0000878467-97-000004 Sample Contracts

EXHIBIT 4(a) FIDELITY INVESTMENTS LIFE INSURANCE COMPANY SALT LAKE CITY, UTAH SELF DIRECTED INCOME ANNUITY VARIABLE AND/OR FIXED INCOME NONPARTICIPATING Fidelity Investments Life Insurance Company agrees to pay lifetime income to the Annuitant, and...
Empire Fidelity Investments Variable Annuity Account A • April 25th, 1997

EXHIBIT 4(a) FIDELITY INVESTMENTS LIFE INSURANCE COMPANY SALT LAKE CITY, UTAH SELF DIRECTED INCOME ANNUITY VARIABLE AND/OR FIXED INCOME NONPARTICIPATING Fidelity Investments Life Insurance Company agrees to pay lifetime income to the Annuitant, and the Joint Annuitant if any, beginning with the first Annuity Income Date and to provide the other rights and benefits of this Contract. These agreements are subject to all the provisions of this Contract. This Contract has been issued in return for the attached application and the single purchase payment made. ALL INCOME AND VALUES PROVIDED BY THIS CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO DOLLAR AMOUNT. Signed for the Company at its Executive Offices, Boston, Massachusetts PRESIDENT SECRETARY TEN DAY RIGHT TO RETURN THE CONTRACT When this Contract is issued, you have 10 days after you receive it from the Company to examine it. Within those 10 days you can return the Contra

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