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ING Life
Insurance and Annuity Company
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[Windsor,
Connecticut]
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[Customer
Service Center
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Important terms
and definitions used in this
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P.O. Box
10450
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Contract appear
on page 4.
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909 Locust
Street
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Des Moines,
Iowa 50306-0450]
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[1-888-854-5950]
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Product
Name
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Contract
Number
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[ING
Innovations 7]
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[R123456]
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Annuitant(s)
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Age of
Annuitant(s)
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Sex of
Annuitant(s)
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[Thomas J.
Doe]
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[55]
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[Male]
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Owner/Joint
Owner
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Age of
Owner/Joint Owner
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Residence
State
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[John Q.
Doe]
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[35]
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[Connecticut]
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Contract
Date
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Issue
State
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[July 1,
2009]
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[Connecticut]
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Initial
Premium
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[$15,000.00]
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Maturity
Date
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Annuity
Plan
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[July 1,
2039]
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[Payments for
Life with 10 Year Period Certain]
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MODIFIED
SINGLE PREMIUM DEFERRED ANNUITY CONTRACT
In this
Contract "you" or "your" refers to the Owner shown above. "We,"
"our," or "us" refers to ING Life Insurance and Annuity
Company.
READ THIS
CONTRACT CAREFULLY. This is a legal
contract between you and us.
RIGHT TO
EXAMINE AND RETURN THIS CONTRACT
You may return
this Contract by mailing or delivering it to our Customer Service
Center at the address shown above or to the producer through whom
you purchased it within twenty days (or thirty days if this is a
replacement contract as defined by applicable state regulation)
after the date you receive it. If so returned, we will promptly pay
you any portion of the Premium paid and not previously Surrendered
as of the date the returned Contract is received by us. If you are
unsure whether your Contract is a replacement contract, please
contact us at our Customer Service Center at the phone number or
address set forth above.
WE WILL PROVIDE
YOU WITH ADDITIONAL INFORMATION REGARDING THE BENEFITS AND
PROVISIONS OF THIS CONTRACT UPON WRITTEN REQUEST. YOU MAY ALSO CALL
OUR CUSTOMER SERVICE CENTER AT [1-888-854-5950] FOR INQUIRIES,
INFORMATION OR ASSISTANCE.
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