TYPE OF CONTRACT definition

TYPE OF CONTRACT. QUALIFIED CONTRACT DATE: 5/1/2009 INITIAL PAYMENT: $100,000.00 CONTRACT NUMBER: 000000005 OWNER: JOHN X. SMITH GOVERNING LAW: MI ANNUITANT: ▇▇▇▇ ▇. ▇▇▇▇H ANNUITANT'S AGE 55 CO-OWNER: PLAN Marketing Name FEES AND CHARGES CONTRACT ASSET FEE 1.20% LIFETIME INCOME BENEFIT LIFETIME INCOME PERCENTAGE 5.0% LIFETIME INCOME DATE 5/1/2014 PAYMENT LIMITS PAYMENT LIMITS The initial Payment is shown above. We will not accept any Payment, without our prior approval that

TYPE OF CONTRACT. [ ] Retail Installment [ ] "Flexible Loan" [ ] Long Term Lease [ ] Lease Assumption # Dealership Name ----------------------------------------------------------------------------------------------------------------------------------- Dealer Phone Contact Yr. Make []New Model Mileage []Used []Demo ----------------------------------------------------------------------------------------------------------------------------------- LEASE INFORMATION Cap MSRP Term Mo. Payment ----------------------------------------------------------------------------------------------------------------------------------- RETAIL INSTALLMENT INFORMATION Amount Financed Invoice Dlr. Installed Options Credit Ins. MBP $ $ $ $ $ ----------------------------------------------------------------------------------------------------------------------------------- Fax Other Charges Cash Down Payment $ Yr. Make Model Residual "Flexible Loan" Only Term Mo. Payment

TYPE OF CONTRACT means the specific version of future contracts and its’ price reference used when settling the contract.

TYPE OF CONTRACT. [QUALIFIED] CONTRACT DATE: [10/25/2007] INITIAL PAYMENT: [$5,000.00] CONTRACT NUMBER: [000000005] GOVERNING LAW: NY OWNER: [JOHN X. SMITH] OWNER'S AGE [45] [CO-OWNER:] [_______________] [CO-OWNER'S AG▇:] [__] ANNUITANT: [JOHN X. SMITH] [CO-ANNUITANT:] PLAN Venture Opportunity ▇▇▇▇▇▇ ▇ FEES AND CHARGES CONTRACT ASSET FEE 1.35% ANNUAL CONTRACT FEE $30.00(1)

TYPE OF CONTRACT. [Qualified] CONTRACT DATE: [05/01/2011] CONTRACT NUMBER: [000000005] ISSUE STATE: [YS] OWNER: [John X. Doe] OWNER'S AGE & SEX: [55] [Male] ANNUITANT: [▇▇▇▇ ▇. ▇▇e] ANNUITANT'S AGE & SEX: [55] [Male] [CO-OWNER:] [______] [CO-OWNER'S AGE & SEX:] [____][____] [CO-ANNUITANT:] [______] [CO-ANNUITANT'S AGE & SEX:] [____][____] PLAN [VENTURE Frontier with Flex Access Option] [THE PURPOSE OF THE GUARANTEED MINIMUM WITHDRAWAL BENEFIT PROVIDED UNDER THIS ANNUITY CONTRACT IS TO PROVIDE SECURITY THROUGH A STREAM OF INCOME PAYMENTS TO THE OWNER. THE GUARANTEED MINIMUM WITHDRAWAL BENEFIT WILL TERMINATE UPON ASSIGNMENT OR A CHANGE OF OWNERSHIP OF THE CONTRACT UNLESS THE NEW ASSIGNEE OR OWNER MEETS THE QUALIFICATIONS SPECIFIED IN THE TERMINATION PROVISION OF THE GUARANTEED MINIMUM WITHDRAWAL BENEFIT RIDER.] THE PURPOSE OF THE GUARANTEED MINIMUM DEATH BENEFIT PROVIDED UNDER THIS ANNUITY CONTRACT OR ANY DEATH BENEFIT RIDER ATTACHED TO THIS CONTRACT IS TO PROVIDE SECURITY THROUGH A DEATH BENEFIT PAYMENT TO THE BENEFICIARY. THE GUARANTEED MINIMUM DEATH BENEFIT WILL TERMINATE UPON ASSIGNMENT OR A CHANGE OF OWNERSHIP OF THE CONTRACT UNLESS THE NEW ASSIGNEE OR OWNER MEETS THE QUALIFICATIONS SPECIFIED IN THE TERMINATION PROVISION OF THE GUARANTEED MINIMUM DEATH BENEFIT RIDER OR THE CHANGE OF OWNER, ANNUITANT, BENEFICIARY PROVISION OF THIS CONTRACT. FEES AND CHARGES CONTRACT ASSET FEE [1.65% years 1-4] [1.15% years 5+] ANNUAL CONTRACT FEE [Electronic-Delivery of Financial [Owner Elects Electronic Delivery of Transaction Confirmations is Financial Transaction Confirmations] Not Elected by Owner] ------------------------------------ --------------------------------- [$0] [$50] PAYMENT LIMITS PAYMENT LIMITS - Minimum Additional Payment Amount: [$30] - Maximum Amount: [$1,000,000] - Flex Access Option: No additional Payment will be accepted without our prior approval on or after the [first] Contract Anniversary ICC11-SP.VENW-L.11 S.1 [SAMPLE] LIMITS--TRANSFERS AND AMOUNT OF PARTIAL WITHDRAWALS TRANSFER CHARGES AND LIMITATIONS-- - Minimum Transfer Amount: $300 BEFORE ANNUITY COMMENCEMENT DATE - Minimum Investment Account Value: $100 - Minimum Number of Transfers Per Contract Year: one per month and no more than six within the Contract Year

TYPE OF CONTRACT. A municipal installment financing agreement (the “Loan”) with the Town responsible for all expenses related to the use of the vehicles and equipment including taxes and maintenance. The Town shall also be responsible for selecting the vehicles and equipment and the vendors.

TYPE OF CONTRACT. RENTAL TYPE : FURNISHED ROOM LESSOR: Les UCG TENANT : Mrs/M. The UCG rent to the tenant, who agrees to rent, a fully furnished room for living purposes, for the sole use of the tenant, to the exclusion of any other person or purpose. And this in accordance with the provisions of this contract (articles 1 to 14) and the Foyer Regulations, which form an integral part of this contract and of which a copy is attached. The occupant of the room is the person signing this contract.

TYPE OF CONTRACT. [QUALIFIED] PLAN TYPE: [403B] CONTRACT DATE: [01/07/1994] MATURITY DATE: [01/07/2044] PAYMENT: [$ 10,000.00] CONTRACT NUMBER: [000000001] GOVERNING LAW: NEW YORK INITIAL GUARANTEE PERIOD: [5 YEARS] INITIAL GUARANTEED INTEREST RATE: [5.05%] INITIAL GUARANTEE PERIOD EXPIRES: [01/07/1999] THIS PLAN IS INTENDED TO QUALIFY UNDER THE INTERNAL REVENUE CODE FOR TAX-FAVORED STATUS. LANGUAGE CONTAINED IN THIS CONTRACT REFERRING TO FEDERAL TAX STATUS OR RULES IS INFORMATIONAL AND INSTRUCTIONAL AND THIS LANGUAGE IS NOT SUBJECT TO APPROVAL OR DISAPPROVAL BY THE STATE OF NEW YORK. PLEASE SEEK THE ADVICE OF YOUR OWN TAX ADVISOR REGARDING YOUR INDIVIDUAL TAX TREATMENT.

TYPE OF CONTRACT. [QUALIFIED] CONTRACT DATE: [8/1/2009] INITIAL PAYMENT: [$100,000.00] CONTRACT NUMBER: [000000005] OWNER: [▇▇▇▇ ▇. ▇▇▇▇▇] GOVERNING LAW: [YS] ANNUITANT: [▇▇▇▇ ▇. ▇▇▇▇▇] ANNUITANT'S AGE [55] [CO-OWNER:] [ ] PLAN [Marketing Name] FEES AND CHARGES CONTRACT ASSET FEE [1.50%] WITHDRAWAL CHARGE PERIOD [3] Contract Year(s) WITHDRAWAL CHARGE Withdrawal Charge Contract Year Percentage ------------- ---------- [1] [2.00%] [2] [2.00%] [3] [1.00%] LIFETIME INCOME BENEFIT LIFETIME INCOME PERCENTAGE [5.0%] LIFETIME INCOME DATE [8/1/2014] PAYMENT LIMITS PAYMENT LIMITS The initial Payment is shown above. We will not accept any Payment, without our prior approval that (a) exceeds $[1,000,000], or (b) causes the total of all Payments received to exceed $[1,000,000], or (c) is received more than [9] months after the Contract Date. SP.MSP2.09 SAMPLE S.1 AVAILABLE INVESTMENT OPTION VARIABLE ACCOUNT: [▇▇▇▇ ▇▇▇▇▇▇▇ LIFE INSURANCE COMPANY (U.S.A.) SEPARATE ACCOUNT H] VARIABLE INVESTMENT OPTION: [Core Balanced Strategy] ANNUITY BENEFITS MATURITY DATE: [8/1/2049] ANNUITY OPTION [Life Annuity with Cash Refund] ANNUITY PAYMENTS - GENERAL The rates for Annuity Payments are determined INFORMATION based on: