------------------------------------------------------- DEMOGRAPHICS -------------------------------------------------------------------------------- ANNUITANT'S EDUCATION [ ] Some Education [ ] High School [ ] Associate Degree [ ] Some College [ ] Bachelors [ ] Masters [ ] Attorney at Law [ ] Doctorate NUMBER OF CHILDREN Number | [ ] None | |_________ OCCUPATION INDUSTRY SOURCE OF APPLICANT [ ] Business Owner [ ] Agriculture, Forestry &Fishing [ ] Agent's Own Policyowner [ ] Clerical [ ] Construction [ ] Orphan Policyowner [ ] Consultant [ ] Finance, Insurance &Real Estate [ ] Referred Lead [ ] Craftsman [ ] Manufacturing [ ] Acquaintance [ ] Homemaker [ ] Mining [ ] Newcomer Service [ ] Legal [ ] Nonclassifiable Establishments [ ] Cold Canvass [ ] Managerial/Executive [ ] Public Administration [ ] Lead Letter Reply [ ] Medical [ ] Retail Trade [ ] Published Sources [ ] Professional [ ] Services [ ] Walk-in [ ] Sales [ ] Transportation, Communication [ ] Family member or yourself & Utilities [ ] Service Worker Other [ ] Technical [ ] Wholesale Trade | |______________________________ -------------------------------------------------------------------------------- CONTRACT DELIVERY INSTRUCTIONS -------------------------------------------------------------------------------- Deliver contract package to the servicing agent at the: [ ] GA office [ ] DA office [ ] Agent's own office -------------------------------------------------------------------------------- PRODUCTION AND COMMISSION CREDITS -------------------------------------------------------------------------------- Primary or Secondary If secondary contract, Agent Number Agents Full Name*: Last, First % Interest Contract (P or S) secondary Appt. Agt. No. | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ *Commissions are payable only to Registered Representatives of Northwestern Mutual Investment Services, LLC. General Agent's Number General Agent's Stamp | | |_______________________ | | |_________________ ----------------------------------------------------------------------------------------------------------------- A Annuitant Amount Plan | | | |_________________________________|$_________|_________________________________ RECEIPT If the premium or purchase Received of___________________________________________________________________ payment is paid at the time of application, this receipt the sum of $__________________________________________________________________ must be completed and given for the Annuity applied for in the application to The Northwestern Mutual LIfe to the Applicant. No other Insurance Company, 720 Xxxx Xxxxxxxxx Xxx., Xxxxxxxxx, XX 00000. xxceipt will be recognized by the Company. Place and Date Agent | | |_________________________________|____________________________________________ ALL CHECKS SHOULD BE PAYABLE TO NORTHWESTERN MUTUAL LIFE. DO NOT MAKE THE CHECK PAYABLE TO THE AGENT OR LEAVE THE PAYEE BLANK.

Please explain. [ ] NO -------------------------------------------------------------------------------- CERTIFICATION -------------------------------------------------------------------------------- I certify that to the best of my knowledge I have presented to the Company all pertinent facts, have asked all questions and have completely and correctly recorded the Applicant's and Annuxxxxx'x xnswers in accordance with the instructions. I know nothing unfavorable about the Annuitant that is not stated in the application or accompanying letter. I further certify that I have reasonable grounds for believing the purchase of the annuity applied for is suitable as an investment for the Annuitant based on the information furnished by the Applicant and Annuitant and contained herein. If this application is for a Variable Annuity, I certify that a current Prospectus or Offering Circular and Report was delivered and that no written sales materials other than those furnished by the Home Office were used. Agent Phone Number | x_____________________________________________________|________________________ Signature of Agent General Agent's approval for VARIABLE ANNUITIES only (signature of GENERAL AGENT or APPOINTED REGISTERED REPRESENTATIVE) x________________________________ __________________________________________ Signature Print Name or use stamp | | | |_________________________________________ 51 53 -------------------------------------------------------------------------------- DEMOGRAPHICS -------------------------------------------------------------------------------- ANNUITANT'S EDUCATION [ ] Some Education [ ] High School [ ] Associate Degree [ ] Some College [ ] Bachelors [ ] Masters [ ] Attorney at Law [ ] Doctorate NUMBER OF CHILDREN Number | [ ] None | |_________ OCCUPATION INDUSTRY SOURCE OF APPLICANT [ ] Business Owner [ ] Agriculture, Forestry &Fishing [ ] Agent's Own Policyowner [ ] Clerical [ ] Construction [ ] Orphan Policyowner [ ] Consultant [ ] Finance, Insurance &Real Estate [ ] Referred Lead [ ] Craftsman [ ] Manufacturing [ ] Acquaintance [ ] Homemaker [ ] Mining [ ] Newcomer Service [ ] Legal [ ] Nonclassifiable Establishments [ ] Cold Canvass [ ] Managerial/Executive [ ] Public Administration [ ] Lead Letter Reply [ ] Medical [ ] Retail Trade [ ] Published Sources [ ] Professional [ ] Services [ ] Walk-in [ ] Sales [ ] Transportation, Communication [ ] Family member or yourself & Utilities [ ] Service Worker Other [ ] Technical [ ] Wholesale Trade | |______________________________ -------------------------------------------------------------------------------- CONTRACT DELIVERY INSTRUCTIONS -------------------------------------------------------------------------------- Deliver contract package to the servicing agent at the: [ ] GA office [ ] DA office [ ] Agent's own office -------------------------------------------------------------------------------- PRODUCTION AND COMMISSION CREDITS -------------------------------------------------------------------------------- Primary or Secondary If secondary contract, Agent Number Agents Full Name*: Last, First % Interest Contract (P or S) secondary Appt. Agt. No. | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ *Commissions are payable only to Registered Representatives of Northwestern Mutual Investment Services, LLC. General Agent's Number General Agent's Stamp | | |_______________________ | | |_________________ ----------------------------------------------------------------------------------------------------------------- A Annuitant Amount Plan | | | |_________________________________|$_________|_________________________________ RECEIPT If the premium or purchase Received of___________________________________________________________________ payment is paid at the time of application, this receipt the sum of $__________________________________________________________________ must be completed and given for the Annuity applied for in the application to The Northwestern Mutual LIfe to the Applicant. No other Insurance Company, 720 Xxxx Xxxxxxxxx Xxx., Xxxxxxxxx, XX 00000. xxceipt will be recognized by the Company. Place and Date Agent | | |_________________________________|____________________________________________ ALL CHECKS SHOULD BE PAYABLE TO NORTHWESTERN MUTUAL LIFE. DO NOT MAKE THE CHECK PAYABLE TO THE AGENT OR LEAVE THE PAYEE BLANK.

Please explain. [ ] NO -------------------------------------------------------------------------------- CERTIFICATION -------------------------------------------------------------------------------- I certify that to the best of my knowledge I have presented to the Company all pertinent facts, have asked all questions and have completely and correctly recorded the Applicant's and Annuxxxxx'x xnswers in accordance with the instructions. I know nothing unfavorable about the Annuitant that is not stated in the application or accompanying letter. I further certify that I have reasonable grounds for believing the purchase of the annuity applied for is suitable as an investment for the Annuitant based on the information furnished by the Applicant and Annuitant and contained herein. If this application is for a Variable Annuity, I certify that a current Prospectus or Offering Circular and Report was delivered and that no written sales materials other than those furnished by the Home Office were used. Agent Phone Number | x_____________________________________________________|________________________ Signature of Agent General Agent's approval for VARIABLE ANNUITIES only (signature of GENERAL AGENT or APPOINTED REGISTERED REPRESENTATIVE) x________________________________ __________________________________________ Signature Print Name or use stamp | | | |_________________________________________ 51 47 -------------------------------------------------------------------------------- DEMOGRAPHICS -------------------------------------------------------------------------------- ANNUITANT'S EDUCATION [ ] Some Education [ ] High School [ ] Associate Degree [ ] Some College [ ] Bachelors [ ] Masters [ ] Attorney at Law [ ] Doctorate NUMBER OF CHILDREN Number | [ ] None | |_________ OCCUPATION INDUSTRY SOURCE OF APPLICANT [ ] Business Owner [ ] Agriculture, Forestry &Fishing [ ] Agent's Own Policyowner [ ] Clerical [ ] Construction [ ] Orphan Policyowner [ ] Consultant [ ] Finance, Insurance &Real Estate [ ] Referred Lead [ ] Craftsman [ ] Manufacturing [ ] Acquaintance [ ] Homemaker [ ] Mining [ ] Newcomer Service [ ] Legal [ ] Nonclassifiable Establishments [ ] Cold Canvass [ ] Managerial/Executive [ ] Public Administration [ ] Lead Letter Reply [ ] Medical [ ] Retail Trade [ ] Published Sources [ ] Professional [ ] Services [ ] Walk-in [ ] Sales [ ] Transportation, Communication [ ] Family member or yourself & Utilities [ ] Service Worker Other [ ] Technical [ ] Wholesale Trade | |______________________________ -------------------------------------------------------------------------------- CONTRACT DELIVERY INSTRUCTIONS -------------------------------------------------------------------------------- Deliver contract package to the servicing agent at the: [ ] GA office [ ] DA office [ ] Agent's own office -------------------------------------------------------------------------------- PRODUCTION AND COMMISSION CREDITS -------------------------------------------------------------------------------- Primary or Secondary If secondary contract, Agent Number Agents Full Name*: Last, First % Interest Contract (P or S) secondary Appt. Agt. No. | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ *Commissions are payable only to Registered Representatives of Northwestern Mutual Investment Services, LLC. General Agent's Number General Agent's Stamp | | |_______________________ | | |_________________ ----------------------------------------------------------------------------------------------------------------- A Annuitant Amount Plan | | | |_________________________________|$_________|_________________________________ RECEIPT If the premium or purchase Received of___________________________________________________________________ payment is paid at the time of application, this receipt the sum of $__________________________________________________________________ must be completed and given for the Annuity applied for in the application to The Northwestern Mutual LIfe to the Applicant. No other Insurance Company, 720 Xxxx Xxxxxxxxx Xxx., Xxxxxxxxx, XX 00000. xxceipt will be recognized by the Company. Place and Date Agent | | |_________________________________|____________________________________________ ALL CHECKS SHOULD BE PAYABLE TO NORTHWESTERN MUTUAL LIFE. DO NOT MAKE THE CHECK PAYABLE TO THE AGENT OR LEAVE THE PAYEE BLANK.

Please explain. [ ] NO -------------------------------------------------------------------------------- CERTIFICATION -------------------------------------------------------------------------------- I certify that to the best of my knowledge I have presented to the Company all pertinent facts, have asked all questions and have completely and correctly recorded the Applicant's and Annuxxxxx'x xnswers in accordance with the instructions. I know nothing unfavorable about the Annuitant that is not stated in the application or accompanying letter. I further certify that I have reasonable grounds for believing the purchase of the annuity applied for is suitable as an investment for the Annuitant based on the information furnished by the Applicant and Annuitant and contained herein. If this application is for a Variable Annuity, I certify that a current Prospectus or Offering Circular and Report was delivered and that no written sales materials other than those furnished by the Home Office were used. Agent Phone Number | x_____________________________________________________|________________________ Signature of Agent General Agent's approval for VARIABLE ANNUITIES only (signature of GENERAL AGENT or APPOINTED REGISTERED REPRESENTATIVE) x________________________________ __________________________________________ Signature Print Name or use stamp | | | |_________________________________________ 51 45 -------------------------------------------------------------------------------- DEMOGRAPHICS -------------------------------------------------------------------------------- ANNUITANT'S EDUCATION [ ] Some Education [ ] High School [ ] Associate Degree [ ] Some College [ ] Bachelors [ ] Masters [ ] Attorney at Law [ ] Doctorate NUMBER OF CHILDREN Number | [ ] None | |_________ OCCUPATION INDUSTRY SOURCE OF APPLICANT [ ] Business Owner [ ] Agriculture, Forestry &Fishing [ ] Agent's Own Policyowner [ ] Clerical [ ] Construction [ ] Orphan Policyowner [ ] Consultant [ ] Finance, Insurance &Real Estate [ ] Referred Lead [ ] Craftsman [ ] Manufacturing [ ] Acquaintance [ ] Homemaker [ ] Mining [ ] Newcomer Service [ ] Legal [ ] Nonclassifiable Establishments [ ] Cold Canvass [ ] Managerial/Executive [ ] Public Administration [ ] Lead Letter Reply [ ] Medical [ ] Retail Trade [ ] Published Sources [ ] Professional [ ] Services [ ] Walk-in [ ] Sales [ ] Transportation, Communication [ ] Family member or yourself & Utilities [ ] Service Worker Other [ ] Technical [ ] Wholesale Trade | |______________________________ -------------------------------------------------------------------------------- CONTRACT DELIVERY INSTRUCTIONS -------------------------------------------------------------------------------- Deliver contract package to the servicing agent at the: [ ] GA office [ ] DA office [ ] Agent's own office -------------------------------------------------------------------------------- PRODUCTION AND COMMISSION CREDITS -------------------------------------------------------------------------------- Primary or Secondary If secondary contract, Agent Number Agents Full Name*: Last, First % Interest Contract (P or S) secondary Appt. Agt. No. | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ | | | | | |__________________|__________________________________|___________________|________________________|_________________________ *Commissions are payable only to Registered Representatives of Northwestern Mutual Investment Services, LLC. General Agent's Number General Agent's Stamp | | |_______________________ | | |_________________ ----------------------------------------------------------------------------------------------------------------- A Annuitant Amount Plan | | | |_________________________________|$_________|_________________________________ RECEIPT If the premium or purchase Received of___________________________________________________________________ payment is paid at the time of application, this receipt the sum of $__________________________________________________________________ must be completed and given for the Annuity applied for in the application to The Northwestern Mutual LIfe to the Applicant. No other Insurance Company, 720 Xxxx Xxxxxxxxx Xxx., Xxxxxxxxx, XX 00000. xxceipt will be recognized by the Company. Place and Date Agent | | |_________________________________|____________________________________________ ALL CHECKS SHOULD BE PAYABLE TO NORTHWESTERN MUTUAL LIFE. DO NOT MAKE THE CHECK PAYABLE TO THE AGENT OR LEAVE THE PAYEE BLANK.