Secretary President. The value received_________________________________hereby sell, assign and transfer unto____________________________________________________________________ ________________________________________________________________Shares represented by the within Certificate, and do hereby irrevocable constitute and appoint ________________________________________________Attoney to transfer the said Stock on the books of the within named Corporation with full power of substitution in the premises. Dated__________, 20_____________. In presence of ________________________________
Secretary President. (and Corporate Seal – either print stamped or embossed – if embossed, must be leaded sufficiently to be visible in a PDF file reproduction)
Secretary President. Endorsement Effective Date (If Other Than Issue Date) 00-00000-00 FSB212 (4-94) SP 02121
Secretary President. The Automotive, Food, Metals, Engineering, Printing and Kindred Industries Union of Workers. Signed 9 Dec 2005 ................................................................................. Date: ....................................
Secretary President. A BRIEF DESCRIPTION OF THIS CONTRACT This is a Single Payment Joint and Last Survivor Life Annuity. Income is payable for the lifetime of either of the Annuitants. The Contract is nonparticipating. ALL INCOME PAYMENTS AND VALUES PROVIDED BY THIS CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. FORM 1174
Secretary President. The following abbreviation, when used in the inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable laws or regulations:
Secretary President. The following abbreviations, when used in the inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable laws or regulations: TEN COM - as tenants in common TEN ENT - as tenant by entireties JT TEN - as joint tenants with right of survivorship and not as tenants in common UNIF GIFT MIN ACT - ____________Custodian _____________ (Cust) (Minor) under Uniform Gifts to Minors Act __________________________ (State) For Value Received, _______________ hereby sell, assign and transfer unto Please insert social security or other identifying number of assignee __________________________ ___________________________________________________________________________ (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE) ___________________________________________________________________________ ___________________________________________________________________________ ______________________________________________________________ (Shares) of the Common Stock represented by the within certificate, and do hereby irrevocably constitute and appoint ___________________________________________________________________Attorney to transfer the said shares on the books of the within named Corporation with full power of substitution in the premises. Dated______________________ ______________________________________________ NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER. THE SHARES OF COMMON STOCK EVIDENCED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE "SECURITIES ACT"), OR ANY STATE SECURITIES LAWS AND MAY NOT BE SOLD, TRANSFERRED OR OTHERWISE DISPOSED OR UNLESS REGISTERED UNDER THE SECURITIES ACT AND UNDER APPLICABLE STATE SECURITIES LAWS OR DATAMETRICS CORPORATION SHALL HAVE BEEN RECEIVED AN OPINION OF ITS COUNSEL THAT REGISTRATION OF SUCH SECURITIES UNDER THE SECURITIES ACT AND UNDER THE PROVISIONS OF APPLICABLE STATE SECURITIES LAWS IS NOT REQUIRED.
Secretary President. This policy is a legal contract between the policyowner and the Company. READ YOUR POLICY CAREFULLY FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY INCOME PAYABLE AT ANNUITY COMMENCEMENT DATE BENEFITS BASED ON THE PERFORMANCE OF THE SEPARATE ACCOUNT ARE VARIABLE AND ARE NOT GUARANTEED AS TO DOLLAR AMOUNT (SEE SECTIONS 6 AND 9C) NON-PARTICIPATING AV1197 101 200 505
Secretary President. READ YOUR CONTRACT CAREFULLY A STOCK COMPANY A Subsidiary of American General Corporation Home Office: Houston, Texas 2727-A Xxxxx Parkway P.O. Box 1401 Houston, TX 77251-1401 (000) 000-0000 INDEX Page Account Value 4 Accumulation Units 13 Allocation of Purchase Payments 9 Annuity Options 23 Annuity Tables 24 Annuity Units 23 Automatic Rebalancing 17 Beneficiary 11 Change of Investments or Investment Objective 8 Contingent Annuitant 5 Death Proceeds 18 Definitions 4 Divisions 13 Dollar Cost Averaging 16 Fixed Account Value 12 Fixed Annuity Payments 23 General Provisions 8 Guaranteed Interest Rates 13 Guarantee Periods 12 Net Investment Factor 14 Ownership Provisions 10 Payment and Deferment 17 Payment of Benefits 22 Premium Taxes 10 Purchase Payments 9 Schedule Page 3 Separate Account 13 Surrenders 18 Full Surrender 18 Partial Withdrawals 18 Tax Charge 19 Transfers 14 Variable Annuity Payments 23 [Generations Asset Builder] American General Life Insurance Company SCHEDULE PAGE Initial Purchase Payment: $5,000 Minimum Additional Purchase Payments: $ 100 Additional Benefits: The charge for this benefit, 0.13% of the Account Enhanced Death Value at the end of each Contract Year, is in addition to the Benefit Maximum Asset Charge Factors Maximum Asset Charge Factors (Separate Account Only) Annual Rate: 0.59% Maximum Transfer Charge (After first 12 in a Contract Year) $ 25 Issue Age: 35 Annuity Commencement Date: April 1, 2029 Purchase Payment Charge (Each entire purchase is based on the sum of Purchase Payments Paid to Date): Sum of Purchase Payments to Date Purchase Payment Charge Percentage $ Up to - 49,999.99 5.75% $ 50,000 - 99,999.99 4.75% $ 100,000 - 249,999.99 3.75% $ 250,000 - 499,999.99 2.75% $ 500,000 - 999,999.99 2.00% $ 1,000,000 and above 1.00% Contract Number: 123456 Annuitant: Xxxx Xxx
Secretary President. THE SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED. THE SECURITIES HAVE BEEN ACQUIRED FOR INVESTMENT AND MAY NOT BE SOLD, TRANSFERRED OR ASSIGNED IN ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT FOR THE SECURITIES UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR AN OPINION OF COUNSEL THAT REGISTRATION IS NOT REQUIRED UNDER SAID ACT. [Corporate Seal] EXHIBIT B --------- THE SECURITIES EVIDENCED BY THIS WARRANT HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED ("1933 ACT"), AND MAY NOT BE SOLD, TRANSFERRED, ASSIGNED OR HYPOTHECATED UNLESS PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER THE 1933 ACT COVERING SUCH SECURITIES OR SUCH SALE, TRANSFER, ASSIGNMENT OR HYPOTHECATION IS EXEMPT FROM THE REGISTRATION REQUIREMENTS OF THE 1933 ACT. ------------------------------- VOID AFTER 5:00 P.M. NEW YORK TIME, December __, 2001
