Vision Illustrator

Product	State	Premium	Type of Funds
--- Please Select a Product --- Allianz Life Fixed Indexed Annuity Endurance 10 Endurance Elite Endurance Plus MasterDex 10 MasterDex 10 Plus Annuity MasterDex 5 Plus Annuity MasterDex Plus Annuity MasterDex X Annuity Allianz Life of NY New York Bonus MasterDex New York MasterDex Annuity American Equity Investment Life Insurance Company Advantage Gold Retirement Gold (02-09) Retirement Gold (RG-FIA-09) American General Life Insurance Company Fixed Annuity AG HorizonMYG Fixed Indexed Annuity AG Global 8 Index Annuity AG Global Bonus Index Annuity AG HorizonIndex Annuity 12 AG HorizonIndex Annuity 9 Vision Maximizer VisionAdvantage 7 VisionAdvantage 9 American National Insurance (Legacy) BenchMark 500SM Ten BenchMark 500SM Ten Plus American National Insurance Company Fixed Annuity Citadel 5 Diamond Citadel 7 Diamond Palladium Advisor Palladium Century Palladium Century 1 Palladium Century 3 Palladium Century 5 Palladium Century 7 Fixed Indexed Annuity ANICO EIA ANICO Strategy Indexed Annuity 10 ANICO Strategy Indexed Annuity 7 Value Lock 10 Value Lock 7 MYGA Palladium MYG Annuity 10 Palladium MYG Annuity 5 Palladium MYG Annuity 6 Palladium MYG Annuity 7 Palladium MYG Annuity 8 Palladium MYG Annuity 9 Annuity Investors Life (Great American Life) Fixed Indexed Annuity FlexMax FlexMax Plus Aviva Life & Annuity Fixed Annuity MultiChoice Freedom 3 (1-Year) MultiChoice Freedom 5 (1-Year) MultiChoice Freedom 7 (1-Year) MultiChoice Freedom Plus (1-Year) MultiChoice Freedom Xtra (1-Year) Fixed Indexed Annuity MultiChoice Advantage MultiChoice Income Elite MultiChoice Income Five MultiChoice Income Plus MultiChoice Income Plus S MultiChoice Income Seven MultiChoice Income Ten MultiChoice Income Xtra MultiChoice Six MultiChoice Ten MultiChoice Xtra MultiChoice Xtra (S) Aviva Life and Annuity Fixed Annuity Income Select Spirit 3 (1-Year) Income Select Spirit 5 (1-Year) Income Select Spirit 7 (1-Year) Income Select Spirit Bonus (1-Year) Income Select Spirit Plus Fixed Indexed Annuity Income Preferred Bonus Income Preferred Six Income Preferred Ten Income Preferred Ultra Income Select 10 Income Select 5 Income Select 7 Income Select Bonus Income Select Platinum Income Select Plus Income Select Plus S EquiTrust Life Insurance Company Market Booster Index Market Power Bonus Index Market Seven Index Market Value Index MarketTwelve Bonus MYGA Certainty Select 10 Certainty Select 5 Certainty Select 6 Certainty Select 8 Great American Life Insurance Company Fixed Indexed Annuity American Icon II American Legend II American Valor II Safe Outlook Safe Return ING USA Annuity and Life ING Envoy Nine Fixed Index Annuity ING Envoy Six Fixed Index Annuity ING Secure Index Five ING Secure Index Opportunities Plus ING Secure Index Outlook Annuity ING Secure Index Seven Investors Insurance (Legacy) MarkOneSE PremierMark SE PremierMark SE Plus (10%) PremierMark SE Plus (7%) Life of the Southwest SecurePlus Accumulator 3 SecurePlus Accumulator 5 SecurePlus Elite SecurePlus Gold (After 4/21/2006) SecurePlus Platinum SecurePlus Premier 10 SecurePlus Premier 3 SecurePlus Saver Select SecurePlus Silver SecurePlus TLC Lincoln Benefit Life Saver's Index Annuity Plus Lincoln Financial Group Lincoln New Directions 6 Lincoln New Directions 8 Lincoln OptiChoice 5 Lincoln OptiChoice 7 Lincoln OptiChoice 9 Lincoln OptiPoint 10 Lincoln OptiPoint 12 Lincoln OptiPoint 8 National Western Life NWL Global Lookback NWL Ultra Benefit NWL Ultra Classic NWL Ultra Future NWL Ultra Value North American Company Charter 10 Charter 14 Charter 7 Freedom Choice (5%) 10 Freedom Choice (5%) 14 Freedom Choice (5%) 6 Freedom Choice (5%) 8 Freedom Choice 10 Freedom Choice 14 Freedom Choice 6 Freedom Choice 8 North American Formula Choice North American Paramount Choice Ten North American Prizm Plus 10 North American Prizm Plus 14 North American Prizm Plus 7 North American Ten Precision 10 Precision 14 Precision 7 OM Financial (Legacy) AdvanceMark OM Financial Life Insurance Company OM Index-Accelerator 10 OM Index-Accelerator 7 OM Index-Escalator 10 OM Index-Escalator 6 OM Index-Escalator 8 OM Index-Safety 10 OM Index-Safety 7 OM Index-Spectrum 9 RBC Insurance RBC Choice 10 SPDA RBC Enhanced Choice 10 SPDA RBC Enhanced Choice 12 SPDA RBC Enhanced Choice 8 SPDA United States Life Insurance Co. (NY) AIG Global 6 Index AIG Global 8 Index	- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY	$	Non-Qualified Qualified

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First Name	Last Name	Gender	Date of Birth
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