0000930413-07-003954 Sample Contracts

FORM OF AMENDMENT TO PARTICIPATION AGREEMENT
Participation Agreement • May 1st, 2007 • TIAA Separate Account VA-3

This Amendment is entered into as of ________________ , by and among Teachers Insurance and Annuity Association of America the (the “Company”) on its own behalf and on behalf of each segregated asset account of the Company set forth on Schedule A as may be amended from time to time (individually and collectively the “Account”) and _________ (the “ ___________ ”).

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