GOLDEN AMERICAN DEFERRED VARIABLE LIFE INSURANCE ANNUITY CONTRACT COMPANY Golden American is a stock company domiciled in Delaware. -------------------------------------------------------------------------------Deferred Variable Annuity Contract • October 2nd, 2000 • Separate Account B of Golden American Life Insurance Co
| 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
DEFERRED COMBINATION VARIABLE AND FIXED ANNUITY GROUP MASTER CONTRACT Golden American is a stock company domiciled in Delaware ------------------------------------------------------------------------------- Offices: 1475 Dunwoody Drive, West Chester,...Deferred Combination Variable and Fixed Annuity Group Master Contract • October 2nd, 2000 • Separate Account B of Golden American Life Insurance Co
