Annuity Contract Schedule for John Doe and Jane Doe (Contract No. ??687456)

Contract Categories: Business Finance › Purchase Agreements
Summary

This contract schedule outlines the terms for an annuity agreement between the owner, John Doe, and potentially a joint owner, Jane Doe. It specifies purchase payment requirements, transfer limits and fees, contract charges, withdrawal rules, and annuity payment options. The contract includes details such as minimum and maximum payments, withdrawal penalties, and guaranteed annuity rates based on age and selected payment options. The annuity is set to begin on April 1, 2065, and is subject to certain conditions and fees as described in the schedule.

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EX-4.F 4 advnybaseschedulepage.htm ADV NY BASE SCHEDULE PAGE


Contract Schedule

Owner:
[John Doe]
Contract Number:
[??687456]
[Joint Owner:
[Jane Doe]]
Issue Date:
[04/15/10]
Annuitant:
[John Doe]
Scheduled Annuity Date:
[04/01/65]
Determining Life (Lives):
[John Doe]
Maximum Issue Age:
[80]
 
[Jane Doe]
    

Purchase Payments
  
Initial Purchase Payment:
$[10,000.00]
Minimum Additional Purchase Payment:
$[50.00]
Maximum Total Purchase Payments:
$[1 million]
   
Transfers
  
Number of Free Transfers Permitted:
[12] each Contract Year
Transfer Fee:
$25.00 for each transfer in excess of the free transfers permitted
Transfer Index Anniversary:
Every [Sixth] Index Anniversary
   
Contract Charges
  
Product Fee:
[0.25]%
Contract Maintenance Charge:
$[50.00] each Contract Year
Designated Amount:
Contract Value must be $[100,000.00] to waive the Contract Maintenance Charge
   
Withdrawals
  
Minimum Partial Withdrawal:
$[100.00]
Minimum Required Value:
$[2,000.00]
Free Withdrawal Amount:
[10]% of total Purchase Payments

Withdrawal Charge Percentages Table

 
Number of Complete Years Since Receipt of Purchase Payment
Charge
0
6.50%
1
6.00%
2
5.00%
3
4.00%
4
2.00%
5
1.00%
6 years or more
0%

Annuity Payments
  
Minimum Annuity Payment:
$[100.00]
Annuity Mortality Table:
[Annuity 2000 Mortality Table]
Minimum Annual Annuity Payment Rate:
[1.00]%
Allowed Payees:
[Financial institution, qualified plan, court-ordered individual]

S40875-ADV-NY [3A]
Guaranteed Purchase Rate Table
Upon request, we will furnish rates for ages and guaranteed periods not shown.

Annuity Options - Guaranteed monthly annuity payments per $1,000
 
 
Option 1
Option 2
Option 3
Option 4
Option 5
 
Life Annuity
Life with 10-year guaranteed period
Life with 20-year guaranteed period
100% joint and survivor
100% joint and survivor with10-year guaranteed period
Refund Life Annuity
Age on
Annuity Date
Male
Female
Male
Female
Male
Female
Male & Female
Same Age
Male & Female
Same Age
Male
Female
30
[2.08
1.97
2.08
1.97
2.07
1.97
1.84
1.84
2.00
1.92
40
2.45
2.29
2.45
2.29
2.42
2.28
2.10
2.10
2.29
2.19
50
3.02
2.78
3.00
2.77
2.92
2.73
2.49
2.49
2.70
2.57
60
3.95
3.57
3.87
3.53
3.59
3.37
3.12
3.11
3.29
3.14
70
5.66
5.03
5.28
4.83
4.24
4.13
4.22
4.20
4.18
4.00
80
8.93
8.09
7.07
6.79
4.55
4.53
6.37
6.04
5.54
5.38
90
15.24
14.64
8.36
8.30
4.59
4.59
10.68
7.98
7.66
7.50]

S40875-ADV-NY [3A]