0001193125-03-060329 Sample Contracts

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY Springfield, MA 01111-0001
Qualified Plan Rider • October 10th, 2003 • Massachusetts Mutual Variable Annuity Separate Account 4

This Contract is issued by the Company at its Home Office, 1295 State Street, Springfield, Massachusetts 01111-0001, on the Issue Date. The Contract is issued in exchange for the payment of the initial Purchase Payment.

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