Preferred Life Insurance Company of New York Logo] 152 West 57th Street, 18th Floor New York, New York 10019 This is a legal Contract between the Contract Owner (referred to in this Contract as you and your) and Preferred Life Insurance Company of New...Annuity Contract • December 21st, 2001 • Preferred Life Variable Account C
_____________________________________ Name Name __________________________________ _____________________________________ Relationship to Contract Owner SSN Relationship to Contract Owner SSN __________________________________...Individual Flexible Premium Variable Annuity • December 21st, 2001 • Preferred Life Variable Account C
