0001005477-01-003763 Sample Contracts

GROUP IMMEDIATE VARIABLE ANNUITY CONTRACT NON - PARTICIPATING SINGLE PREMIUM PURCHASE PAYMENT TABLE OF CONTENTS

Group Immediate Variable Annuity Contract • June 20th, 2001 • Variable Account a American Intl Life Assur Co of New York • New York

• Contract Type
  Group Immediate Variable Annuity Contract
• Filed
  June 20th, 2001
• Company
  Variable Account a American Intl Life Assur Co of New York
• Jurisdiction
  New York

This Group Immediate Variable Annuity Contract is issued by American International Life Assurance Company of New York (the "Company") to the Contractholder, its successors and assigns, as their interests may appear ("Contractholder").