EXHIBIT 1.A.(13)(y)
[ ] Pruco Life Insurance Company
[ ] Pruco Life Insurance Company of New Jersey
Insured Rider for Policy No.
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TERMINATION OF BENEFIT
We agree that the benefit _____________________________________________________
____________________________________ , will end as of ________________________.
Then all references in this contract to that benefit will no longer apply.
The premium for that benefit will not be payable on or after that date.
RIDER ATTACHED TO AND MADE A PART OF THIS CONTRACT
Signed for the Company,
By /s/ SPECIMEN
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Secretary
Date Attest
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PLIY 24--82 Printed in U.S.A.
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II-156
