PARTICIPATION AGREEMENT AMONG TEMPLETON VARIABLE PRODUCTS SERIES FUND, FRANKLIN TEMPLETON DISTRIBUTORS, INC. and COVA FINANCIAL SERVICES LIFE INSURANCE COMPANY THIS AGREEMENT made as of May 1, 1998, among Templeton Variable Products Series Fund (the...Participation Agreement • April 29th, 1999 • Cova Variable Annuity Account One • Florida
ANNUITANT: John Doe AGE AT ISSUE: 35 OWNER: John Doe AGE AT ISSUE: 35 CONTRACT NUMBER: 123 ISSUE DATE: June 1, 1996 INITIAL PURCHASE PAYMENT: $10,000 ANNUITY DATE: June 1, 2026Cova Variable Annuity Account One • April 29th, 1999
TOAgreement • April 29th, 1999 • Cova Variable Annuity Account One
This Agreement is made by and between XEROX VARIABLE ANNUITY ACCOUNT ONE ("Separate Account"), a separate account of Xerox Financial Services Life Insurance Company duly organized under the laws of the State of Missouri and Xerox Financial Services Life Insurance Company ("Insurance Company"), a life insurance company duly organized under the laws of the State of Missouri.
