PRUDENTIAL LOGO] Insured Rider for Policy No. TERMINATION OF BENEFIT
EXHIBIT 30(d)(xl)
[PRUDENTIAL LOGO]
Insured Rider for Policy No.
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 monthly charges for that benefit will not be deductible on or after that date.
Xxxxx attached to and made a part of this contract
The Prudential Insurance Company of America,
By /s/ XXXXXXX X. XXXXX
Secretary
ORD 86313--88
Date Attest