Applicants signing in New York must use this form. Lincoln Life & Annuity American Legacy(R) Company of New York Shareholder's Advantage Home office: Syracuse, New York Fee Based ------------------------------- Shareholder's Advantage is a variable...Variable Annuity Contract Application • April 22nd, 2005 • Lincoln Life & Annuity Variable Annuity Account H
Contract Type FiledApril 22nd, 2005 Company------------------------------- Applicants signing in New York must use this form. Lincoln Life & Annuity American Legacy(R) Company of New York Shareholder's Advantage Home office: Syracuse, New York Fee Based ------------------------------- Shareholder's Advantage is a variable annuity contract. ------------------------------------------------------------------------------------------------------------------------------------