FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACTFlexible Premium Deferred Variable Annuity Contract • June 24th, 2008 • SBL Variable Annuity Account Xvii
Contract Type FiledJune 24th, 2008 Company
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACTFlexible Premium Deferred Variable Annuity Contract • June 24th, 2008 • SBL Variable Annuity Account Xvii
Contract Type FiledJune 24th, 2008 Company
Exhibit 4(t)(i) [CUNA MUTUAL GROUP LOGO] CUNA Mutual Insurance Society A Mutual Insurance Company 2000 Heritage Way Waverly, IA 50677 Phone: 1-800-798-5500 FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT NUMBER: 123456789 READ YOUR CONTRACT...Flexible Premium Deferred Variable Annuity Contract • January 2nd, 2008 • Cuna Mutual Variable Annuity Account
Contract Type FiledJanuary 2nd, 2008 Company
OWNER: JOHN DOE SUCCESSOR OWNER: MARY DOE ANNUITANT: JOHN DOE CERTIFICATE NUMBER: 00000 CONTRACT DATE: March 1 2008] 2007IFL-I-B(rev 11-07) FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT Processing Office: AXA Equitable Life Insurance Company,...Flexible Premium Deferred Variable Annuity Contract • December 17th, 2007 • Separate Account a of Axa Equitable Life Insurance Co
Contract Type FiledDecember 17th, 2007 Company
OWNER: JOHN DOE SUCCESSOR OWNER: MARY DOE ANNUITANT: JOHN DOE CERTIFICATE NUMBER: 00000 CONTRACT DATE: March 1 2008] 2007IFL-I-A(rev 11-07) FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT Processing Office: AXA Equitable Life Insurance Company,...Flexible Premium Deferred Variable Annuity Contract • December 14th, 2007 • Separate Account a of Axa Equitable Life Insurance Co
Contract Type FiledDecember 14th, 2007 Company
FIRST SECURITY BENEFIT LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (SM) FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT FSBL'S PROMISE In consideration of the Purchase Payments, First Security Benefit Life Insurance and Annuity Company of New...Flexible Premium Deferred Variable Annuity Contract • April 13th, 2007 • Variable Annuity Account A
Contract Type FiledApril 13th, 2007 Company
FIRST SECURITY BENEFIT LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK(SM) FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT FSBL'S PROMISE In consideration of the Purchase Payments, First Security Benefit Life Insurance and Annuity Company of New...Flexible Premium Deferred Variable Annuity Contract • April 13th, 2007 • Variable Annuity Account A
Contract Type FiledApril 13th, 2007 Company
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACTFlexible Premium Deferred Variable Annuity Contract • November 9th, 2006 • SBL Variable Annuity Account Xiv
Contract Type FiledNovember 9th, 2006 Company
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACTFlexible Premium Deferred Variable Annuity Contract • November 9th, 2006 • SBL Variable Annuity Account Xiv
Contract Type FiledNovember 9th, 2006 Company
SF 797 FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT. We agree to provide the benefits and other rights of this contract. Payment of benefits is subject to the provisions, terms, and conditions of this contract. NON-PARTICIPATING. This contract...Flexible Premium Deferred Variable Annuity Contract • September 2nd, 2005 • Principal Life Insurance Co Separate Account B
Contract Type FiledSeptember 2nd, 2005 Company
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACTFlexible Premium Deferred Variable Annuity Contract • July 19th, 2005 • SBL Variable Annuity Account Xvii
Contract Type FiledJuly 19th, 2005 Company
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACTFlexible Premium Deferred Variable Annuity Contract • July 19th, 2005 • SBL Variable Annuity Account Xvii
Contract Type FiledJuly 19th, 2005 Company
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACTFlexible Premium Deferred Variable Annuity Contract • July 19th, 2005 • SBL Variable Annuity Account Xvii
Contract Type FiledJuly 19th, 2005 CompanyIn consideration of the Purchase Payments and the application (which is incorporated herein by reference), Security Benefit Life Insurance Company ("SBL") will pay the benefits of this Contract according to its terms.
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACTFlexible Premium Deferred Variable Annuity Contract • July 19th, 2005 • SBL Variable Annuity Account Xvii
Contract Type FiledJuly 19th, 2005 Company
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACTFlexible Premium Deferred Variable Annuity Contract • May 2nd, 2005 • SBL Variable Annuity Account Xvii
Contract Type FiledMay 2nd, 2005 Company
FIRST SECURITY BENEFIT LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT FSBL'S PROMISE In consideration of the Purchase Payments, First Security Benefit Life Insurance and Annuity Company of New York...Flexible Premium Deferred Variable Annuity Contract • November 18th, 2004 • Variable Annuity Account B
Contract Type FiledNovember 18th, 2004 Company
FIRST SECURITY BENEFIT LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT FSBL'S PROMISE In consideration of the Purchase Payments, First Security Benefit Life Insurance and Annuity Company of New York...Flexible Premium Deferred Variable Annuity Contract • November 18th, 2004 • Variable Annuity Account B
Contract Type FiledNovember 18th, 2004 Company
SECURITY BENEFIT LIFE INSURANCE COMPANY FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT SBL'S PROMISE In consideration of the Purchase Payments and the application (which is incorporated herein by reference), Security Benefit Life Insurance...Flexible Premium Deferred Variable Annuity Contract • November 12th, 2004 • SBL Variable Annuity Account Xiv
Contract Type FiledNovember 12th, 2004 Company
CONTRACT DATA PAGE ------------------------------------------------------------ -------------------- OWNER NAME: CONTRACT NUMBER: Jane Doe 123456789 JOINT OWNER NAME: CONTRACT DATE: John Doe July 1, 1999 ANNUITANT NAME: ANNUITY START DATE: Jane Doe...Flexible Premium Deferred Variable Annuity Contract • November 12th, 2004 • SBL Variable Annuity Account Xiv
Contract Type FiledNovember 12th, 2004 Company
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT. We agree to provide the benefits and other rights of this contract. Payment of benefits is subject to the provisions, terms, and conditions of this contract. NON-PARTICIPATING. This contract is a...Flexible Premium Deferred Variable Annuity Contract • June 7th, 2004 • Principal Life Insurance Co Separate Account B
Contract Type FiledJune 7th, 2004 Company
TABLE OF CONTENTS DEFINITIONS PAGE Section 1.01 - Annuitant 4 1.02 - Annuity 4 1.03 - Annuity Account Value 4 1.03A- Applicable Tax Charges 4 1.04 - Benefit 4 1.05 - Cash Value 4 1.06 - Class of Contracts 5 1.07 - Code 5 1.08 - Contract 5 1.09 -...Flexible Premium Deferred Variable Annuity Contract • April 17th, 2003 • Separate Account a of Equitable Life Assu Soc of the Us
Contract Type FiledApril 17th, 2003 Company
Exhibit 4(a) Allstate Life Insurance Company A Stock Company Home Office: 3100 Sanders Road, Northbrook, Illinois 60062-7154 ................................. ................................................ Flexible Premium Deferred Variable Annuity...Flexible Premium Deferred Variable Annuity Contract • February 3rd, 2003 • Allstate Financial Advisors Separate Account I
Contract Type FiledFebruary 3rd, 2003 Company
Exhibit 4(d) PA128NY Allstate Life Insurance Company of New York A Stock Company Headquarters: One Allstate Drive, Farmingville, New York 11738 Flexible Premium Deferred Variable Annuity Contract This Contract is issued to the Owner in consideration...Flexible Premium Deferred Variable Annuity Contract • October 31st, 2002 • Allstate Life of New York Separate Account A • New York
Contract Type FiledOctober 31st, 2002 Company Jurisdiction
Exhibit 4(c) PA130NY Allstate Life Insurance Company of New York A Stock Company Headquarters: One Allstate Drive, Farmingville, New York 11738 Flexible Premium Deferred Variable Annuity Contract This Contract is issued to the Owner in consideration...Flexible Premium Deferred Variable Annuity Contract • October 31st, 2002 • Allstate Life of New York Separate Account A • New York
Contract Type FiledOctober 31st, 2002 Company Jurisdiction
Exhibit 4(e) PA126NY (NMVA) Allstate Life Insurance Company of New York A Stock Company Headquarters: One Allstate Drive, Farmingville, New York 11738 Flexible Premium Deferred Variable Annuity Contract This Contract is issued to the Owner in...Flexible Premium Deferred Variable Annuity Contract • October 31st, 2002 • Allstate Life of New York Separate Account A • New York
Contract Type FiledOctober 31st, 2002 Company Jurisdiction
FIRST SECURITY BENEFIT LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT FSBL'S PROMISE In consideration of the Purchase Payments and the attached application, First Security Benefit Life Insurance and...Flexible Premium Deferred Variable Annuity Contract • July 19th, 2002 • Variable Annuity Account A
Contract Type FiledJuly 19th, 2002 Company
FIRST SECURITY BENEFIT LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT FSBL'S PROMISE In consideration of the Purchase Payments and the attached application, First Security Benefit Life Insurance and...Flexible Premium Deferred Variable Annuity Contract • July 19th, 2002 • Variable Annuity Account A
Contract Type FiledJuly 19th, 2002 Company
Allstate Life Insurance Company A Stock CompanyFlexible Premium Deferred Variable Annuity Contract • June 10th, 2002 • Allstate Life Insurance Co Separate Account A
Contract Type FiledJune 10th, 2002 Company
Page 1 PA130 Allstate Life Insurance Company A Stock CompanyFlexible Premium Deferred Variable Annuity Contract • June 10th, 2002 • Allstate Life Insurance Co Separate Account A
Contract Type FiledJune 10th, 2002 Company
Allstate Life Insurance Company A Stock Company Home Office: 3100 Sanders Road, Northbrook, Illinois 60062-7154 ............................................... .................................. Flexible Premium Deferred Variable Annuity Contract This...Flexible Premium Deferred Variable Annuity Contract • June 10th, 2002 • Allstate Life Insurance Co Separate Account A
Contract Type FiledJune 10th, 2002 Company
OWNER NAME: CONTRACT NUMBER: Jane Doe 123456789 JOINT OWNER NAME: CONTRACT DATE: John Doe July 1, 1999 ANNUITANT NAME: ANNUITY START DATE: Jane Doe October 5, 2030Flexible Premium Deferred Variable Annuity Contract • May 28th, 2002 • Variable Annuity Account A
Contract Type FiledMay 28th, 2002 Company
OWNER NAME: CONTRACT NUMBER: Jane Doe 123456789 JOINT OWNER NAME: CONTRACT DATE: John Doe July 1, 1999 ANNUITANT NAME: ANNUITY START DATE: Jane Doe October 5, 2030Flexible Premium Deferred Variable Annuity Contract • May 28th, 2002 • Variable Annuity Account A
Contract Type FiledMay 28th, 2002 Company
Page 2 GLMU142 Glenbrook Life and Annuity Company A Stock CompanyFlexible Premium Deferred Variable Annuity Contract • November 29th, 2001 • Glenbrook Life & Annuity Co Separate Account A
Contract Type FiledNovember 29th, 2001 Company
Ex. (4)(a) Glenbrook Life and Annuity Company A Stock Company Headquarters: 3100 Sanders Road, Northbrook, Illinois 60062-7154 ---------------------------- ---------------------------------------------------- Flexible Premium Deferred Variable Annuity...Flexible Premium Deferred Variable Annuity Contract • July 25th, 2001 • Glenbrook Life Multi-Manager Variable Account
Contract Type FiledJuly 25th, 2001 Company
Allstate Life Insurance Company A Stock Company Home Office: Allstate Plaza, Northbrook, Illinois 60062-7154 Flexible Premium Deferred Variable Annuity Contract This Contract is issued to the Owner in consideration of the initial purchase payment....Flexible Premium Deferred Variable Annuity Contract • June 29th, 2001 • Allstate Financial Advisors Separate Account I
Contract Type FiledJune 29th, 2001 Company