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Previous: SEPARATE ACCOUNT NO 45 OF EQUITABLE LIFE ASSUR SOCIETY OF US, 485BPOS, 2000-12-22 |
Next: SEPARATE ACCOUNT NO 45 OF EQUITABLE LIFE ASSUR SOCIETY OF US, 485BPOS, EX-99.4O, 2000-12-22 |
INITIAL CONTRIBUTION RECEIVED (SEE SECTION 3.02): [$ 500,000.00]
[Applicable if indicated by Annuitant]
EXPECTED FIRST YEAR CONTRIBUTION: [$ 1,000,000.00]
CREDIT AMOUNT - OF INITIAL CONTRIBUTION: [$ 30,000.00]
(see Endorsement Applicable to Credits Applied to Annuity Account Value)
94ICA/B-EX (rev. 12/00) Data Page X
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