RIGHT TO CANCEL CONTRACT. This Contract may be returned within [10] days after you receive it. It can be mailed or delivered to either us, at the Annuity Service Center, or the representative who sold it to you. Return of this Contract by mail is effective on being postmarked, properly addressed and postage prepaid. The returned Contract will be canceled upon our receipt, and we will return your money in accordance with applicable law. Under certain circumstances, we have the right to allocate Purchase Payment(s) to the Money Market Subaccount until the expiration of the Right to Cancel period. If we so allocate Purchase Payment(s), we will refund the Purchase Payment(s), less any withdrawals, in the event of cancellation under the terms of this paragraph. READ YOUR CONTRACT CAREFULLY TABLE OF CONTENTS CONTRACT DATA PAGES DEFINITIONS PURCHASE PAYMENTS VARIABLE SEPARATE ACCOUNT DCA FIXED RATE INVESTMENT OPTION FIXED RATE INVESTMENT OPTION CONTRACT MAINTENANCE CHARGE TRANSFERS WITHDRAWALS PROTECTED VALUE GUARANTEED MINIMUM INCOME BENEFIT GUARANTEED MINIMUM DEATH BENEFIT ANNUITY AND SETTLEMENT OPTIONS BENEFICIARY SUSPENSION OR DEFERRAL OF PAYMENTS OR TRANSFERS FROM THE SEPARATE ACCOUNT GENERAL PROVISIONS VALUES AND BENEFITS ANNUITY SETTLEMENT TABLES PURCHASE PAYMENTS: Initial Purchase Payment: Minimum Subsequent Purchase Payment: $1,000. For IRA contracts, the Minimum Subsequent Purchase Payment is $1,000. The Minimum Subsequent Purchase Payment for automatic purchase plans, if available, is $100.
RIGHT TO CANCEL CONTRACT. If for any reason you are not satisfied with this Contract, you may return it to us within 10 days (20 days if this Contract is replacing a previously existing life insurance or annuity contract) of the date you received it. You may return it by delivering or mailing it to our Administrative Office, Mail Station 0000, 0000 Xxxxxxxx Xxxx XX, Xxxxx Xxxxxx, XX 00000, or to the agent from whom you purchased this Contract. If returned, the Contract shall be void from the Contract Date. We will refund the Purchase Payment(s) you paid or, if greater, the Accumulated Value. This is a legal contract between you and us. READ THE CONTRACT CAREFULLY. We have caused this Contract to be signed by our President and Secretary. /s/ Xxxxx X. Xxxxxx /s/ Xxxxx X. Xxxxxx Xxxxx X. Xxxxxx Xxxxx X. Xxxxxx Secretary President
RIGHT TO CANCEL CONTRACT. This Contract may be returned within 10 days after you receive it. It can be mailed or delivered to either us, at the Annuity Service Center, or the representative who sold it to you. Return of this Contract by mail is effective on being postmarked, properly addressed and postage prepaid. The returned Contract will be cancelled upon our receipt, and we will return an amount equal to the sum of (i) the difference between Purchase Payments received, including any fees or other charges, and the amount(s) allocated to the Allocation Options under the Contract, and (ii) the Contract Value as of the date the Contract is mailed or delivered to us or the representative who sold it to you. If you exercise your Right to Cancel the Contract, the entire Credit will be recaptured.
RIGHT TO CANCEL CONTRACT. You may return this contract to us within (1) 10 days after you get it, or (2) 45 days after Part 1 of the application was signed, or (3)10 days after we mail the Notice of Withdrawal Right, whichever is latest. All you have to do is take the contract or mail it to one of our offices or to the representative who sold it to you. It will be canceled from the start and we will give back your money promptly. Signed for Pruco Life Insurance Company, an Arizona Corporation. /s/ [SPECIMEN] /s/ [SPECIMEN] Secretary President Variable Life Insurance Policy. Insurance payable only upon death. Fixed premiums payable during Insured's lifetime. Benefits reflect investment results. Guaranteed minimum death benefit if premiums duly paid and no contract debt. Nonparticipating. CONTRACT SUMMARY We offer this summary to help you understand this contract. We do not intend that it change any of the provisions of the contract. This is a contract of life insurance. Premiums are to be paid throughout the Insured's lifetime. The insurance amount and the net cash value will vary with the investment performance of those subaccounts of the Pruco Life Variable Insurance Account that you select. But, except as we state in the next sentence, the insurance amount will never be less than the face amount. If a premium is not paid before its days of grace are over, the contract may end or it may stay in force with reduced benefits. If either occurs, you may be able to reinstate it. Proceeds is a word we use to mean the amount we would pay if we were to settle the contract in one sum. To compute the proceeds that may arise from the Insured's death, we start with a basic amount. We may adjust that amount if there is a loan, a premium in default, or a premium paid (but not waived under a waiver of premium benefit, if any) for a period past the date of death. The table on page 19 tells you how we adjust the basic amount. If you surrender the contract, the proceeds will be the net cash value. We describe it under Cash Value Option on page 11. Proceeds often are not taken in one sum. For instance, on surrender, you may be able to put proceeds under a settlement option to provide retirement income or for some other purpose. Also, for all or part of the proceeds that arise from the Insured's death, you may be able to choose a manner of payment to fit the beneficiary's expected needs. If the Insured dies, and a manner of payment has not been chosen, the beneficiary may be able to choose one. We wil...
RIGHT TO CANCEL CONTRACT. This Contract may be returned within 10 days after you receive it. The Contract may be mailed or delivered to the Annuity Service Center, or to the representative who sold it to you. Return of this Contract by mail is effective on being postmarked, properly addressed and postage prepaid. The returned Contract will be canceled upon our receipt, and we will return your money in accordance with applicable law. A Market Value Adjustment will not be applied to the amount paid during the Right to Cancel period.
RIGHT TO CANCEL CONTRACT. You may return this contract to us within (1) 10 days after you get it, or (2) 45 days after Part 1 of the application was signed, or (3) 10 days after we mail or deliver the Notice of Withdrawal Right, whichever is latest. All you have to do is take the contract or mail it to one of our offices or to the representative who sold it to you. It will be canceled fro the start and we will promptly give you the value of our Contract Fund on the date you return the contract to us. We will also give back any charges we made in accord with this contract. Signed for Pruco Life Insurance Company, an Arizona Corporation /S/ XXXXXXXX XXXXXXXX /S/ XXXXXX X. XXXXXXXXX [SPECIMEN] [SPECIMEN] Secretary President Modified Premium Variable Life Insurance Policy. Insurance payable only upon death. Scheduled premiums payable throughout Insured's lifetime. Provision for optional additional premiums. Cash values reflect premium payments, investment results and mortality charges. Guaranteed death benefit if scheduled premiums duly paid and no contract debt. Increase in face amount at attained age 21 if contract issued at age 14 or lower. Non-participating.
RIGHT TO CANCEL CONTRACT. If for any reason you are not satisfied with this Contract, you may return it to us within 10 days (20 days if this Contract is replacing a previously existing life insurance or annuity contract) of the date you received it. You may return it by delivering or mailing it to our Administrative Office, Mail Station 4210, 0000 Xxxxxxxx Xxxx XX, Xxxxx Xxxxxx. XX 00000, or to the agent from whom you purchased this Contract. If returned, the Contract shall be void from the Contract Date. We will return the Accumulated Value of your Contract, as of the date we receive it, plus any loads, fees, and/or Premium Taxes that may have been subtracted from your Purchase Payment(s). This is a legal contract between you and us. READ THE CONTRACT CAREFULLY. We have caused this Contract to be signed by our President and Secretary. /s/ Xxxxx X. Xxxxxx /s/ Xxxxx X. Xxxxxx Xxxxx X. Xxxxxx Xxxxx X. Xxxxxx Secretary President
RIGHT TO CANCEL CONTRACT. Not later than ten days after you get this contract, you may return it to us. All you have to do is take it or mail it to one of our offices or to the agent who sold it to you. We will cancel the contract and promptly give you its net asset value, less the net asset value of any amount we add to the contract fund (see page 8) determined as of the date your request is received, without redemption charge. The provisions on this and the following pages of this contract comprise the entire contract. The contract was signed for Prudential on the contract date, which is the date of issue. Signed for Prudential. [SPECIMEN] [SPECIMEN] Secretary President Variable Annuity Contract with Flexible Purchase Payments--Monthly annuity payments starting on Annuity Date. Payment as stated upon death before Xxxxxxx Date. Purchase payments payable during lifetime(s) of annuitant(s) until Xxxxxxx Date. Cash value reflect investment results. VIP--86 (Only we can endorse this contract.) Page 2 (VIP--86) CONTRACT DATA ANNUITANT(S) XXXX XXX XX XXX XXX CONTRACT NUMBER XXXX XXX ANNUITY DATE JULY 25, 2016 JULY 25, 1986 CONTRACT DATE AGENCY R-NK 1 FIRST ANNUITANT: NAME XXXX XXX SEX AND ISSUE AGE M-35 DATE OF BIRTH 6/10/51 CO-ANNUITANT: NAME XXXX XXX SEX AND ISSUE AGE F-32 DATE OF BIRTH 10/1/54 BENEFICIARY: CLASS 1--XXXXXX XXX SON OF ANNUITANT CLASS 2--XXXXXXX XXXXX SISTER OF CO-ANNUITANT ALLOCATION OF INITIAL PURCHASE PAYMENT BOND 20% MONEY MARKET 20% COMMON STOCK 20% AGGRESSIVELY MANAGED FLEXIBLE 10% CONSERVATIVELY MANAGED FLEXIBLE 10% FIXED ACCOUNT 20% THE MAINTENANCE CHARGE IS UP TO $30.00 ANNUALLY. WE EXPLAIN THIS ON PAGE 12. SERVICE OFFICE--PLEASE DIRECT ANY COMMUNICATION ABOUT THIS CONTRACT TO: THE PRUDENTIAL INSURANCE COMPANY OF AMERICA, P.O. BOX 2925, PROENIX, ARIZONA 85062. Page 3(VIP--86) ENDORSEMENTS (Only we can endorse this contract.) Page 4(VIP--86) CONTRACT SUMMARY We offer this summary to help you understand this contract. We do not intend that it change any of the provisions of the contract. Beginning on the Annuity Date we will use your contract fund to provide an income, as we explain on page 13, to the Annuitant named on page 3 (the First Annuitant named there if two annuitants are named) if he or she is then living and entitled to payment. But if two annuitants are named on page 3 and (1) the First Annuitant is not living on the Annuity Date or (2) both annuitants are living and you ask us to do so, we will make payment to the Co-Annuitant named on page 3 if he o...
RIGHT TO CANCEL CONTRACT. This Contract may be returned within 10 days after you receive it. It can be mailed or delivered to either us, at the Annuity Service Center, or the representative who sold it to you. Return of this Contract by mail is effective on being postmarked, properly addressed and postage prepaid. The returned Contract will be cancelled upon our receipt, and we will return an amount equal to the sum of (i) the difference between Purchase Payments received, including any fees or other charges, and the amount(s) allocated to the Allocation Options under the Contract, and (ii) the Contract Value as of the date the Contract is mailed or delivered to us or the representative who sold it to you. If you exercise your Right to Cancel the Contract, the entire Credit will be recaptured. READ YOUR CONTRACT CAREFULLY TABLE OF CONTENTS CONTRACT DATA PAGES DEFINITIONS PURCHASE PAYMENTS CREDITS CONTRACT VALUE VARIABLE SEPARATE ACCOUNT CONTRACT MAINTENANCE CHARGE TRANSFERS WITHDRAWALS PROTECTED VALUE GUARANTEED MINIMUM DEATH BENEFIT ANNUITY AND SETTLEMENT OPTIONS BENEFICIARY SUSPENSION OR DEFERRAL OF PAYMENTS OR TRANSFERS FROM THE SEPARATE ACCOUNT GENERAL PROVISIONS VALUES AND BENEFITS ANNUITY SETTLEMENT TABLES CONTRACT DATA PURCHASE PAYMENTS: Initial Purchase Payment:
RIGHT TO CANCEL CONTRACT. This Contract may be returned within 10 days (20 days in Idaho and North Dakota; 30 days in California if you are 60 years of age or older) after you receive it. It can be mailed or delivered to either the Annuity Service Center, or the representative who sold it to you. Return of this Contract by mail is effective on being postmarked, properly addressed and postage prepaid. The returned Contract will be canceled upon our receipt, and we will return your money in accordance with applicable law. A Market Value Adjustment will not be applied to the amount paid during the Right to Cancel period. Under certain circumstances, we have the right to allocate Purchase Payment(s) to the Money Market Subaccount until the expiration of the Right to Cancel period. If we so allocate Purchase Payment(s), we will refund the Purchase Payments(s), less any withdrawals, in the event of cancellation under the terms of this paragraph. READ YOUR CONTRACT CAREFULLY Signed for Pruco Life Insurance Company, an Arizona Corporation. /s/ Signature /s/ Signature Secretary President INDIVIDUAL FLEXIBLE PREMIUM DEFERRED FIXED AND VARIABLE ANNUITY CONTRACT NONPARTICIPATING ANNUITY PAYMENTS AND VALUES PROVIDED BY THIS CONTRACT, WHEN BASED ON THE INVESTMENT EXPERIENCE OF THE SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO DOLLAR AMOUNT. MVA OPTIONS ARE SUBJECT TO MARKET VALUE ADJUSTMENTS. TABLE OF CONTENTS
