WILL THE PURCHASE OF THIS ANNUITY RESULT IN THE REPLACEMENT, TERMINATION OR CHANGE IN VALUE OF ANY EXISTING LIFE INSURANCE POLICY FOR ANNUITY CONTRACT IN THIS OR ANY OTHER COMPANY? [ ] Yes [X] No If yes, provide the information below: Use the Special...Variable Annuity Application • November 20th, 2003 • Tic Variable Annuity Separate Account 2002
