0000912057-04-000471 Sample Contracts

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Exhibit 99.4(a) JEFFERSON NATIONAL LIFE INSURANCE COMPANY Home Office: Dallas, Texas 75201 Administrative Office: 9920 Corporate Campus Drive, Suite 1000, Louisville, Kentucky 40223 Telephone: 1-866-667-0561 A Stock Company Jefferson National Life...
Jefferson National Life Annuity Account G • April 30th, 2004

Jefferson National Life Insurance Company (the "Company") agrees with the Owner to provide benefits to the Owner, subject to the provisions set forth in this Contract and in consideration of Purchase Payments received from the Owner.

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