ENROLLING WITH TIAA-CREF

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1 ENROLLING WITH TIAA-CREF IN ORDER TO ENROLL WITH TIAA-CREF, YOU MUST COMPLETE TWO FORMS the Enrollment and Plan Contribution Allocation Forms. When these are ready, simply return your completed forms to your employer s benefits office. Your enrollment with TIAA-CREF can be completed in three easy steps that are outlined below. STEP ONE COMPLETE YOUR ENROLLMENT FORM The easy-to-understand instructions will guide you through completing your enrollment form. Please be sure to read the agreement in section 4 before signing and dating the form. STEP TWO SELECT YOUR ALLOCATION Select the accounts to which you would like to allocate your contributions by completing the Plan Contribution Allocation Form. Please keep in mind that there may be transfer and withdrawal restrictions on some or all of the accounts and funds. You may change your allocation at any time in the future. If your allocation is invalid in any way, your contributions will be allocated according to your plan s rules. Upon receiving clarification from you, we will apply all future contributions according to your instructions. STEP THREE YOUR NEXT STEPS Return your completed forms to your employer s benefits office. You may need to complete a salary reduction agreement with your employer. This is a good time to think about consolidating additional retirement assets into this TIAA-CREF account from another financial carrier. To do so, complete the Transfer/Rollover Authorization to TIAA-CREF form and return it to us. Before making a transfer, be sure to consider any surrender charges the other company may deduct. GENERAL INFORMATION Whenever a new account is opened, federal law requires all financial institutions to help the government fight the funding of terrorism and prevent money laundering activities by obtaining, verifying and recording information that identifies each person who opens an account. This is the reason we ask for your name, address, date of birth, Social Security number (or taxpayer identification number), telephone number and other information that will allow us to identify you. Unless you provide this information, we may not be able to open an account or process any transactions for you. We are also following state regulations when we ask that you provide information on any existing annuity or life insurance contracts that are being replaced by the TIAA-CREF account for which you are now applying. If your new TIAA-CREF account is going to replace more than one existing contract, please include that information on an additional page that includes your name and Social Security number. Need Help? For assistance in choosing an allocation or filling out your form, please call us at Monday to Friday from 8 a.m. to 10 p.m. or Saturday from 9 a.m. to 6 p.m. (ET). G10.1.3N-AC-706 EISFRONT10

2 CAMPUS/BRANCH CODES IMPORTANT: Find your Campus/Branch code below and be sure to include it when completing Section 1 of the Enrollment Form, Provide Your Personal Information. UNIVERSITY CENTERS State University of New York at Albany State University of New York at Binghamton State University of New York at Buffalo State University of New York at Stony Brook State University of New York at Stony Brook Hospital of Environmental Science and Forestry of Optometry State University of New York Downstate Hospital (Hospital Employees) State University of New York Downstate Medical Center State University of New York Health Science Center at Syracuse - Upstate Medical State University of New York Health Science Center at Syracuse - Upstate Medical (Hospital Employees) UNIVERSITY COLLEGES State University College at Brockport State University College at Buffalo State University College at Cortland State University College at Fredonia State University College at Geneseo State University College at New Paltz State University College at Old Westbury State University College at Oneonta State University College at Oswego State University College at Plattsburgh State University College at Potsdam State University College at Purchase State University of New York Empire State College NUMBER K096 K098 K097 K112 DQ34 K113 K093 QU07 K095 M198 QU40 K099 K120 K100 K102 K103 K104 K105 K106 K107 K108 K109 K111 K114 COMMUNITY COLLEGES Adirondack Community College Broome Community College Cayuga County Community College Clinton Community College Columbia-Greene Community College Corning Community College Dutchess Community College Erie Community College Fashion Institute of Technology Finger Lakes Community College Fulton-Montgomery Community College Genesee Community College Herkimer County Community College Hudson Valley Community College Jamestown Community College Jefferson Community College Mohawk Valley Community College Monroe Community College Nassau Community College Niagara County Community College North Country Community College Onondaga Community College Orange County Community College Rockland Community College Schenectady County Community College Suffolk County Community College Sullivan County Community College Tompkins-Cortland Community College Ulster County Community College Westchester Community College NUMBER P644 P645 P646 P649 P647 P648 P650 P651 P679 P673 P652 P653 P654 P655 P657 P658 P659 P660 P661 P662 P663 P664 P665 P666 P667 P668 P669 P670 P671 P672 TECHNOLOGY COLLEGES of Technology at Alfred of Technology at Canton of Agriculture and Technology at Cobleskill of Technology at Delhi of Technology at Farmingdale State University of New York Maritime College of Agriculture and Technology at Morrisville State University of New York Institute of Technology at Utica/Rome K077 K079 K084 K086 K091 K115 K087 K092 K102 STATUTORY COLLEGE New York State College of Ceramics at Alfred University SUNY SYSTEM ADMINISTRATION SUNY System Administration OTHER PARTICIPATING ORP EMPLOYERS New York State Education Department NYC Health and Hospital Corporation- Kings County Hosptial Center Roswell Park State University of New York Construction Fund K078 K161 P677 P680 V445 R082 EIPL01

3 ENROLLMENT FORM FOR TIAA AND CREF GROUP RETIREMENT ANNUITY CERTIFICATES Teachers Insurance and Annuity Association of America-College Retirement Equities Fund New York, NY Please print in upper case using black or dark blue ink and provide all information requested. 1 Provide your personal information Title: Mr, Mrs, Dr, other First Name Middle Name Last Name Suffix: Jr, Sr, other Social Security Number Date of Birth (mm/dd/yyyy) Gender Spouse s Name / / F M Daytime Telephone Number Extension Evening Telephone Number Address Residence Address (no P.O. boxes) City State Zip Code Mailing Address (if different) City State Zip Code Employer Job Title/Position Campus/Branch Plan ID (4-6 digits, if available) Important information about your allocation of plan contributions All contributions will be allocated in accordance with instructions from your plan sponsor unless you complete the Plan Contribution Allocation Form. G10.1.3N-AC-706 EID10

4 2 Designate your beneficiary(ies) Make sure that the percentage allotted to all beneficiaries in each class totals 100%. Name(s) of primary beneficiary(ies) 1. First Name MI Last Name Percentage % Social Security Number* Date of Birth (mm/dd/yyyy) Relationship to you / / 2. First Name MI Last Name Percentage % Social Security Number* Date of Birth (mm/dd/yyyy) Relationship to you / / Name(s) of contingent beneficiary(ies) 1. First Name MI Last Name Percentage % Social Security Number* Date of Birth (mm/dd/yyyy) Relationship to you / / 2. First Name MI Last Name Percentage % Social Security Number* Date of Birth (mm/dd/yyyy) Relationship to you / / *(if unavailable, provide later) G10.1.3N-AC-706 EBN11

5 3 Indicate any existing contracts Will these annuity certificates replace an existing annuity contract/certificate or life insurance policy from another company? If so, from what company? Contract Number 4 Indicate your agreement by signing These certificates do not provide for loans and cannot be assigned. Under federal law, distributions before age 59 1 /2 or termination of employment may be prohibited, limited, and/or subject to substantial tax penalties. Your ability to make withdrawals and transfers from these certificates may be limited by the terms of your employer s retirement plan. Within 120 days after the later of termination of employment or the specific date stipulated by your employer s plan, withdrawals and transfers are available from the TIAA Traditional Annuity in a lump sum. Such withdrawals and transfers are subject to a surrender charge. At all other times, withdrawals and transfers from the TIAA Traditional Annuity must be spread over a ten-year period (five years for withdrawals after termination of employment). The amount and value of any accumulation units transferred from any account within a TIAA separate account may be affected by redemption charges imposed by the investments in which the account invests. CREF and TIAA separate account accumulations and benefit payments are variable and not guaranteed; they depend on the investment performance of these accounts. I have read and acknowledge all provisions of this enrollment form. Under penalties of perjury, you certify that the taxpayer identification number shown on this form is your correct Social Security number. The Internal Revenue Service does not require your consent to any provision of this document. Signed Date (mm/dd/yyyy) / / If you would like to receive CREF s Statement of Additional Information, which supplements the CREF prospectus, check here. The following information does not apply to New York applicants. Some states require a fraud warning to appear on the form. These states, including Arkansas, Kentucky, Maine and New Mexico require a warning substantially similar to the following: People who file applications for insurance or statements of claim commit a fraudulent insurance act if they: knowingly do so with intent to injure, defraud or deceive any insurance company or another person; and/or knowingly include in their application or statement of claim any materially false or misleading information; and/or knowingly conceal information, for the purpose of misleading, concerning any fact material to the application or claim. A fraudulent insurance act is a crime, and penalties may include imprisonment, fines, denial of insurance and civil damages. New Jersey residents, please note: Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties. Ohio residents, please note: Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. District of Columbia residents, please note: It is a crime to provide false or misleading information to an insurer for the purpose of defrauding the insurer or any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance benefits if false information materially related to a claim was provided by the applicant Teachers Insurance and Annuity Association-College Retirement Equities Fund (TIAA-CREF), 730 Third Avenue, New York, NY G10.1.3N-AC-706 EGNSG20

6 YOUR INVESTMENT CHOICES FOR MORE INFORMATION: For detailed descriptions and performance information for each of these accounts go to Annuities are designed for retirement savings or for other long-term goals. They offer several payment options, including lifetime income.* Payments from variable annuities are not guaranteed, and the payment amounts will rise or fall depending on investment returns. OPTION A: To select the simplified One Decision strategy, simply choose the Lifecycle Account listed below that s closest to your estimated year of retirement. RETIREMENT ACCOUNTS ASSET CLASS TYPE ACCOUNTS MULTI-ASSET VARIABLE ANNUITY ACCOUNTS TIAA Access Lifecycle Account 2010 TIAA Access Lifecycle Account 2030 TIAA Access Lifecycle Account 2015 TIAA Access Lifecycle Account 2035 TIAA Access Lifecycle Account 2020 TIAA Access Lifecycle Account 2040 TIAA Access Lifecycle Account 2025 OPTION B: RETIREMENT ACCOUNTS If you prefer to build your own portfolio, the choices listed below are offered in your retirement plan. ASSET CLASS TYPE ACCOUNTS (ACCOUNT NUMBER) EQUITIES VARIABLE ANNUITY ACCOUNTS CREF Equity Index Account (008) TIAA Access Mid-Cap Blend Index Account (414) CREF Global Equities Account (006) TIAA Access Mid-Cap Growth Account (405) CREF Growth Account (007) TIAA Access Mid-Cap Value Account (406) CREF Stock Account (002) TIAA Access S&P 500 Index Account (410) TIAA Access Growth & Income Account (402) TIAA Access Small-Cap Equity Account (407) TIAA Access International Equity Account (401) TIAA Access Small-Cap Growth Index Account (416) TIAA Access International Equity Index Account (408) TIAA Access Small-Cap Value Index Account (418) TIAA Access Large-Cap Growth Index Account (409) TIAA Access T. Rowe Price Institutional Large Cap TIAA Access Large-Cap Value Account (403) Growth Account (437) TIAA Access Large-Cap Value Index Account (412) REAL ESTATE VARIABLE ANNUITY ACCOUNT TIAA Real Estate Account (009) FIXED INCOME VARIABLE ANNUITY ACCOUNT CREF Bond Market Account (005) TIAA Access Western Asset Management Core CREF Inflation-Linked Bond Account (010) Plus Bond Account (436) MONEY MARKET VARIABLE ANNUITY ACCOUNTS CREF Money Market Account (003) 1 GUARANTEED GUARANTEED ANNUITY ACCOUNT TIAA Traditional Account (001) MULTI-ASSET VARIABLE ANNUITY ACCOUNTS CREF Social Choice Account (004) TIAA Access Lifecycle Account 2025 (430) TIAA Access Lifecycle Account 2010 (427) TIAA Access Lifecycle Account 2030 (431) TIAA Access Lifecycle Account 2015 (428) TIAA Access Lifecycle Account 2035 (432) TIAA Access Lifecycle Account 2020 (429) TIAA Access Lifecycle Account 2040 (433) IMPORTANT: If the asset allocation you choose on the following page is invalid in any way, your contributions will be automatically invested for you in the CREF Money Market Account. 1 An investment in the CREF Money Market Account or the TIAA Access Money Market Account is not a deposit of any bank and is neither insured nor guaranteed by the Federal Deposit Insurance Corporation or any other U.S. government agency. *TIAA Access Annuities will offer the lifetime income option beginning December _B_1

7 SELECT YOUR ALLOCATION PLAN CONTRIBUTION ALLOCATION FORM For information about the accounts available in your plan, please see Your Investment Choices. If you need help creating an allocation, you can use our Asset Allocation Calculator at You can also have a custom portfolio prepared for you by calling us at Choose Option A or Option B for your investment fund allocations. If your allocation choice is invalid, your contributions will be allocated according to your employer s plan rules. You can make changes to this allocation at any time and we will apply all future contributions according to your instructions. OPTION A Choose a TIAA Access Lifecycle Account Choose the Lifecycle Account closest to your estimated year of retirement. Choose One TIAA Access Lifecycle % Equities 10% Non-equities TIAA Access Lifecycle % Equities 10% Non-equities TIAA Access Lifecycle % Equities 13% Non-equities TIAA Access Lifecycle % Equities 21% Non-equities TIAA Access Lifecycle % Equities 29% Non-equities TIAA Access Lifecycle % Equities 37% Non-equities TIAA Access Lifecycle % Equities 45% Non-equities OR OPTION B Build Your Own Portfolio Enter the name and three-digit number of your allocation choices in the spaces provided. Please use only whole numbers and make sure your total allocation equals 100%. If the account number and name don t match, we will use the account number for your allocation choice. Account Account Allocation Number Name Percent % % % % % % % % % % 100% G10.1.3N-AC-706 AL17L

8 You should consider the investment objectives, risks, charges and expenses carefully before investing. Please call or go to for a prospectus that contains this and other information. Please read the prospectus carefully before investing. TIAA-CREF Individual & Institutional Services, LLC, and Teachers Personal Investors Services, Inc., distribute securities products. TIAA (Teachers Insurance and Annuity Association of America), 730 Third Avenue, New York, NY issues annuities Teachers Insurance and Annuity Association of America College Retirement Equities Fund (TIAA-CREF), 730 Third Avenue, New York, NY EISBACK10

9 Teachers Insurance and Annuity Association 730 Third Avenue, New York NY IMPORTANT NOTICE REGARDING REPLACEMENT OR CHANGE OF ANNUITY CONTRACTS THIS NOTICE IS FOR YOUR BENEFIT AND IS REQUIRED BY NEW YORK REGULATION 60 You are contemplating the purchase of an annuity contract in connection with the surrender, lapse or change of existing annuity contracts. We are required to give you this notice. Your decision to replace existing annuity contracts could be a good one - or a mistake - so make sure you understand the facts. You should: 1. Ask the company or agent from whom you bought your existing annuity contracts to review with you the transaction. You may be able to effect the changes you desire more advantageously with them. 2. Consult your tax advisor. There may be unfavorable tax implications associated with the contemplated changes to your existing annuity contracts. As a general rule, it is often not advantageous to drop or change existing coverage in favor of new coverage, whether issued by the same or a different insurance company. Some of the reasons it may be disadvantageous are: 1. Annuity contracts usually contain provision for surrender charges, therefore a replacement involving annuity contracts may result in the imposition of surrender charges. 2. An existing annuity contract often has more favorable provisions than a new annuity contract in areas such as loan interest rate, settlement options, disability benefits and tax treatment. 3. The insurance company with which you have existing coverage can often make a desired change on terms that would be more favorable than if you replaced existing coverage with new coverage. You have the right, within 60 days from the date of delivery of a new annuity contract, to return it to the insurer and receive an unconditional full refund of all premiums or considerations paid on it, or in the case of a variable or market value adjustment contract, a payment of the cash surrender benefits provided under the contract, plus the amount of all fees and other charges deducted from gross considerations or imposed under the annuity contract, and may have the right to reinstate or restore any annuity contracts that were surrendered, lapsed or changed in the transaction to their former status to the extent possible and in accordance with the insurer's published reinstatement rules to the extent such rules are not inconsistent with the provisions of this part. IMPORTANT: THIS RIGHT SHOULD NOT BE VIEWED AS REINSTATING OR RESTORING YOUR ANNUITY CONTRACT TO THE SAME CONDITION AS IF IT HAD NEVER BEEN REPLACED. THERE MAY BE CONSEQUENCES IN REINSTATING OR RESTORING YOUR ANNUITY CONTRACT, INCLUDING BUT NOT LIMITED TO: the right to reinstate or restore your annuity contract applies only to companies subject to New York insurance laws; your annuity contract is subject to your specific company's reinstatement rules, which may vary from company to company. These rules may require payment of both premium and interest; you may not receive the interest or investment performance during the period the annuity contract was replaced; and TA_IRE (Inst. Prod.) NEW YORK F10634 (09/04) - NOT

10 there may be unfavorable federal income tax consequences as a result of the reinstatement of your annuity contract. IMPORTANT: IN THE CASE OF A VARIABLE OR MARKET VALUE ADJUSTMENT CONTRACT, THE VALUE OF THE CONTRACT MAY INCREASE OR DECREASE DURING THE 60 DAY PERIOD DEPENDING ON THE PERFORMANCE OF THE UNDERLYING INVESTMENTS, WHICH MAY AFFECT THE VALUE OF THE REFUND YOU RECEIVE. I hereby acknowledge that I read the above "IMPORTANT NOTICE" and have received a copy of the same. Date: Signature of Applicant: Applicant s Printed Name: Date: Signature of Applicant: TA_IRE (Inst. Prod.) NEW YORK F10634 (09/04) - NOT

11 Teachers Insurance and Annuity Association 730 Third Avenue, New York NY STATE OF NEW YORK DEFINITION OF REPLACEMENT In order to determine whether you are replacing or otherwise changing the status of existing annuity contracts, and in order to receive the valuable information necessary to make a careful comparison if you are contemplating replacement, we are required to ask you the following questions and explain any items that you do not understand. As part of your purchase of a new annuity contract, has existing coverage been, or is it likely to be: (1) lapsed, surrendered, partially surrendered, forfeited, assigned to the insurer replacing the annuity contract, or otherwise terminated? Yes No (2) changed or modified into paid-up insurance; continued under another form of nonforfeiture benefit; or otherwise reduced in value by the use of nonforfeiture benefits, dividend accumulations, dividend cash values or other cash values? Yes No (3) changed or modified so as to effect a reduction in the amount of the existing annuity benefit? Yes No (4) assigned as collateral for a loan or made subject to borrowing or withdrawal of any portion of the loan value, including all transactions wherein any amount of dividend accumulations or paid-up additions is to be borrowed or withdrawn on one or more existing contracts? Yes No (5) continued with a stoppage of premium payments or reduction in the amount of premium paid? Yes No If you have answered yes to any of the above questions, a replacement as defined by New York Insurance Department Regulation No. 60 has occurred or is likely to occur and we are required to provide you with the important notice regarding replacement or change of annuity contracts. The law also requires that we obtain a brief statement of the primary reason for replacing your existing annuity contract(s) with our contract. To TIAA-CREF: I plan to replace my existing annuity contract(s) with your contract because: Date: Signature of Applicant: Applicant s Printed Name: Date: Signature of Applicant: TA_IRE (Inst. Prod.) NEW YORK F10634 (09/04) - DEF

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