IRA [] Individual Retirement Annuity (IRA) [] Contribution for calendar year _________ to a [] Regular IRA or [] Roth IRA [] Rollover* from a [] Regular IRA or [] Roth IRA [] Transfer* from a [] Regular IRA or [] Roth IRA The taxable year for which I...Individual Deferred Variable Annuity Application • April 30th, 2003 • Safeco Separate Account C
