0000749330-04-000010 Sample Contracts

ANNUITANT: John Doe OWNER: John Doe CONTRACT NUMBER: 0123456789 CONTRACT DATE: August 01, 2004
Carillon Account • August 13th, 2004

WE promise to pay the benefits of this contract in accordance with its terms. LOOK AT THE APPLICATION FORMS. This contract is issued based on payment of the initial premium and the answers in the application (see copy attached). If all answers are not true and complete, this contract may be affected. PLEASE READ THIS CONTRACT CAREFULLY. This is a legal contract between you and Union Central. RIGHT TO EXAMINE THE CONTRACT. IT IS IMPORTANT TO UNION CENTRAL THAT YOU ARE SATISFIED WITH THIS CONTRACT. YOU HAVE 10 DAYS AFTER YOU RECEIVE IT TO REVIEW THE CONTRACT. IF THIS CONTRACT IS A REPLACEMENT FOR AN EXISTING CONTRACT YOU HAVE 20 DAYS AFTER YOU RECEIVE IT TO REVIEW THE CONTRACT. IF YOU ARE NOT SATISFIED, YOU MAY SEND IT BACK TO US OR GIVE IT TO OUR AGENT. IN SUCH CASE, THIS CONTRACT WILL BE VOID FROM THE BEGINNING. WE WILL REFUND, WITHIN 7 DAYS AFTER THIS CONTRACT IS RETURNED, THE ACCUMULATION VALUE OF THE CONTRACT. IF THIS CONTRACT IS ISSUED AS AN INDIVIDUAL RETIREMENT ACCOUNT, AND YOU R

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