Common use of PURCHASE PAYMENT ALLOCATION Clause in Contracts

PURCHASE PAYMENT ALLOCATION. You may select up to 10 funds. Use whole percentages. The allocations you indicate below will become your allocations on all future payments until you notify us of a change. CAPITAL GROWTH FIXED ___%Capital Growth Fund ___%Preferred Life Fixed Account ___%Global Health Care Securities Fund INCOME ___%Mutual Discovery Securities Fund ___%High Income Fund ___%Natural Resources Securities Fund ___%Txxxxxxxx Global Income Securities ___%Small Cap Fund Fund ___%Txxxxxxxx Developing Markets ___%U.S. Government Securities Fund Equity Fund ___%Txxxxxxxx Global Growth Fund ___%Txxxxxxxx International Equity Fund ___%Txxxxxxxx International Smaller CAPITAL PRESERVATION AND INCOME Companies Fund ___%Money Market Fund ___%Txxxxxxxx Pacific Growth Fund GROWTH AND INCOME ___%Global Utilities Securities Fund ___TOTAL (Must Equal 100%) ___%Growth and Income Fund ___%Income Securities Fund ___%Mutual Shares Securities Fund ___%Real Estate Securities Fund ___%Rising Dividends Fund ___%Txxxxxxxx Global Asset Allocation Fund ___%Value Securities Fund ______________________________________________________________________________

PURCHASE PAYMENT ALLOCATION. You may select up to 10 fundsInvestment Options. Use whole percentages. Total must equal 100%. The allocations you indicate below will become your allocations on all future payments until you notify us of a change. CAPITAL GROWTH FIXED AIM ___%_% AIM V.I. Capital Growth Fund Appreciation ___%_% AIM V.I. International Equity ____% AIM V.I. Value AXXXX ____% Axxxx American MidCap Growth ____% USAZ American Growth ____% USAZ Growth ALLIANCE CAPITAL ____% USAZ Alliance Capital Growth and Income ____% USAZ Alliance Capital Large Cap Growth ____% USAZ Alliance Capital Technology AZOA (ALLIANZ OF AMERICA, INC.) ____% AZOA VIP Diversified Assets ____% AZOA VIP Fixed Income ____% AZOA VIP Global Opportunities ____% AZOA VIP Growth ____% AZOA VIP Money Market DXXXX ____% Dxxxx VA Financial ____% Dxxxx VA Value FXXXXXXX TXXXXXXXX ____% Fxxxxxxx Global Communications Securities ____% Franklin Growth and Income Securities ____% Franklin High Income ____% Franklin Income Securities ____% Franklin Large Cap Growth Securities ____% Franklin Real Estate ____% Franklin Rising Dividends Securities ____% Fxxxxxxx S&P 500 Index ____% Franklin Small Cap ____% Franklin U.S. Government ____% Franklin Value Securities ____% Franklin Zero Coupon - 2005 ____% Franklin Zero Coupon - 2010 ____% Mutual Discovery Securities ____% Mutual Shares Securities ____% Txxxxxxxx Developing Markets Securities ____% Txxxxxxxx Growth Securities ____% Txxxxxxxx International Securities ____% USAZ Txxxxxxxx Developed Markets OXXXXXXXXXX ____% Oxxxxxxxxxx Global Securities/VA ____% Oxxxxxxxxxx High Income/VA ____% Oxxxxxxxxxx Main Street Growth & Income/VA PIMCO ____% PIMCO VIT High Yield Bond ____% PIMCO VIT StocksPLUS Growth andIncome ____% PIMCO VIT Total Return Bond ____% USAZ PIMCO Growth and Income ____% USAZ PIMCO Renaissance ____% USAZ PIMCO Value JXXXXXXX ____% SX Xxxxxxxx International Growth ____% SP Strategic Partners Focused Growth SELIGMAN ____% Seligman Global Technology ____% Seligman Small-Cap Value VXX XXXXXX ____% USAZ Vxx Xxxxxx Aggressive Growth ____% USAZ Vxx Xxxxxx Cxxxxxxx ____% USAZ Vxx Xxxxxx Growth ____% USAZ Vxx Xxxxxx Growth and Income ____% Vxx Xxxxxx LIT Emerging Growth ____% Preferred Life Fixed Account ___%Global Health Care Securities Fund INCOME ___%Mutual Discovery Securities Fund ___%High Income Fund ___%Natural Resources Securities Fund ___%Txxxxxxxx Global Income Securities ___%Small Cap Fund Fund ___%Txxxxxxxx Developing Markets ___%U.S. Government Securities Fund Equity Fund ___%Txxxxxxxx Global Growth Fund ___%Txxxxxxxx International Equity Fund ___%Txxxxxxxx International Smaller CAPITAL PRESERVATION AND INCOME Companies Fund ___%Money Market Fund ___%Txxxxxxxx Pacific Growth Fund GROWTH AND INCOME ___%Global Utilities Securities Fund ___% TOTAL (Must Equal equal 100%) ___%Growth and Income Fund ___%Income Securities Fund ___%Mutual Shares Securities Fund ___%Real Estate Securities Fund ___%Rising Dividends Fund ___%Txxxxxxxx Global Asset Allocation Fund ___%Value Securities Fund ______________________________________________________________________________

PURCHASE PAYMENT ALLOCATION. You may select up to 10 funds. Use whole percentages. The allocations you indicate below will become your allocations on all future payments until you notify us of a change. CAPITAL GROWTH FIXED ___%Capital Growth Fund ___%Preferred Allianz Life Fixed Account ___%Global Health Care Securities Fund INCOME ___%Mutual Discovery Securities Fund ___%High Income Fund ___%Natural Resources Securities Fund ___%Txxxxxxxx Global Income Securities ___%Small Cap Fund Fund ___%Txxxxxxxx Developing Markets ___%U.S. Government Securities Fund Equity Fund ___%Zero Coupon Fund 2000 ___%Txxxxxxxx Global Growth Fund ___%Zero Coupon Fund 2005 ___%Txxxxxxxx International Equity ___%Zero Coupon Fund 2010 Fund ___%Txxxxxxxx International Smaller CAPITAL PRESERVATION AND INCOME Companies Fund ___%Money Market Fund ___%Txxxxxxxx Pacific Growth Fund GROWTH AND INCOME ___%Global Utilities Securities Fund ___TOTAL (Must Equal 100%) ___%Growth and Income Fund ___%Income Securities Fund ___%Mutual Shares Securities Fund ___%Real Estate Securities Fund ___%Rising Dividends Fund ___%Txxxxxxxx Global Asset Allocation Fund ___%Value Securities Fund ______________________________________________________________________________

PURCHASE PAYMENT ALLOCATION. You may select up to 10 funds. Use whole percentages. The allocations you indicate below will become your allocations on all future payments until you notify us of a change. CAPITAL GROWTH FIXED ___%Capital Growth Fund ___%Preferred Life Fixed Account ___%Global Health Care Securities Fund INCOME ___%Mutual Discovery Securities Fund ___%High Income Fund ___%Natural Resources Securities Fund ___%Txxxxxxxx Global Income Securities ___%Small Cap Fund Fund ___%Txxxxxxxx Developing Markets ___%U.S. Government Securities Fund Equity Fund ___%Zero Coupon Fund 2005 ___%Txxxxxxxx Global Growth Fund ___%Zero Coupon Fund 2010 ___%Txxxxxxxx International Equity Fund ___%Txxxxxxxx International Smaller CAPITAL PRESERVATION AND INCOME Companies Fund ___%Money Market Fund ___%Txxxxxxxx Pacific Growth Fund FIXED GROWTH AND INCOME ___%Allianz Life Fixed Account ___%Global Utilities Securities Fund ___TOTAL (Must Equal 100%select one of the options below) ___%Growth and Income Fund ___Dollar Cost Averaging Fixed Option ___%Income Securities Fund ___Standard Dollar Cost Averaging Option ___%Mutual Shares Securities Fund ___%Real Estate Securities Fund ___%Rising Dividends Fund ___%Txxxxxxxx Global Asset Allocation ___TOTAL (Must Equal 100%) Fund ___%Value Securities Fund ______________________________________________________________________________