Common Contracts
5 similar Variable Annuity Contract Application contracts by Cm Multi Account A, Lincoln Life & Annuity Variable Annuity Account H, CML Offitbank Separate Account
Applicants signing in New York must use this form. Lincoln Life & Annuity American Legacy(R) Company of New York Shareholder's Advantage Home office: Syracuse, New York Fee Based ------------------------------- Shareholder's Advantage is a variable...Variable Annuity Contract Application • April 22nd, 2005 • Lincoln Life & Annuity Variable Annuity Account H
------------------------------- Applicants signing in New York must use this form. Lincoln Life & Annuity American Legacy(R) Company of New York Shareholder's Advantage Home office: Syracuse, New York Fee Based ------------------------------- Shareholder's Advantage is a variable annuity contract. ------------------------------------------------------------------------------------------------------------------------------------
Social Security number/TIN [_][_][_]-[_][_]-[_][_][_][_] ____________________________________________________________ Full legal name or trust name* Date of birth [_][_] [_][_] [_][_] [_] Male [_] Female Month Day Year...Variable Annuity Contract Application • April 8th, 2004 • Lincoln Life & Annuity Variable Annuity Account H
Address (City, State, Zip) Sex: [_] Male [_] Female Telephone Number ( ) ------ ------------------------------------------------------------------------------- --------------- 3. ANNUITANT INFORMATION NOTE: .Add Annuitant information only if different...Variable Annuity Contract Application • February 1st, 2000 • Cm Multi Account A
Contract #_____________________ (For H.O. Use Only) -------------------------------Variable Annuity Contract Application • June 18th, 1999 • Cm Multi Account A
! Contract #_____________________! ! (For H.O. Use Only) ! !--------------------------------!Variable Annuity Contract Application • October 10th, 1995 • CML Offitbank Separate Account
