Owner: Annuitant: [JOHN DOE] [JOHN DOE] [Joint Owner: [Joint Annuitant: [DORIS DOE]] [DORIS DOE]] Contract Number: Contract Date: [00000] [January 1, 2016]Separate Acct No 49 of Axa Equitable Life Insurance Co • December 23rd, 2015
Company FiledDecember 23rd, 2015This is the entire Contract. This Contract is issued in return for the Contributions made to us under this Contract. This Contract becomes effective on the Contract Date. The Annuitant and the Owner must be living on the Contract Date.