Common use of CAUTION Clause in Contracts

CAUTION. ACCURATE SELECTION IS NEEDED TO ASSURE CORRECT TAX REPORTING. For advice, consult your tax professional. Select all that apply: [ ] NEW CONTRIBUTIONS - Specify tax year: Current Tax Year | Amount ____________________________|$__________________________ Prior Tax Year | Amount ____________________________|$__________________________ [ ] DIRECT TRANSFER - Check Payable to Northwestern Mutual Life for the benefit of the contract owner. Indicate the market the money is coming from. Select one: [ ] TDA [ ] PENSION/PROFIT SHARING/401K/DEFINED BENEFIT [ ] TRADITIONAL IRA [ ] ROTH XXX [ ] SEP [ ] SIMPLE IRA - THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S SIMPLE plan for: [ ] TWO YEARS OR LESS [ ] MORE THAN TWO YEARS [ ] 60-DAY ROLLOVER - Personal check from owner or check endorsed to Northwestern Mutual Life. Only if applicable, also select one: [ ] TRADITIONAL IRA TO ROTH XXX [ ] SIMPLE IRA TO TRADITIONAL IRA- THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S SIMPLE plan for: [ ] TWO YEARS OR LESS [ ] MORE THAN TWO YEARS