Common use of CAUTION Clause in Contracts

CAUTION. ACCURATE SELECTION IS NEEDED TO ASSURE CORRECT TAX REPORTING. For advice, consult your tax professional. Select all that apply: [ ] NEW CONTRIBUTIONS - Specify tax year: Current Tax Year | Amount ____________________________|$__________________________ Prior Tax Year | Amount ____________________________|$__________________________ [ ] DIRECT TRANSFER - Check Payable to Northwestern Mutual Life for the benefit of the contract owner. Indicate the market the money is coming from. Select one: [ ] TDA [ ] PENSION/PROFIT SHARING/401K/DEFINED BENEFIT [ ] TRADITIONAL IRA [ ] ROTH ▇▇▇ [ ] SEP [ ] SIMPLE IRA - THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S SIMPLE plan for: [ ] TWO YEARS OR LESS [ ] MORE THAN TWO YEARS [ ] 60-DAY ROLLOVER - Personal check from owner or check endorsed to Northwestern Mutual Life. Only if applicable, also select one: [ ] TRADITIONAL IRA TO ROTH ▇▇▇ [ ] SIMPLE IRA TO TRADITIONAL IRA- THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S SIMPLE plan for: [ ] TWO YEARS OR LESS [ ] MORE THAN TWO YEARS

CAUTION. ACCURATE SELECTION IS NEEDED TO ASSURE CORRECT TAX REPORTING. For advice, consult your tax professional. Select all that applyone: [ ] NEW CONTRIBUTIONS - Specify tax year: Current Tax Year | Amount ____________________________|$__________________________ Prior Tax Year | Amount ____________________________|$__________________________ [ ] DIRECT TRANSFER - Check Payable to Northwestern Mutual Life for the benefit of the contract owner. Indicate the market the money is coming from. Select one: [ ] TDA [ ] PENSION/PROFIT SHARING/401K/DEFINED BENEFIT [ ] TRADITIONAL IRA [ ] ROTH ▇▇▇ [ ] SEP [ ] SIMPLE IRA - THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S The owner has been a participant in the employer's SIMPLE plan for: [ ] ]TWO YEARS OR LESS [ ] ]MORE THAN TWO YEARS [ ] ]60-DAY ROLLOVER - Personal check from owner or check endorsed to Northwestern Mutual Life. Only if applicable, also select one: [ ] TRADITIONAL IRA TO ROTH ▇▇▇ [ ] SIMPLE IRA TO TRADITIONAL IRA- THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S IRA - The owner has been a participant in the employer's SIMPLE plan for: [ ] TWO YEARS OR LESS [ ] MORE THAN TWO YEARSYEARS 48 -------------------------------------------------------------------------------- SIGNATURES - FIXED ANNUITY - SINGLE PREMIUM RETIREMENT ANNUITY -------------------------------------------------------------------------------- THE ANNUITANT CONSENTS TO THIS APPLICATION. EACH PERSON SIGNING THIS APPLICATION DECLARES THAT THE ANSWERS AND STATEMENTS MADE IN THIS APPLICATION ARE CORRECTLY RECORDED, COMPLETE AND TRUE TO THE BEST OF HIS OR HER KNOWLEDGE AND BELIEF.

CAUTION. ACCURATE SELECTION IS NEEDED TO ASSURE CORRECT TAX REPORTING. For advice, consult your tax professional. Select all that applyone: [ ] NEW CONTRIBUTIONS - Specify tax year: Current Tax Year | Amount ____________________________|$__________________________ Prior Tax Year | Amount ____________________________|$__________________________ [ ] DIRECT TRANSFER - Check Payable to Northwestern Mutual Life for the benefit of the contract owner. Indicate the market the money is coming from. Select one: [ ] TDA [ ] PENSION/PROFIT SHARING/401K/DEFINED BENEFIT [ ] TRADITIONAL IRA [ ] ROTH ▇▇▇ [ ] SEP [ ] SIMPLE IRA - THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S The owner has been a participant in the employer's SIMPLE plan for: [ ] ]TWO YEARS OR LESS [ ] ]MORE THAN TWO YEARS [ ] ]60-DAY ROLLOVER - Personal check from owner or check endorsed to Northwestern Mutual Life. Only if applicable, also select one: [ ] TRADITIONAL IRA TO ROTH ▇▇▇ [ ] SIMPLE IRA TO TRADITIONAL IRA- THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S IRA - The owner has been a participant in the employer's SIMPLE plan for: [ ] TWO YEARS OR LESS [ ] MORE THAN TWO YEARSYEARS 49 -------------------------------------------------------------------------------- SIGNATURES - FIXED ANNUITY - SINGLE PREMIUM RETIREMENT ANNUITY -------------------------------------------------------------------------------- THE ANNUITANT CONSENTS TO THIS APPLICATION. EACH PERSON SIGNING THIS APPLICATION DECLARES THAT THE ANSWERS AND STATEMENTS MADE IN THIS APPLICATION ARE CORRECTLY RECORDED, COMPLETE AND TRUE TO THE BEST OF HIS OR HER KNOWLEDGE AND BELIEF.

CAUTION. ACCURATE SELECTION IS NEEDED TO ASSURE CORRECT TAX REPORTING. For advice, consult your tax professional. Select all that applyone: [ ] NEW CONTRIBUTIONS - Specify tax year: Current Tax Year | Amount ____________________________|$__________________________ Prior Tax Year | Amount ____________________________|$__________________________ [ ] DIRECT TRANSFER - Check Payable to Northwestern Mutual Life for the benefit of the contract owner. Indicate the market the money is coming from. Select one: [ ] TDA [ ] PENSION/PROFIT SHARING/401K/DEFINED BENEFIT [ ] TRADITIONAL IRA [ ] ROTH ▇▇▇ [ ] SEP [ ] SIMPLE IRA - THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S The owner has been a participant in the employer's SIMPLE plan for: [ ] ]TWO YEARS OR LESS [ ] ]MORE THAN TWO YEARS [ ] ]60-DAY ROLLOVER - Personal check from owner or check endorsed to Northwestern Mutual Life. Only if applicable, also select one: [ ] TRADITIONAL IRA TO ROTH ▇▇▇ [ ] SIMPLE IRA TO TRADITIONAL IRA- THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S IRA - The owner has been a participant in the employer's SIMPLE plan for: [ ] TWO YEARS OR LESS [ ] MORE THAN TWO YEARSYEARS 45 -------------------------------------------------------------------------------- SIGNATURES - FIXED ANNUITY - SINGLE PREMIUM RETIREMENT ANNUITY -------------------------------------------------------------------------------- THE ANNUITANT CONSENTS TO THIS APPLICATION. EACH PERSON SIGNING THIS APPLICATION DECLARES THAT THE ANSWERS AND STATEMENTS MADE IN THIS APPLICATION ARE CORRECTLY RECORDED, COMPLETE AND TRUE TO THE BEST OF HIS OR HER KNOWLEDGE AND BELIEF.

CAUTION. ACCURATE SELECTION IS NEEDED TO ASSURE CORRECT TAX REPORTING. For advice, consult your tax professional. Select all that applyone: [ ] NEW CONTRIBUTIONS - Specify tax year: Current Tax Year | Amount ____________________________|$__________________________ Prior Tax Year | Amount ____________________________|$__________________________ [ ] DIRECT TRANSFER - Check Payable to Northwestern Mutual Life for the benefit of the contract owner. Indicate the market the money is coming from. Select one: [ ] TDA [ ] PENSION/PROFIT SHARING/401K/DEFINED BENEFIT [ ] TRADITIONAL IRA [ ] ROTH ▇▇▇ [ ] SEP [ ] SIMPLE IRA - THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S The owner has been a participant in the employer's SIMPLE plan for: [ ] ]TWO YEARS OR LESS [ ] ]MORE THAN TWO YEARS [ ] ]60-DAY ROLLOVER - Personal check from owner or check endorsed to Northwestern Mutual Life. Only if applicable, also select one: [ ] TRADITIONAL IRA TO ROTH ▇▇▇ [ ] SIMPLE IRA TO TRADITIONAL IRA- THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S IRA - The owner has been a participant in the employer's SIMPLE plan for: [ ] TWO YEARS OR LESS [ ] MORE THAN TWO YEARSYEARS 51 -------------------------------------------------------------------------------- SIGNATURES - FIXED ANNUITY - SINGLE PREMIUM RETIREMENT ANNUITY -------------------------------------------------------------------------------- THE ANNUITANT CONSENTS TO THIS APPLICATION. EACH PERSON SIGNING THIS APPLICATION DECLARES THAT THE ANSWERS AND STATEMENTS MADE IN THIS APPLICATION ARE CORRECTLY RECORDED, COMPLETE AND TRUE TO THE BEST OF HIS OR HER KNOWLEDGE AND BELIEF.

CAUTION. ACCURATE SELECTION IS NEEDED TO ASSURE CORRECT TAX REPORTING. For advice, consult your tax professional. Select all that applyone: [ ] NEW CONTRIBUTIONS - Specify tax year: Current Tax Year | Amount ____________________________|$__________________________ Prior Tax Year | Amount ____________________________|$__________________________ [ ] DIRECT TRANSFER - Check Payable to Northwestern Mutual Life for the benefit of the contract owner. Indicate the market the money is coming from. Select one: [ ] TDA [ ] PENSION/PROFIT SHARING/401K/DEFINED BENEFIT [ ] TRADITIONAL IRA [ ] ROTH ▇▇▇ [ ] SEP [ ] SIMPLE IRA - THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S The owner has been a participant in the employer's SIMPLE plan for: [ ] ]TWO YEARS OR LESS [ ] ]MORE THAN TWO YEARS [ ] ]60-DAY ROLLOVER - Personal check from owner or check endorsed to Northwestern Mutual Life. Only if applicable, also select one: [ ] TRADITIONAL IRA TO ROTH ▇▇▇ [ ] SIMPLE IRA TO TRADITIONAL IRA- THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S IRA - The owner has been a participant in the employer's SIMPLE plan for: [ ] TWO YEARS OR LESS [ ] MORE THAN TWO YEARSYEARS 86 -------------------------------------------------------------------------------- SIGNATURES - FIXED ANNUITY - SINGLE PREMIUM RETIREMENT ANNUITY -------------------------------------------------------------------------------- THE ANNUITANT CONSENTS TO THIS APPLICATION. EACH PERSON SIGNING THIS APPLICATION DECLARES THAT THE ANSWERS AND STATEMENTS MADE IN THIS APPLICATION ARE CORRECTLY RECORDED, COMPLETE AND TRUE TO THE BEST OF HIS OR HER KNOWLEDGE AND BELIEF.

CAUTION. ACCURATE SELECTION IS NEEDED TO ASSURE CORRECT TAX REPORTING. For advice, consult your tax professional. Select all that applyone: [ ] NEW CONTRIBUTIONS - Specify tax year: Current Tax Year | Amount ____________________________|$__________________________ Prior Tax Year | Amount ____________________________|$__________________________ [ ] DIRECT TRANSFER - Check Payable to Northwestern Mutual Life for the benefit of the contract owner. Indicate the market the money is coming from. Select one: [ ] TDA [ ] PENSION/PROFIT SHARING/401K/DEFINED BENEFIT [ ] TRADITIONAL IRA [ ] ROTH ▇▇▇ [ ] SEP [ ] SIMPLE IRA - THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S The owner has been a participant in the employer's SIMPLE plan for: [ ] ]TWO YEARS OR LESS [ ] ]MORE THAN TWO YEARS [ ] ]60-DAY ROLLOVER - Personal check from owner or check endorsed to Northwestern Mutual Life. Only if applicable, also select one: [ ] TRADITIONAL IRA TO ROTH ▇▇▇ [ ] SIMPLE IRA TO TRADITIONAL IRA- THE OWNER HAS BEEN A PARTICIPANT IN THE EMPLOYER'S IRA - The owner has been a participant in the employer's SIMPLE plan for: [ ] TWO YEARS OR LESS [ ] MORE THAN TWO YEARSYEARS 43 -------------------------------------------------------------------------------- SIGNATURES - FIXED ANNUITY - SINGLE PREMIUM RETIREMENT ANNUITY -------------------------------------------------------------------------------- THE ANNUITANT CONSENTS TO THIS APPLICATION. EACH PERSON SIGNING THIS APPLICATION DECLARES THAT THE ANSWERS AND STATEMENTS MADE IN THIS APPLICATION ARE CORRECTLY RECORDED, COMPLETE AND TRUE TO THE BEST OF HIS OR HER KNOWLEDGE AND BELIEF.