CONTRACT CAREFULLY. RIGHT TO EXAMINE THE CONTRACT: [If for any reason you are not satisfied with this Contract, you may return it within 10 days from the date you received it to Safeco Life or to the registered representative who sold you this Contract. When we receive this Contract, we will refund your Contract Value. This may be more or less than your Purchase Payments.] Signed for Safeco Life Insurance Company by: /s/ X.X. Xxxx /s/ Xxxxxxx X. Xxxxxx X.X. Xxxx Xxxxxxx X. Xxxxxx Xx. Vice President and Secretary President INDIVIDUAL MODIFIED SINGLE PREMIUM DEFERRED VARIABLE ANNUITY NON-PARTICIPATING THIS IS A VARIABLE ANNUITY CONTRACT. WHEN YOUR CONTRACT VALUE AND ANNUITY PAYMENTS ARE BASED ON THE INVESTMENT EXPERIENCE OF THE PORTFOLIOS, THE DOLLAR AMOUNTS ARE NOT GUARANTEED AND WILL INCREASE OR DECREASE. SEE "PURCHASE PAYMENT PROVISIONS", "INVESTMENT OPTIONS", AND "ANNUITY PAYMENT PROVISIONS" FOR DETAILS. Safeco(R) and the Safeco logo are trademarks of Safeco Corporation. PRODUCT: SPINNAKER(R) PLUS VARIABLE ANNUITY - [TAX SHELTERED ANNUITY] OWNER/ANNUITANT: [Xxxx Xxx] Address: [0000 Xxxx Xx.] [Xxx Xxxx, XX 00000-9999] Date of Birth: [1/01/1969] Age: [35] Sex: [Male] CONTRACT NUMBER: [LP12345678] CONTRACT DATE: [5/01/2004] INITIAL PURCHASE PAYMENT: [$50,000] DELIVERED IN THE STATE OF [ANY STATE] AND GOVERNED BY ITS LAWS. MAXIMUM ISSUE AGE: [85]. The contract date must be prior to the Owner's [86th] birthday. MAXIMUM ANNUITIZATION AGE: [90]. Annuity payments must begin prior to the Annuitant's [91st] birthday. MINIMUM INITIAL PURCHASE PAYMENT: [$50,000] MINIMUM SUBSEQUENT PURCHASE PAYMENTS: [$250]. Subsequent Purchase Payments are only accepted within 6 months of the contract date. MINIMUM GUARANTEED INTEREST RATE: [1.50%] ADDITIONAL INTEREST ON FIXED ACCOUNT IN FIRST CONTRACT YEAR: Additional interest will be credited on amounts allocated to the fixed-term dollar cost averaging (DCA) options as follows. The additional interest will be credited to the declining balance remaining in the option for the period of time selected.
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Samples: Annuity Contract (Safeco Resource Variable Account B)
CONTRACT CAREFULLY. RIGHT TO EXAMINE THE CONTRACT: [If for any reason you are not satisfied with this Contract, you may return it within 10 days from the date you received it to Safeco Life or to the registered representative who sold you this Contract. When we receive this Contract, we will refund your Contract Value. This may be more or less than your Purchase Payments.] Signed for Safeco Life Insurance Company by: /s/ X.X. Xxxx /s/ Xxxxxxx X. Xxxxxx X.X. Xxxx Xxxxxxx X. Xxxxxx Xx. Vice President and Secretary President INDIVIDUAL MODIFIED SINGLE FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY NON-PARTICIPATING THIS IS A VARIABLE ANNUITY CONTRACT. WHEN YOUR CONTRACT VALUE AND ANNUITY PAYMENTS ARE BASED ON THE INVESTMENT EXPERIENCE OF THE PORTFOLIOS, THE DOLLAR AMOUNTS ARE NOT GUARANTEED AND WILL INCREASE OR DECREASE. SEE "PURCHASE PAYMENT PROVISIONS", "INVESTMENT OPTIONS", AND "ANNUITY PAYMENT PROVISIONS" FOR DETAILS. Safeco(R) and the Safeco logo are trademarks of Safeco Corporation. PRODUCT: SPINNAKER(R) PLUS VARIABLE ANNUITY - [TAX SHELTERED NON-QUALIFIED ANNUITY] OWNER/ANNUITANT: [Xxxx Xxx] JOINT OWNER: [Xxxx Xxx] Address: [0000 Xxxx Xx.] Address: [0000 Xxxx Xx.] [Xxx Xxxx, XX 00000-99990000] [Any City, ST 00000-0000] Date of Birth: [1/01/1969] Date of Birth: [2/01/1969] Age: [35] Age: [35] Sex: [Male] Sex: [Female] ANNUITANT: [Xxxx Xxx] JOINT ANNUITANT: [Xxxx Xxx] Address: [0000 Xxxx Xx.] Address: [0000 Xxxx Xx.] [Xxx Xxxx, XX 00000-0000] [Any Xxxx, XX 00000-0000] Date of Birth: [1/01/1969] Date of Birth: [2/01/1969] Age: [35] Age: [35] Sex: [Male] Sex: [Female] CONTRACT NUMBER: [LP12345678] CONTRACT DATE: [5/01/2004] INITIAL PURCHASE PAYMENT: [$50,000] EARNINGS ENHANCEMENT BENEFIT RIDER: [Selected or Not Selected] MINIMUM GUARANTEED DEATH BENEFIT - ANNUAL RESET RIDER: [Selected or Not Selected] DELIVERED IN THE STATE OF [ANY STATE] AND GOVERNED BY ITS LAWS. MAXIMUM ISSUE AGE: [85]. The contract date must be prior to the Owner's and Annuitant's (including any Joint Owner's and Joint Annuitant's) [86th] birthday. MAXIMUM ANNUITIZATION AGE: [90]. Annuity payments must begin prior to the Annuitant's (including any Joint Annuitant's) [91st] birthday. MINIMUM INITIAL PURCHASE PAYMENT: [$50,0002,000] MINIMUM SUBSEQUENT PURCHASE PAYMENTSPAYMENT: [$250]. Subsequent Purchase Payments are only accepted within 6 months of the contract date. ] MINIMUM GUARANTEED INTEREST RATE: [1.50%] ADDITIONAL INTEREST ON FIXED ACCOUNT IN FIRST CONTRACT YEARSpinnaker(R) is a registered trademark of Safeco Life Insurance Company. INSURANCE CHARGES: Additional interest will MORTALITY AND EXPENSE RISK CHARGE: Equal on an annual basis to [1.25%] of the average daily net assets of each Portfolio. ASSET-RELATED ADMINISTRATION CHARGE: Equal on an annual basis to [0.15%] of the average daily net assets of each Portfolio. EARNINGS ENHANCEMENT BENEFIT RIDER CHARGE: If this rider was selected, the charge is equal on an annual basis to [0.15%] of the average daily net assets of each Portfolio and the Fixed Account. MINIMUM GUARANTEED DEATH BENEFIT - ANNUAL RESET RIDER CHARGE: If this rider was selected, the charge is equal on an annual basis to [0.20%] of the average daily net assets of each Portfolio. ANNUAL ADMINISTRATION MAINTENANCE CHARGE: [$30] each Contract Year. The charge may be credited on amounts allocated changed prior to the fixed-term dollar cost averaging (DCA) options as followsAnnuity Date but will never exceed $50 per Contract Year. The additional interest charge will not be credited deducted if the contract value is [$50,000] or more when the charge is to be deducted. MINIMUM WITHDRAWAL: [$250] ([$100] if withdrawals made by electronic funds transfer), or the declining contract value if less. You must withdraw the entire amount out of an investment option if, after a withdrawal, the remaining balance remaining in the investment option would be less than [$500]. You must withdraw the entire contract value and your Contract will terminate if, after a withdrawal, the remaining contract value would be less than [$1,000]. CONTINGENT DEFERRED SALES CHARGE: May be assessed on a withdrawal. The contingent deferred sales charge is stated as a percentage of the amount withdrawn that exceeds the 10% free withdrawal amount. Total contingent deferred sales charges will not exceed 9% of the Purchase Payments made under this Contract. WITHDRAWAL CHARGE: [$25] or 2% of the amount withdrawn, whichever is less, for each withdrawal after the period of time selectedfirst withdrawal in a Contract Year.
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CONTRACT CAREFULLY. RIGHT TO EXAMINE THE CONTRACT: [If for any reason you are not satisfied with this Contract, you may return it within 10 days from the date you received it to Safeco Life or to the registered representative who sold you this Contract. When we receive this Contract, we will refund your Contract Value. This may be more or less than your Purchase Payments.] Signed for Safeco Life Insurance Company by: /s/ X.X. Xxxx /s/ Xxxxxxx X. Xxxxxx X.X. Xxxx Xxxxxxx X. Xxxxxx Xx. Vice President and Secretary President INDIVIDUAL MODIFIED SINGLE FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY NON-PARTICIPATING THIS IS A VARIABLE ANNUITY CONTRACT. WHEN YOUR CONTRACT VALUE AND ANNUITY PAYMENTS ARE BASED ON THE INVESTMENT EXPERIENCE OF THE PORTFOLIOS, THE DOLLAR AMOUNTS ARE NOT GUARANTEED AND WILL INCREASE OR DECREASE. SEE "PURCHASE PAYMENT PROVISIONS", "INVESTMENT OPTIONS", AND "ANNUITY PAYMENT PROVISIONS" FOR DETAILS. Safeco(R) and the Safeco logo are trademarks of Safeco Corporation. Corporation PRODUCT: SPINNAKER(R) PLUS CHOICE VARIABLE ANNUITY - [TAX SHELTERED NON-QUALIFIED ANNUITY] OWNER/ANNUITANT: [Xxxx Xxx] JOINT OWNER: [Xxxx Xxx] Address: [0000 Xxxx Xx.] Address: [0000 Xxxx Xx.] [Xxx Xxxx, XX 00000-99990000] [Any City, ST 00000-0000] Date of Birth: [1/01/1969] Date of Birth: [2/01/1969] Age: [35] Age: [35] Sex: [Male] Sex: [Female] ANNUITANT: [Xxxx Xxx] JOINT ANNUITANT: [Xxxx Xxx] Address: [0000 Xxxx Xx.] Address: [0000 Xxxx Xx.] [Xxx Xxxx, XX 00000-0000] [Any Xxxx, XX 00000-0000] Date of Birth: [1/01/1969] Date of Birth: [2/01/1969] Age: [35] Age: [35] Sex: [Male] Sex: [Female] CONTRACT NUMBER: [LP12345678] CONTRACT DATE: [5/01/2004] INITIAL PURCHASE PAYMENT: [$50,000] EARNINGS ENHANCEMENT BENEFIT RIDER: [Selected or Not Selected] MINIMUM GUARANTEED DEATH BENEFIT - ANNUAL RESET RIDER: [Selected or Not Selected] DELIVERED IN THE STATE OF [ANY STATE] AND GOVERNED BY ITS LAWS. MAXIMUM ISSUE AGE: [85]. The contract date must be prior to the Owner's and Annuitant's (including any Joint Owner's and Joint Annuitant's) [86th] birthday. MAXIMUM ANNUITIZATION AGE: [90]. Annuity payments must begin prior to the Annuitant's (including any Joint Annuitant's) [91st] birthday. MINIMUM INITIAL PURCHASE PAYMENT: [$50,00010,000] MINIMUM SUBSEQUENT PURCHASE PAYMENTSPAYMENT: [$250]. Subsequent Purchase Payments are only accepted within 6 months of the contract date. 1,000] MINIMUM GUARANTEED INTEREST RATE: [1.50%] ADDITIONAL INTEREST ON FIXED ACCOUNT IN FIRST CONTRACT YEAR: Additional If the initial Purchase Payment exceeds [$100,000], additional interest will be credited on amounts allocated to the fixed-term dollar cost averaging (DCA) options as follows: - An annual effective interest rate of [4.00%] if the 6-month dollar cost averaging option is chosen. The additional interest will be credited to the declining balance remaining in the this option for the a period of time 6 months. - An annual effective interest rate of [2.00%] if the 12-month dollar cost averaging option is chosen. The additional interest will be credited to the declining balance remaining in this option for a period of 12 months. Once the total Purchase Payments made during the first Contract Year exceed [$100,000], additional interest of an annual effective interest rate of [1.00%] will be credited on amounts allocated to the Fixed Account (excluding the 6-month and 12-month dollar cost averaging options). The additional interest will be credited from the date we receive the Purchase Payment that causes the total to exceed [$100,000] until the end of the first Contract Year. Spinnaker(R) is a registered trademark of Safeco Life Insurance Company. INSURANCE CHARGES: MORTALITY AND EXPENSE RISK CHARGE: Equal on an annual basis to [1.40%] of the average daily net assets of each Portfolio. ASSET-RELATED ADMINISTRATION CHARGE: Equal on an annual basis to [0.15%] of the average daily net assets of each Portfolio. EARNINGS ENHANCEMENT BENEFIT RIDER CHARGE: If this rider was selected, the charge is equal on an annual basis to [0.15%] of the average daily net assets of each Portfolio and the Fixed Account. MINIMUM GUARANTEED DEATH BENEFIT - ANNUAL RESET RIDER CHARGE: If this rider was selected, the charge is equal on an annual basis to [0.20%] of the average daily net assets of each Portfolio. ANNUAL ADMINISTRATION MAINTENANCE CHARGE: [$30] each Contract Year. The charge may be changed prior to the Annuity Date but will never exceed $50 per Contract Year. The charge will not be deducted if the contract value is [$50,000] or more when the charge is to be deducted. MINIMUM WITHDRAWAL: [$250] ([$100] if withdrawals made by electronic funds transfer), or the contract value if less. You must withdraw the entire amount out of an investment option if, after a withdrawal, the remaining balance in the investment option would be less than [$500]. You must withdraw the entire contract value and your Contract will terminate if, after a withdrawal, the remaining contract value would be less than [$1,000]. CONTINGENT DEFERRED SALES CHARGE: May be assessed on a withdrawal. The contingent deferred sales charge is stated as a percentage of the amount withdrawn that exceeds the 10% free withdrawal amount. Total contingent deferred sales charges will not exceed 9% of the Purchase Payments made under this Contract. WITHDRAWAL CHARGE: [$25] or 2% of the amount withdrawn, whichever is less, for each withdrawal after the first withdrawal in a Contract Year.
Appears in 1 contract
CONTRACT CAREFULLY. RIGHT TO EXAMINE THE CONTRACT: [If for any reason you are not satisfied with this Contract, you may return it within 10 days from the date you received it to Safeco Life or to the registered representative who sold you this Contract. When we receive this Contract, we will refund your Contract Value. This may be more or less than your Purchase Payments.] Signed for Safeco Life Insurance Company by: /s/ X.X. Xxxx /s/ Xxxxxxx X. Xxxxxx X.X. Xxxx Xxxxxxx X. Xxxxxx Xx. Vice President and Secretary President INDIVIDUAL MODIFIED SINGLE FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY NON-PARTICIPATING THIS IS A VARIABLE ANNUITY CONTRACT. WHEN YOUR CONTRACT VALUE AND ANNUITY PAYMENTS ARE BASED ON THE INVESTMENT EXPERIENCE OF THE PORTFOLIOS, THE DOLLAR AMOUNTS ARE NOT GUARANTEED AND WILL INCREASE OR DECREASE. ALL VALUES AND PAYMENTS BASED ON THE GUARANTEED INTEREST PERIOD FIXED ACCOUNT OPTION, WHEN TAKEN BEFORE THE END OF A GUARANTEED PERIOD, MAY BE SUBJECT TO A MARKET VALUE ADJUSTMENT. THE MARKET VALUE ADJUSTMENT MAY CAUSE SUCH VALUES AND PAYMENTS TO INCREASE OR DECREASE. SEE "PURCHASE PAYMENT PROVISIONS", "INVESTMENT OPTIONS", AND "ANNUITY PAYMENT PROVISIONS" FOR DETAILS. Safeco(R) and the Safeco logo are trademarks of Safeco Corporation. PRODUCT: SPINNAKER(R) PLUS ADVISOR VARIABLE ANNUITY - [TAX SHELTERED NON-QUALIFIED ANNUITY] OWNER/ANNUITANT: [Xxxx Xxx] Address: [0000 Xxxx Xx.] [Xxx Xxxx, XX 00000-9999] Date of Birth: [1/01/1969] Age: [35] Sex: [Male] ANNUITANT: [Xxxx Xxx] Address: [0000 Xxxx Xx.] [Any City, ST 99999-9999] Date of Birth: [1/01/1969] Age: [35] Sex: [Male] JOINT OWNER: [Xxxx Xxx] Address: [0000 Xxxx Xx.] [Any City, ST 99999-9999] Date of Birth: [2/01/1969] Age: [35] Sex: [Female] JOINT ANNUITANT: [Xxxx Xxx] Address: [0000 Xxxx Xx.] [Xxx Xxxx, XX 00000-9999] Date of Birth: [2/01/1969] Age: [35] Sex: [Female] CONTRACT NUMBER: [LP12345678] CONTRACT DATE: [5/01/2004] INITIAL PURCHASE PAYMENT: [$50,000] DELIVERED IN THE STATE OF [ANY STATE] AND GOVERNED BY ITS LAWS. MAXIMUM ISSUE AGE: [85]. The contract date must be prior to the Owner's and Annuitant's (including any Joint Owner's and Joint Annuitant's) [86th] birthday. MAXIMUM ANNUITIZATION AGE: [90]. Annuity payments must begin prior to the Annuitant's (including any Joint Annuitant's) [91st] birthday. MINIMUM INITIAL PURCHASE PAYMENT: [$50,00010,000] MINIMUM SUBSEQUENT PURCHASE PAYMENTSPAYMENT: [$250]30] MINIMUM ALLOCATIONS TO THE FIXED ACCOUNT OPTIONS: Dollar Cost Averaging Fixed Account Option - $5,000. Subsequent Purchase Payments are only accepted within 6 months of the contract dateEnhanced Fixed Account Option - No minimum. Guaranteed Interest Period Fixed Account Option - $1,000 for each selected Guaranteed Period. MINIMUM GUARANTEED INTEREST RATE: [1.50%] ADDITIONAL INTEREST ON FIXED ACCOUNT IN FIRST INSURANCE CHARGES: MORTALITY AND EXPENSE RISK CHARGE: Equal on an annual basis to [1.25%] of the average daily net assets of each Portfolio. ASSET-RELATED ADMINISTRATION CHARGE: Equal on an annual basis to [0.20%] of the average daily net assets of each Portfolio. Spinnaker(R) is a registered trademark of Safeco Life Insurance Company. CONTRACT YEARDATA PAGE MINIMUM WITHDRAWAL: Additional interest [$250] ([$100] if withdrawals made by electronic funds transfer), or the contract value if less. You must withdraw the entire amount out of an investment option if, after a withdrawal, the remaining balance in the investment option would be less than [$500]. You must withdraw the entire contract value and your Contract will terminate if, after a withdrawal, the remaining contract value would be credited less than [$1,000]. DISTRIBUTION CHARGE: May be assessed on amounts allocated to a withdrawal from the fixed-term dollar cost averaging (DCA) options as followsEnhanced Fixed Account Option if the withdrawal, together with prior withdrawals and transfers taken from the Enhanced Fixed Account Option during the Contract Year, exceed 15% of the Enhanced Fixed Account value. The additional interest will be credited to distribution charge is stated as a percentage of the declining balance remaining amount withdrawn from the Enhanced Fixed Account Option that exceeds the 15% free withdrawal amount. WITHDRAWAL CHARGE: [$25] or 2% of the amount withdrawn, whichever is less, for each withdrawal after the first withdrawal in the option for the period of time selecteda Contract Year.
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