0001193125-22-153639 Sample Contracts

Owner: [JOHN DOE] Annuitant: [JOHN DOE] [Joint Owner: [DORIS DOE]] [Joint Annuitant: [DORIS DOE]] Contract Number: [00000] Contract Date: [July 1, 2021]
Flexible Premium Deferred Variable and Index Linked Annuity Contract • May 18th, 2022 • Equitable Financial Life Insurance Co of America • Life insurance

This is the entire Contract. This Contract is issued in return for the Contributions made to us under this Contract. This Contract becomes effective on the Contract Date. The Annuitant and the Owner must be living on the Contract Date.

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