ING USA is a stock company domiciled in Iowa. --------------------------------- ----------------------------------------------- Annuitant Owner [THOMAS J. DOE] [JOHN Q. DOE] -----------------------------------------------------------------...Your Contract • May 16th, 2005 • Separate Account B of Ing Usa Annuity Life Insurance Co
Contract Type FiledMay 16th, 2005 Company
THE SCHEDULE CONTRACT FACTS --------------------------------------------------- ----------------------------- ------------------------------------------------- ------------------------------- Annuitant Owner(s) [THOMAS J. DOE] [JOHN Q. DOE]...Your Contract • August 13th, 2004 • Ing Usa Annuity & Life Insurance Co
Contract Type FiledAugust 13th, 2004 Company
Annuitant Owner [THOMAS J. DOE] [JOHN Q. DOE] --------------------------------- ----------------------------------------------- Initial Premium Annuity Option Annuity Commencement Date [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] --...Your Contract • July 9th, 2004 • Separate Account B of Ing Usa Annuity Life Insurance Co
Contract Type FiledJuly 9th, 2004 Company
|Annuitant Owner(s) | |[THOMAS J. DOE] [JOHN Q. DOE] | |----------------------- -------------------------------------------------------| |Initial Premium Annuity Option Annuity Commencement Date | |[$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026] |...Your Contract • February 8th, 2002 • Golden American Life Insurance Co /Ny/
Contract Type FiledFebruary 8th, 2002 Company
CONTRACT CONTENTSYour Contract • April 24th, 2001 • Golden American Life Insurance Co /Ny/
Contract Type FiledApril 24th, 2001 Company
CONTRACT CONTENTS -------------------------------------------------------------------------------Your Contract • April 24th, 2001 • Golden American Life Insurance Co /Ny/
Contract Type FiledApril 24th, 2001 Company
CONTRACT CONTENTSYour Contract • February 26th, 2001 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledFebruary 26th, 2001 Company
CONTRACT CONTENTS -------------------------------------------------------------------------------Your Contract • February 26th, 2001 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledFebruary 26th, 2001 Company
GOLDEN AMERICAN DEFERRED VARIABLE LIFE INSURANCE ANNUITY CONTRACT COMPANY Golden American is a stock company domiciled in Delaware. -------------------------------------------------------------------------------Your Contract • October 2nd, 2000 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledOctober 2nd, 2000 Company
| Annuitant Owner | | [THOMAS J. DOE] [JOHN Q. DOE] | | | |----------------------------------------------------------------------------| | Initial Premium Annuity Option Annuity Commencement Date | | [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026]...Your Contract • October 2nd, 2000 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledOctober 2nd, 2000 Company
CONTRACT CONTENTS ------------------------------------------------------------------------------Your Contract • September 13th, 2000 • Golden American Life Insurance Co /Ny/
Contract Type FiledSeptember 13th, 2000 Company
CONTRACT CONTENTSYour Contract • June 23rd, 2000 • Golden American Life Insurance Co /Ny/
Contract Type FiledJune 23rd, 2000 Company
GOLDEN AMERICAN [LOGO] LIFE INSURANCE DEFERRED COMBINATION COMPANY VARIABLE AND FIXED ANNUITY CONTRACT Golden American is a stock Company domiciled in Delaware - ----------------------------------------------------------------------------- -...Your Contract • April 26th, 1999 • Golden American Life Insurance Co /Ny/
Contract Type FiledApril 26th, 1999 Company
THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION ------------------------------------------------------------------------- ------------------------------------------------------------------------- | Annuitant Owner | | [THOMAS J. DOE] [JOHN Q. DOE] | |...Your Contract • April 26th, 1999 • Golden American Life Insurance Co /Ny/
Contract Type FiledApril 26th, 1999 Company
THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION ------------------------------------------------------------------------- ------------------------------------------------------------------------- | Annuitant Owner | | [THOMAS J. DOE] [JOHN Q. DOE] | |...Your Contract • April 26th, 1999 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledApril 26th, 1999 Company
EXHIBIT (4)(c) ________ GOLDEN _________ AMERICAN DEFERRED VARIABLE ____________ LIFE INSURANCE ANNUITY CONTRACT _______ COMPANY Golden American is a stock company domiciled in Delaware....Your Contract • April 26th, 1999 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledApril 26th, 1999 Company
GOLDEN AMERICAN [LOGO] LIFE INSURANCE DEFERRED COMBINATION COMPANY VARIABLE AND FIXED ANNUITY CONTRACT Golden American is a stock Company domiciled in Delaware - ----------------------------------------------------------------------------- -...Your Contract • April 26th, 1999 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledApril 26th, 1999 Company
THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION ------------------------------------------------------------------------- ------------------------------------------------------------------------- | Annuitant Owner | | [THOMAS J. DOE] [JOHN Q. DOE] | |...Your Contract • February 5th, 1999 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledFebruary 5th, 1999 Company
THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION ------------------------------------------------------------------------- ------------------------------------------------------------------------- | Annuitant Owner | | [THOMAS J. DOE] [JOHN Q. DOE] | |...Your Contract • February 5th, 1999 • Golden American Life Insurance Co /Ny/
Contract Type FiledFebruary 5th, 1999 Company
THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION ------------------------------------------------------------------------- ------------------------------------------------------------------------- | Annuitant Owner | | [THOMAS J. DOE] [JOHN Q. DOE] | |...Your Contract • December 18th, 1998 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledDecember 18th, 1998 Company
THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION ------------------------------------------------------------------------- ------------------------------------------------------------------------- | Annuitant Owner | | [THOMAS J. DOE] [JOHN Q. DOE] | |...Your Contract • December 18th, 1998 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledDecember 18th, 1998 Company
THE SCHEDULE PAYMENT AND INVESTMENT INFORMATION ------------------------------------------------------------------------- ------------------------------------------------------------------------- | Annuitant Owner | | [THOMAS J. DOE] [JOHN Q. DOE] | |...Your Contract • December 18th, 1998 • Golden American Life Insurance Co /Ny/
Contract Type FiledDecember 18th, 1998 Company