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ANNUPRI.BLD
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1997-07-22
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#400
@002 Enter the name of the ANNUITANT (person receiving payments):
~Enter the name of the person who will be receiving the
~payments under this agreement.
@001 Enter the name of the GRANTOR (person or firm making payments):
~Enter the name of the person who will be making the payments to
~the ANNUITANT.
@010 Enter the state where the annuitant lives:
~Enter the name of the state where the annuitant (person being
~paid) lives.
#401/#402/#444/#700 Payments will be made:
~Select payment terms for the annuity.
for life of the annuitant
minimum number of payments or life
a specific term
user specified
#if#401
!003 Enter the amount of each payment:
~Enter, in dollar format, the amount to be paid each payment.
@004/@004/@004 Payments will be made:
~Select the frequency of payments.
month
quarter
KEY IN VALUE
#endif
#if#402
!005 Enter the amount of each payment:
~Enter, in dollar format, the amount to be paid each payment.
@006/@006/@006 Payments will be made:
~Select the frequency of payments.
month
quarter
KEY IN VALUE
@007 Enter the minimum number of payments:
~Enter the minimum number of payments the annuitant or the
~estate of the annuitant must receive.
#endif
#if#444
!077 Enter the amount of each payment:
~Enter, in dollar format, the amount to be paid each payment.
@008/@008/@008 Payments will be made:
~Select the frequency of payments.
month
quarter
KEY IN VALUE
@009 Enter the number of payments to be made:
~Enter, as a numeral, the number of payments to be made.
#endif
#if#700
@887 Enter payment terms in full:
~Describe the payment terms completely. This should include the
~duration of payments and amount of each payment.
#endif
#500 Do you want a spendthrift clause:
~Select yes if you desire a "spendthrift" clause (a clause which
~provides that the benefits cannot be seized by legal process or
~sold). Note that in most states a person cannot normally make a
~spendthrift trust for themselves.
#404 Can grantor substitute a commercial annuity?
~Select yes if the grantor may purchase a commercial annuity
~to replace this contract. Normally select yes.
#405
#406 Do you desire to set damages for a breach?
~Select yes if you want to set the amount which a court must
~award if the grantor fails to pay as agreed. The damages set are
~the purchase price of an annuity from an insurance company.
#407
#end control section
#400
ANNUITY AGREEMENT
****************************************************************
THIS IS A PRIVATE ANNUITY AGREEMENT. THE BENEFITS HEREIN ARE
NOT GUARANTEED BY ANY INSURANCE COMPANY OR GOVERNMENTAL AGENCY
****************************************************************
@001, referred to as GRANTOR, and @002, referred to as ANNUITANT,
agree:
For an adequate and valuable consideration paid to GRANTOR by
ANNUITANT, receipt and sufficiency of which is acknowledged
by GRANTOR, GRANTOR shall:
#401
Pay the sum of $@003 (!003 dollars) per @004 to ANNUITANT for so
long as the ANNUITANT shall live.
#402
Pay the sum of $@005 (!005 dollars) per @006 to ANNUITANT for a
term of the life of the ANNUITANT, provided that a minimum of
@007 payments shall be made. After the death of ANNUITANT, any
payments shall be paid to the estate of the ANNUITANT.
#444
Pay the sum of $@077 (!077 dollars) per @008 to ANNUITANT for
a term of @009 payments.
#700
Pay as follows:
@887
#404
At any time, GRANTOR may fully and completely discharge GRANTOR's
total responsibility by the purchase of an annuity from an
insurance company licensed to issue such annuities in the State
of @010. Upon purchase and delivery of the annuity contract, the
GRANTOR's liability shall be novated by the annuity contract and
GRANTOR shall have no further liability.
#500
Any benefts herein may be disposed of, assigned, transferred or
sold by the ANNUITANT. No disposition, assignment or transfer
shall be recognized. The benefits herein shall be paid to
ANNUITANT. The benefits described herein shall not be subject to
claims of the creditor of the ANNUITANT, including any trustee
under Chapter 11 of the United States Code.
#405
This agreement shall be binding upon the assigns, heirs and
personal representative of GRANTOR. Should GRANTOR predecease
ANNUITANT, GRANTOR's estate shall discharge the remaining
obligations hereunder by the purchase of an annuity from an
insurance company licensed to issue such annuities in the State
of @010.
#406
The parties herein desire that the measure for the breach of
this agreement shall be as follows:
the purchase price of an annuity from an insurance company
licensed to issue such annuities in the State of @010, said
company having a rating by A.M. Best Co. of "A" or higher.
#407
This is the entire agreement between the parties, and may only be
modified in writing executed by the parties hereto.
Dated: _____________________
__________________________________________
@001, GRANTOR
__________________________________________
@002, ANNUITANT