0001047469-04-002996 Sample Contracts

OMNIBUS INSTRUMENT
Omnibus Instrument • February 3rd, 2004 • Protective Life Insurance Co • Life insurance • New York

Signatories. If this Selling Agent Agreement is executed by or on behalf of any party, such person hereby states that at the time of the execution of this Selling Agent Agreement he has no notice of revocation of the power of attorney by which he has executed this Selling Agent Agreement as such attorney.

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