0000928385-01-500554 Sample Contracts

DREYFUS)

Fund Participation Agreement • April 30th, 2001 • Separate Account Va G • New York

• Contract Type
  Fund Participation Agreement
• Filed
  April 30th, 2001
• Company
  Separate Account Va G
• Jurisdiction
  New York

CONTRACT NUMBER: 123456789 CONTRACT DATE: August 1, 2000

Annuity Contract • April 30th, 2001 • Separate Account Va G

• Contract Type
  Annuity Contract
• Filed
  April 30th, 2001
• Company
  Separate Account Va G

EXHIBIT (3)(b)(1) FORM OF BROKER/DEALER AGREEMENT LIFE INSURANCE COMPANY PRODUCT SALES AGREEMENT ======================================================= ========================= THIS AGREEMENT is made by and among each life insurance company...

Broker/Dealer Agreement • April 30th, 2001 • Separate Account Va G

• Contract Type
  Broker/Dealer Agreement
• Filed
  April 30th, 2001
• Company
  Separate Account Va G