Annuity Application Sample Contracts

Waddell & Reed Advisors Select Income AnnuitySM] Individual Single Purchase Payment Immediate Variable and/or Fixed Income Annuity Application $35,000 Minimum Purchase Payment Nationwide Life Insurance Company P.O. Box 182449 Columbus, Ohio 43218-2449

Annuity Application • September 13th, 2002 • Nationwide Variable Account-12

• Contract Type
  Annuity Application
• Filed
  September 13th, 2002
• Company
  Nationwide Variable Account-12

Contract

Annuity Application • April 28th, 2017 • Jefferson National Life Annuity Account G

• Contract Type
  Annuity Application
• Filed
  April 28th, 2017
• Company
  Jefferson National Life Annuity Account G