0001193125-24-109957 Sample Contracts

The United States Life Insurance Company in the City of New York A STOCK COMPANY NEW YORK, NEW YORK
Fs Variable Separate Account • April 24th, 2024

THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (“We”, “Us”, the “Company”, or “US Life”) agrees to provide benefits to the Owner in accordance with the provisions set forth in this Contract and in consideration of the Application and Purchase Payments We receive.

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