Flexible Premium Deferred Fixed and Variable Annuity Sample Contracts

FLEXIBLE PREMIUM DEFERRED FIXED AND VARIABLE ANNUITY Non-Participating
Flexible Premium Deferred Fixed and Variable Annuity • July 19th, 2006 • Separate Account I of Integrity Life Insurance Co

THIS CONTRACT (Contract) creates a legal agreement between Integrity Life Insurance Company (Company, we or us) and the Owner (you or your). The amount(s) that you contribute to this Contract and that we accept are your Contributions. We have issued this Contract to you in consideration of your first Contribution. As the purchaser of the Contract, you are its Owner and Annuitant, unless we accept a different arrangement that you have requested.

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