| Annuitant Owner | | [THOMAS J. DOE] [JOHN Q. DOE] | | | |----------------------------------------------------------------------------| | Initial Premium Annuity Option Annuity Commencement Date | | [$10,000] [LIFE 10-YEAR CERTAIN] [JANUARY 1, 2026]...Deferred Combination Variable and Fixed Annuity 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]...Deferred Combination Variable and Fixed Annuity Contract • October 2nd, 2000 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledOctober 2nd, 2000 Company
GOLDEN AMERICAN [LOGO] LIFE INSURANCE DEFERRED COMBINATION COMPANY VARIABLE AND FIXED ANNUITY CONTRACT Golden American is a stock Company domiciled in Delaware - ----------------------------------------------------------------------------- -...Deferred Combination Variable and Fixed Annuity 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] | |...Deferred Combination Variable and Fixed Annuity 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 - ----------------------------------------------------------------------------- -...Deferred Combination Variable and Fixed Annuity 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] | |...Deferred Combination Variable and Fixed Annuity 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] | |...Deferred Combination Variable and Fixed Annuity Contract • December 18th, 1998 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledDecember 18th, 1998 Company
CONTRACT CONTENTS ------------------------------------------------------------------------------Deferred Combination Variable and Fixed Annuity Contract • February 12th, 1998 • Golden American Life Insurance Co /Ny/
Contract Type FiledFebruary 12th, 1998 Company
CONTRACT CONTENTS ------------------------------------------------------------------------------Deferred Combination Variable and Fixed Annuity Contract • February 12th, 1998 • Golden American Life Insurance Co /Ny/
Contract Type FiledFebruary 12th, 1998 Company
CONTRACT CONTENTS ------------------------------------------------------------------------------Deferred Combination Variable and Fixed Annuity Contract • February 12th, 1998 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledFebruary 12th, 1998 Company
CONTRACT CONTENTS ------------------------------------------------------------------------------Deferred Combination Variable and Fixed Annuity Contract • February 12th, 1998 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledFebruary 12th, 1998 Company
CONTRACT CONTENTS ------------------------------------------------------------------------------Deferred Combination Variable and Fixed Annuity Contract • September 24th, 1997 • Golden American Life Insurance Co /Ny/
Contract Type FiledSeptember 24th, 1997 Company
CONTRACT CONTENTS ------------------------------------------------------------------------------Deferred Combination Variable and Fixed Annuity Contract • September 24th, 1997 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledSeptember 24th, 1997 Company
CONTRACT CONTENTS ------------------------------------------------------------------------------Deferred Combination Variable and Fixed Annuity Contract • September 24th, 1997 • Separate Account B of Golden American Life Insurance Co
Contract Type FiledSeptember 24th, 1997 Company
CONTRACT CONTENTS ------------------------------------------------------------------------------Deferred Combination Variable and Fixed Annuity Contract • September 24th, 1997 • Golden American Life Insurance Co /Ny/
Contract Type FiledSeptember 24th, 1997 Company