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Aviva Life and Annuity Company Lifetime Builder Series III - Issue State: UT $169,954 Selected Face Amount Initial PAC (Monthly) Premium: $1,000.00 Initial Death Benefit Option: Increasing

Designed for: Dad Carlile Issue Age: 55 Male, Special Class Table All for 66 years, Non-Tobacco Coverage Summary

-=D;.:es~cn=:-:·~p.:;:ti::;;o=n=-:-

_

Initial Base Plan

Illustrated Direction

Basic Interest

Premium

Other Premium

Contract Premiums

Target Premium Minimum 7 PaylMEC

Strategies

Total Cash from Policy *

Policy Year

EOY Age

Key

1 2 3 4 5

56 57 58 59 60

M M M M M

12,000 12,000 12,000 12,000 12,000

0 0 0

6 7 8 9 10

61 62 63 64 65

M

12,000 12,000 12,000 12,000 12,000

0 0 0 0

M M M

120,000 11 12 13 14 15

*

66 67 68 69 70

0

AL AL AL AL AL

°

0 0 0

° 0

° 0

17,985 17,985 17,985 17,985 17,985

8.40%

premium

may be available.

$5,769.00 $3,227.64 $12,000.04

Gross Premium Outlay

M

100% remaining

From Age To Age 55 - Life of Insured

Non-Guar. Assumed 55+ 4.60%

$155.47 Monthly

Strategy:

Indexed Strategies: 1 Yr Monthly Cap (MCS):

Initial Amount $169,954

Guideline Guideline

Guaranteed at 2% (1)

$62,064.81 $15,077.39

Single Level

Non-Guaranteed Assumed (1)

Net Outlay

Account Value

Net Cash Value

Net Death Benefit

Account Value

Net Cash Value

Net Death Benefit

12,000 12,000 12,000 12,000 12,000

9,042 18,127 21,245 36,418 45,627

2,345 11,877 21,441 31,060 40,716

178,996 188,081 197,199 206,372 215,581

9,705 19,960 30,977 42,790 55,465

3,008 13,709 25,173 37,432 50,553

179,659 189,914 200,931 212,744 225,419

12,000 12,000 12,000 12,000 12,000

54,844 64,029 73,133 82,122 91,499

50,379 60,010 69,561 78,996 88,821

224,798 233,983 243,087 252,076 261,453

69,074 83,695 99,415 116,326 135,283

64,609 79,677 95,844 113,200 132,604

239,028 253,649 269,369 286,280 305,237

89,325 86,702 83,595

68,645 47,141 24,228 0 0

243,006 223,678 203,426 0 0

145,404 156,445 168,517 181,747 196,277

124,725 116,884 109,151 101,608 94,352

286,790 267,462 247,210 225,991 203,758

120,000 -17,985 -17,985 -17,985 -17,985 -17,985

° °

Cash can only be taken when Net Cash Value is greater than zero and, when taken, will reduce Net Cash Value and Net Death Benefit. Cash illustrated as taken in any Policy Year where Guaranteed Net Cash Value is illustrated as zero relates only to the Non-Guaranteed Assumed column. This is the annualized cash from policy, with loans taken in monthly increments.

(1) Beginning at the end of the 10th year and continuing in all subsequent years, an additional 0.60% of the average month-end Account Values (net of any fixed interest loans) for that year, is guaranteed to be credited to the policy. The policy must be in force at the end of the policy year to receive the credit for that year.

This report is for agent use only and must not be presented to a prospective client.

Form 2ECG10 January 25,2012,9:53

AM

DB: 29015.00035 SYS: 2.90.240 Version: 2.90.0.407W This is page 1 of 4 pages and is not valid unless all pages are included.

Aviva Life and Annuity Company Lifetime Builder Series III - Issue State: UT $243,049 Selected Face Amount Initial Monthly (Other) Premium: $500.00 Initial Death Benefit Option: .Increasing

Designed for: Son Carlile Issue Age: 29 Male, Premier Non-Tobacco Coverage Summary

~D:.:e~sc::r~ipl!.:t=::io~n~ Initial Base Plan

Initial Amount $243,049

_

From Age To Age 29 - Life of Insured

Non-Guar. Assumed

29+ Illustrated Direction

Premium

Basic Interest Strategy: Indexed Strategies: 1 Yr Monthly Cap (MCS):

$69.98 Monthly

4.60%

100% remaining premium

8.40%

Other Premium Strategies may be available. Contract

Premiums

Policy EOY Year Age Key 30 1 M 2 M 31 32 3 M 4 33 M 5 34 M 6 7 8 9 10

11

12 l3 14 15

35 36 37 38 39

40 41 42 43 44

M M M M M

Target Premium Minimum 7PaylMEC

Guaranteed at2% (1)

Gross Premium Outlay 6,000 6,000 6,000 6,000 6,000

Total Cash from Policy* 0 0 0 0 0

6,000 6,000 6,000 6,000 6,000

0 0 0 0 0

6,000 6,000 6,000 6,000 6,000

60,000

0

60,000

0 0 0 0 0

10,915 10,915 10,915 10,915 10,915

-10,915 -10,915 -10,915 -10,915 -10,915

AL AL AL AL AL

Guideline Single $25,254.14 Guideline Level $6,000.00

$1,932.00 $1,464.00 $6,497.68

Non-Guaranteed Assumed (1)

Net Cash Value 959 6,171 11,484 16,898 22,407

Net Death Benefit 247,901 252,853 257,907 263,061 268,311

Account Value 4,975 10,305 16,109 22,407 29,240

Net Cash Value 1,082 6,671 12,735 19,292 26,385

Net Death Benefit 248,024 253,354 259,158 265,456 272,289

30,612 36,062 41,607 47,249 53,285

28,017 33,727 39,530 45,433 51,728

273,661 279,111 284,656 290,298 296,334

36,653 44,695 53,419 62,882 73,556

34,058 42,359 51,343 61,065 71,998

279,702 287,744 296,468 305,931 316,605

53,739 54,183 54,610 55,012 0

41,246 30,220 18,616 6,400 0

285,139 273,409 261,118 248,240 0

79,897 86,822 94,384 102,640 111,652

67,404 62,859 58,389 54,027 49,806

305,410 293,680 281,389 268,511 255,018

Net Account Outlay Value 6,000 4,852 6,000 9,804 6,000 14,858 6,000 20,012 6,000 25,262

* Cash can only be taken when Net Cash Value is greater than zero and, when taken, will reduce Net Cash Value and Net Death Benefit. Cash illustrated as taken in any Policy Year where Guaranteed Net Cash Value is illustrated as zero relates only to the Non-Guaranteed Assumed column. This is the annualized cash from policy, with loans taken in monthly increments. (1) Beginning at the end of the 10th year and continuing in all subsequent years, an additional 0.60% of the average month-end Account Values (net of any fixed interest loans) for that year, is guaranteed to be credited to the policy. The policy must be in force at the end of the policy year to receive the credit for that year. This report is for agent use only and must not be presented to a prospective client.

Form2ECG10 January 25, 2012, 9:48 AM

DB: 29015.00035 SYS: 2.90.240 Version: 2.90.0.407W This is page 1 of 5 pages and is not valid unless all pages are included.

Aviva Life and Annuity Company Lifetime Builder Series III - Issue State: UT $414,082 Selected Face Amount Initial PAC (Monthly) Premium: $500.00 Initial Death Benefit Option: Increasing

Designed for: Daughter Carlile Issue Age: 24

Female, Premier Non-Tobacco Coverage Summary

.=D:..:e:.::::s.=;cr:..:i£P~ti~o=n Initial Base Plan

Initial From Age Amount . To Age $414,082 24 - Life of Insured

_

Non-Guar,

Illustrated Direction

Premium

Basic Interest Strategy: Indexed Strategies: 1 Yr Monthly Cap (MCS):

Assumed 24+ 4.60%

$79.43 Monthly

8.40%

100% remaining premium

Other Premium Strategies may be available. Contract

Policy Year

Premiums

EOY Age Key

Gross Premium Outlay

Total Cash from Policy*

Guaranteed at 2% (1) Account Value

Net Cash Value

Net Death Benefit

Account Value

Net Cash Value

Net Death Benefit

4,738 9,570 14,487 19,485 24,579

113 5,254 10,478 15,785 21,187

418,820 423,652 428,569 433,567 438,661

4,846 10,035 15,680 21,804 28,446

221 5,719 11,672 18,104 25,054

418,928 424,117 429,762 435,886 442,528

29,758 35,032 40,396 45,849 51,688

26,675 32,257 37,929 43,691 49,838

443,840 449,114 454,478 459,931 465,770

35,650 43,464 51,939 61,129 71,495

32,567 40,689 49,472 58,971 69,645

449,732 457,546 466,021 475,211 485,577

5i,935 52,159 52,364 52,541 0

39,507 28,633 17,195 5,158 0

454,884 443,478 431,527 419,004 0

77,673 84,416 91,775 99,804 108,566

65,246 60,891 56,606 52,422 48,372

474,691 463,285 451,334 438,811 425,691

25 26 27 28 29

M M M M M

6,000 6,000 6,000 6,000 6,000

° 0

6,000 6,000 6,000 6,000 6,000

6 7 8 9 10

30 31 32 33 34

M M M M M

6,000 6,000 6,000 6,000 6,000

0 0 0 0 0

6,000 6,000 6,000 6,000 6,000

0

60,000

10,613 10,613 10,613 10,613 10,613

-10,613 -10,613 -10,613 -10,613 -10,613

11 12 13 14 ]5

*

35 36 37 38 39

AL AL AL AL AL

0 0 0 0 0

0 0 0

--

Non-Guaranteed Assumed (1)

Net Outlay

1 2 3 4 5

60,000

Guideline Single $28,928.48 Guideline Level $6,000.01

$2,422.00 $1,697.16 $8,164.08

Target Premium Minimum 7 PaylMEC

Cash can only be taken when Net Cash Value is greater than zero and, when taken, will reduce Net Cash Value and Net Death .Benefit. Cash illustrated as taken in any Policy Year where Guaranteed Net Cash Value is illustrated as zero relates only to the Non-Guaranteed Assumed column. This is the annualized cash from policy, with loans taken in monthly increments.

(1) Beginning at the end of the 10th year and continuing in all subsequent years, an additional 0.60% of the average month-end Account Values (net of any fixed interest loans) for that year, is guaranteed to be credited to the policy. The policy must be in force at the end of the policy year to receive the credit for that year. .

This report is for agent use only and must not be presented to

Form2ECG10 January 25,2012, 10:03 AM

8

prospective client.

DB: 29015.00035 SYS: 2.90.240 Version: 2.90.0.407W This is page 1 of 5pages and is not valid unless all pages are included.