0000932020-99-000019 Sample Contracts
OWNER NAME: CONTRACT NUMBER: Jane Doe 123456789 JOINT OWNER NAME: CONTRACT DATE: John Doe 7-01-1999 ANNUITANT NAME: ANNUITY START DATE: Jane Doe 10-5-2030 ANNUITANT DATE OF BIRTH: PLAN: 10/5/60 Non-QualifiedFlexible Premium Deferred Variable Annuity Contract • December 30th, 1999 • Variflex Ls