0000898430-96-001024 Sample Contracts

I. APPOINTMENT
Selling Agreement • March 28th, 1996 • Pacific Select Variable Annuity Separate Account • California
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EXHIBIT 99.4(h) Free Look Sticker ST-43 Free Look Right - You may return this Contract within 10 days after you receive it. To do so, mail it to us or our agent. This Contract will then be deemed void from the beginning, no Withdrawal Charge will be...
Free Look Right Agreement • March 28th, 1996 • Pacific Select Variable Annuity Separate Account

Free Look Right - You may return this Contract within 10 days after you receive it. To do so, mail it to us or our agent. This Contract will then be deemed void from the beginning, no Withdrawal Charge will be imposed and we will refund:

WITHDRAWAL CHARGE: AGE OF PREMIUM IN CONTRACT YRS CHARGE PERCENT 1 6% 2 6% 3 5% 4 4% 5 3% 6 0%
Individual Flexible Premium Variable Accumulation Deferred Annuity Contract • March 28th, 1996 • Pacific Select Variable Annuity Separate Account
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