RIDER ATTACHED TO AND MADE A PART OF THIS CONTRACT ON THE CONTRACT DATEInsurance Contract • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account
Contract Type FiledApril 29th, 1997 Company
Insured Policy Number JOHN DOE XX XXX XXX Contract Date Face Amount NOV 15, 198 $25,000-- Premium Period Agency LIFE R-NK 1Life Insurance Policy • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account
Contract Type FiledApril 29th, 1997 Company
WITNESSETH:Selected Broker Agreement • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account • New Jersey
Contract Type FiledApril 29th, 1997 Company Jurisdiction
ALTERATION OF TEXT The provision of this policy entitled "Ownership and Control" is replaced at issue by the following: OWNERSHIP AND CONTROL.--Unless we endorse this contract to say otherwise, while the Insured is living and less than 21 years of age...Insurance Policy • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account
Contract Type FiledApril 29th, 1997 Company
EXHIBIT 1.A.(13)(aa) Pruco Life Insurance Company Pruco Life Insurance Company of New Jersey Insured Rider for Policy No. AUTOMATIC PREMIUM LOAN If this provision is in effect at the end of the days of grace of a premium in default, the premium will...Rider for Policy • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account
Contract Type FiledApril 29th, 1997 Company
WITNESSETH:Distribution Agreement • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account • New Jersey
Contract Type FiledApril 29th, 1997 Company Jurisdiction
EXHIBIT 1.A.(13)(u) [ ] Pruco Life Insurance Company [ ] Pruco Life Insurance Company of New Jersey Insured Rider for Policy No. This contract is issued as a conversion from an earlier contract. The period we state under Incontestability in this...Rider Agreement • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account
Contract Type FiledApril 29th, 1997 Company
3. [ ] Single [ ] Married [ ] Widowed [ ] Separated [ ] Divorced 4. Social Security No. / / -------------------------------------------------------------- --------------------------------------------------------------------- 5a. Occupation(s) 5b....Life Insurance Application • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account
Contract Type FiledApril 29th, 1997 Company
EXHIBIT 1.A.(13)(r) Pruco Life Insurance Company of New Jersey Insured Rider for Policy No. This contract is issued as a conversion from an earlier contract. The period we state under Incontestability in this contract will start on the date coverage...Insurance Rider • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account
Contract Type FiledApril 29th, 1997 Company
Insured Rider for Policy No.Rider for Accidental Death Benefit • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account
Contract Type FiledApril 29th, 1997 Company
ENDORSEMENTS (Only we can endorse this contract.)Insurance Contract • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account
Contract Type FiledApril 29th, 1997 CompanyDEFINITIONS.--We define here some of the words and phrases used all through this contract. We explain others, not defined here, in other parts of the text.
Insured Rider for Policy No.Variable Reduced Paid-Up Insurance Rider • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account
Contract Type FiledApril 29th, 1997 Company
Insured Rider for Policy No. REDUCED PAID-UP INSURANCE Premiums are no longer being paid on this contract. But it is being kept in force as reduced paid-up insurance on the Insured's life, as we state under Contract Value Options in the contract. The...Rider for Policy • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account
Contract Type FiledApril 29th, 1997 CompanyPremiums are no longer being paid on this contract. But it is being kept in force as reduced paid-up insurance on the Insured's life, as we state under Contract Value Options in the contract.
EXHIBIT 1.A.(13)(i) Pruco Life Insurance Company Pruco Life Insurance Company of New Jersey Insured Rider for Policy No. This contract was reinstated on the date of this rider. But we did not have the facts we needed to satisfy us that the child,...Rider for Insurance Policy • April 29th, 1997 • Pruco Life of New Jersey Variable Insurance Account
Contract Type FiledApril 29th, 1997 Company