0000950123-11-099815 Sample Contracts

John Hancock Life Insurance Company of New York Home Office: [100 Summit Lake Drive 2nd Floor Valhalla, NY 10595]
John Hancock Life Insurance Co of New York Separate Account A • November 21st, 2011

This Contract is issued in consideration of the Payments. John Hancock Life Insurance Company of New York, a stock company, agrees to pay the benefits of this Contract in accordance with its terms.

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