CONTRACT
ANNUITY DATA
CONTRACT NUMBER: . . . . . . . . . . . . . . . . . . . . . . . . . . . 444444444 ISSUE DATE:. . . . . . . . . . . . . . . . . . . . . . . . . . December 31, 1996 INITIAL PURCHASE PAYMENT:. . . . . . . . . . . . . . . . . . . . . . .$10,000.00 IRA INITIAL ALLOCATION OF PURCHASE PAYMENT: ALLOCATED AMOUNT (%) ---------- VARIABLE SUB-ACCOUNTS Federated Prime Money Fund II 10% Investment Grade Bond Fund 10% Value Income Stock Fund 10% Capital Growth Fund 10% Mid-Cap Equity Fund 5% International Equity Fund 5% |
RATE ALLOCATED GUARANTEED GUARANTEED AMOUNT (%) INTEREST RATE THROUGH ---------- ------------- ---------- STANDARD FIXED ACCOUNT 1 Year Guarantee Period 10% 5.00% 11/30/1997 GUARANTEED MATURITY AMOUNT FIXED ACCOUNT 3 Year Guarantee Period 10% 6.40% 11/30/1999 5 Year Guarantee Period 10% 7.00% 11/30/2001 7 Year Guarantee Period 10% 7.20% 11/30/2003 10 Year Guarantee Period 10% 7.35% 11/30/2006 |
MINIMUM GUARANTEE RATE FOR FIXED ACCOUNT:. . . . . . . . . . . . 3.00% PAYOUT START DATE: . . . . . . . . . . . . . . . . . . . March 4, 2041 (Latest date income payments must begin.) OWNER: . . . . . . . . . . . . . . . . . . . . . . . . . . . .John Doe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Jane Doe ANNUITANT: . . . . . . . . . . . . . . . . . . . . . . . . . .John Doe AGE AT ISSUE: . . . . . . . . . . . . . . . . . . . . . . . . .35 SEX: . . . . . . . . . . . . . . . . . . . . . . . . . . . .Male BENEFICIARY RELATIONSHIP TO OWNER PERCENTAGE - ----------- --------------------- ---------- |
Jane Doe Wife 100%
CONTINGENT BENEFICIARY RELATIONSHIP TO OWNER PERCENTAGE - ---------------------- --------------------- ---------- Robert Doe Son 100% |
Agent Name/Number
DPGA248 (AL, TN)
DPGA248 (AL, TN)