Cash When They Need It Most

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1 Golden Promise

2 golden promise gives your family Cash When They Need It Most Your family means the world to you. The last thing you want is to leave them with major expenses after you re gone. Golden Promise * is life insurance that can help provide the money you need to pay: Medical Bills Funeral Expenses Legal Fees Unpaid Bills Golden Promise Gives You Peace of Mind Golden Promise is a life insurance plan that lets you decide how your assets are distributed. By planning ahead, you can protect your loved ones from unnecessary financial and emotional stress when you die or enter a qualified nursing home. And you can distribute your assets in the manner you decide! Shenandoah Life Insurance Company makes you these promises: You Can Designate Your Beneficiary Benefits are paid to the beneficiary of your choice. Your Premiums Will Remain Level Premiums are guaranteed for life and do not increase with age. Your Policy Will Not Be Canceled Coverage will never be canceled as long as scheduled premium payments are made. Your Policy Will Build Cash Value Golden Promise is a whole life insurance policy that builds cash values. Golden Promise Premium Single-Pay 10 -Pay Full-Pay If Full-Pay or 10-Pay, select: Monthly (EFT) Quarterly Semi-Annual Annual If you pay your premium in semi-annual, quarterly or monthly payments, the total annual cost will be higher than the annual premium for the policy. *Golden Promise Forms L /06, L /06, and L /06 provide full death benefit upon issue. Form L /06 and Form L /06 are available in all states where approved. Form L /06 is available in AR, MN, MO, NJ, NC, PA, SC and WV. Form L /06 provides limited death benefit in the first three policy years (for non-accidental death - 25% first year, 50% second year, 75% third year), and is available in all states where approved. It is not available in AR, MN, MO, NJ, NC, PA, SC and WV. Nursing Home Waiver of Premium Rider, Form R /00, available on Full-Pay and 10-Pay only, in states where approved. State suffixes may be applicable to the form numbers where there are state-specific variations of the forms. The benefit paid in the event of suicide during the first two policy years (one year in CO) may be limited to the premiums paid less any loan balance.

3 For The Record For the Fa Here you can record information that will enable yo PERSONAL INFORMATION Social Security No. Date of Birth Place of Birth Current Address Marital Status Name of Spouse Maiden Name If Veteran, Serial No. Branch of Service Rank Date Entered Service Date Discharged FAMILY INFORMATION Father s Name His Place of Birth Mother s Name Her Maiden Name Her Place of Birth Children s Names and Birthdates FUNERAL REQUESTS Preferred Funeral Director Service To Be Held Church Funeral Home Other If Church, Name Clergy Requested Pallbearers Favorite Hymns Special Requests: Flowers Contributions Other Cemetery Name I Prefer: Burial Entombment Cremation KEY FAMILY MEMBERS TO CONTACT Phone No. Phone No. Phone No.

4 A Memorial Guide mily and Friends of ur family to handle your final affairs with your wishes in mind. LEGAL AND FINANCIAL MATTERS Executor of Estate Attorney Safe Deposit Box Life Insurance #1 Company Policy No. Life Insurance #2 Company Policy No. Life Insurance #3 Company Policy No. Credit Cards Checking Accounts Savings Accounts IRA or Investment Accounts LOCATION OF IMPORTANT PAPERS Will and Testament Birth Certificate Marriage Certificate Stocks and Bonds Certificate of Deposit Military Records Savings Passbooks Automobile Papers Trust Fund Info. Auto Insurance Homeowners Ins. Mortgage Papers Property Deeds Income Tax Papers OTHER / COMMENTS

5 Shenandoah Life Insurance Company has been serving the life insurance needs of families for over 90 years. While size alone is not a guarantee of financial stability, Shenandoah Life has $1.9 billion in assets and $15 billion of insurance in force (source: 2006 audited financial statements).

6 FORM 4994 Rev. 4/ Brambleton Avenue, S.W. Roanoke, VA

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