FIRST SUNAMERICA LIFE INSURANCE COMPANY A STOCK COMPANY NEW YORK, NEW YORK CONTRACT NUMBER [P9999999999] OWNER [JOHN DOE] EXECUTIVE OFFICE ANNUITY SERVICE CENTER One World Financial Center PO BOX 54299 200 Liberty Street LOS ANGELES, CA 90054-0299 NEW...Annuity Contract • April 27th, 2011 • Fs Variable Separate Account • New York
5a. NON-QUALIFIED CONTRACT 5b. QUALIFIED CONTRACT Indicate type and amount of initial Payment below. Indicate type of plan for new contract, source of funds, and amount OR below.Deferred Variable Annuity Application • April 27th, 2011 • Fs Variable Separate Account
