The Variable Separate Accounts Clause Samples

The Variable Separate Accounts. The General Account Valuation Period Accumulation Value Accumulation Value in each Division Measurement of Investment Experience Charges Deducted from Accumulation Value on each Contract Processing Date Copies of any additional Riders and Endorsements are at the back of this Contract. THE SCHEDULE The Schedule gives specific facts about this Contract and its coverage. Please refer to the Schedule while reading this Contract. GA-IA-1083 2 THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION ------------------------------------------------------------------------------- |-----------------------------------------------------------------------------| |Annuitant Owner | |[THOMAS J. DOE] [JOHN Q. DOE] | |-----------------------------------------------------------------------------| |Annuitant's Issue Age Annuitant's Sex Owner's Issue Age | | [55] [MALE] [35] | |-----------------------------------------------------------------------------| |Initial Premium Annuity Option Annuity Commencement Date | | [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] | |-----------------------------------------------------------------------------| |Contract Date Issue Date Residence Status | | [JANUARY 1, 1996] [JANUARY 1, 1996 ] [DELAWARE] | |-----------------------------------------------------------------------------| |Separate Account(s) Contract Number | | [SEPARATE ACCOUNT B] [123456] | |-----------------------------------------------------------------------------| INITIAL INVESTMENT Initial Premium Payment received: [$10,000] Your initial Accumulation Value has been invested as follows: Percentage of Divisions Accumulation Value --------- ------------------ [Equity Income 10% Fully Managed 10% Capital Appreciation 10% Rising Dividends 10% Growth 10% Real Estate 10% Value Equity 10% Hard Assets 5% Emerging Markets 5% Managed Global 5% Limited Maturity Bond 5% Liquid Asset 5% Strategic Equity 5%] ------------------------------ -------------------------- Total 100% ----- ----