0000940338-00-000005 Sample Contracts

|_| Male Social Annuitant Name |_| Female Security No._____________________ First Middle Last
Kansas City Life Variable Annuity Separate Account • December 20th, 2000
Sample 1Sample 2Sample 3See All (987)
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ANNUITANT CONTRACT NUMBER JOHN A. DOE 9999999
Kansas City Life Variable Annuity Separate Account • December 20th, 2000
Sample 1Sample 2Sample 3See All (559)
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