Regular Mail: please For call Assistance, 800-338-3434 Equitable Retirement Service Solutions www.equitable.com P.O. Box 1577 Equitable Financial Life Insurance Company Secaucus, NJ 07096-1577 Equitable Advisors, LLC of America Express Mail: Equitable RETIREMENT CORNERSTONE® SERIES CP® Retirement Service Solutions 500 Plaza Drive 7th Floor Application for an Individual Annuity Secaucus, NJ 07094-3619 PLEASE PRINT 1. Contract Series and Type A. Contract Series  Series CP® ($10,000 minimum contribution) B. Choose a Contract Type. R E Non-Qualified Q U I Traditional IRA R Roth IRA E D SEP IRA Qualified Plan Defined Contribution (QPDC) Qualified Plan Defined Benefit (QPDB) R C. Total Initial Contribution(s): $ (Estimated Value Required In Case of Transfer) E Q Specify Method(s) of Payment: U I Check or Wire (make check payable to: EQUITABLE) Rollover (IRA, Roth IRA or SEP IRA) R 1035 Exchange (NQ) IRA Regular Contribution for the year 20 E (IRA or Roth IRA) D CD or Mutual Fund Proceeds (NQ) Employer Contribution to SEP IRA (Employee contributions not permitted) Direct Transfer (IRA, Roth IRA or SEP IRA) Financial Professional/Client will request funds (Equitable’s assistance in collecting funds not required) (IRA or Roth IRA) Home Office: 3030 North Third Street, Suite 790, Phoenix, Arizona 85012 Cat. No. 161972 ® Equitable                X04469_Compact Advisors, LLC    Series CP ICC20 App01 RC CP -Z Page 1 of 10

2. Account Registration (Must be legal resident of U.S. or U.S. territories) Please check one R Individual    UGMA/UTMA (Child’s SSN    ) E Q U The Owner types below require additional form(s). See the New Business Form Booklet for more information. R I Trust    Qualified Plan Trust (DC/DB)    Other Non-Natural Owner E D A. Owner Male    Female Date of Birth (MM/DD/YYYY)    Daytime Phone # Owner Name (First) (Middle Initial) (Last) Employer Name (for SEP IRA contracts only) Owner Taxpayer Identification Number (Check one) SSN EIN ITIN U.S. Primary Residential Address only — No P.O. Box City State Zip Code If your Mailing Address is different from the Primary Residential Address above, please provide your Mailing Address in Section 9. Email Address Annuity Commencement Date: The Annuity Commencement Date will be the Contract Date Anniversary following the Annuitant’s 95th birthday. If GMIB is elected, the Annuity Commencement Date will be the Contract Date Anniversary following the Owner’s 95th birthday. You may commence Annuity payments earlier by submitting a written request to our Processing Office in accordance with the Contract. B. PATRIOT Act Information:    Owner must complete this section. If the owner is not an individual, the annuitant must complete this section. R E U.S. Citizen Yes    No    If yes, check one: Valid Driver’s License Passport State Issued ID Q If no, check either: U.S. Visa (Complete below) or    Permanent Resident (Green Card) (Copy of document required) U I R Identification/Passport# Exp. Date U.S. Visa Type (if applicable) E D Your Employer’s Name Your Occupation C. Joint Owner    (Must be legal resident of U.S. or U.S. territories) NQ only If GMIB elected, both owners must be ages 50-70. Male Female Date of Birth (MM/DD/YYYY)    Daytime Phone # Name (First) (Middle Initial) (Last) Taxpayer Identification Number (Check one) SSN ITIN U.S. Primary Residential Address — No P.O. Box City State Zip Code Email Address Joint Owner Form of Identification (Check one) Valid Driver’s License Passport State Issued ID Identification Number Exp. Date (MM/DD/YYYY) X04469_Compact Retirement Cornerstone® — Series CP® ICC20 App01 RC CP -Z    Page 2 of 10

D. Annuitant    (Required if other than Owner) Annuitant must complete the PATRIOT Act Information section 2B on the previous page if the owner is NOT an individual. Male    Female Date of Birth (MM/DD/YYYY)    Daytime Phone # Name (First) (Middle Initial) (Last) Taxpayer Identification Number (Check one.) SSN ITIN U.S. Primary Residential Address only — No P.O. Box City State Zip Code E. Joint Annuitant Only complete this section if this is a NQ 1035 Exchange of an existing contract with joint annuitants who are spouses. If GMIB elected, both annuitants must be ages 50-70. Male    Female Date of Birth (MM/DD/YYYY)    Daytime Phone # Name (First) (Middle Initial) (Last) Taxpayer Identification Number (Check one) SSN ITIN U.S. Primary Residential Address only — No P.O. Box City State Zip Code 3. Beneficiary(ies)    (Please use Special Instructions for Additional Beneficiaries) R Please enter the beneficiaries full name below. Unless otherwise indicated, proceeds will be divided equally. E A. Primary Q 1. % U I Primary Beneficiary Name                Relationship to Owner1 R SSN EIN ITIN                Date of Birth (MM/DD/YYYY) E D Address    Phone # 2. % Primary Beneficiary Name                Relationship to Owner1    SSN EIN ITIN                Date of Birth (MM/DD/YYYY) Address    Phone # B. Contingent 1. % Contingent Beneficiary Name                Relationship to Owner1    SSN EIN ITIN                Date of Birth (MM/DD/YYYY) Address    Phone # 2. % Contingent Beneficiary Name                Relationship to Owner1 SSN EIN ITIN                 Date of Birth (MM/DD/YYYY) Address    Phone # 1 Enter the relationship to the annuitant when the Owner is not an Individual. X04469_Compact Retirement Cornerstone® — Series CP® ICC20 App01 RC CP -Z    Page 3 of 10

4. Optional Guaranteed Benefit Rider Elections R These optional riders are purchased for an additional charge. You should read the disclosure on page 8, the prospectus E and applicable supplements for more complete information including the limitations, restrictions, charges and other Q information that apply to these features before making a selection. U I The death benefit, if any, in connection with the Investment Account Value is equal to amounts in the Investment Account Investment Options. R • The benefit riders are optional and may only be chosen at the time of the application. There are additional charges E D for these riders, unless otherwise noted. • If you opt out of the GMIB at issue by declining it below in section 4A or 4C, you will not be able to add it later. • Benefits under these riders apply only to amounts allocated to the Protected Benefit Account Investment Options. • You subject may to allocate the terms amounts and limitations to the Protected of the contract. Benefit Account Investment Options immediately or at a future date, • If under you do your not Contract allocate until amounts you allocate to the Protected amounts at Benefit a future Account date. Investment Options, these rider(s) will have no value • The the Owner’s age requirements age(s) when for the all benefits application are is based signed. on the Owner’s age(s) at the time the contract is issued, regardless of R 4A: Guaranteed Minimum Income Benefit (GMIB) E • Eligible contracts will be automatically issued with the GMIB combined with the Return of Principal death Q benefit1 unless you elect otherwise in section 4A, 4B or 4C. U I • Forsingleownedcontractstheownermustbeages20-70.Forjointownedcontractsbothownersmustbe ages 50-70. R E • TheAutomaticResetprogramwillbeautomaticallyincludedwiththeGMIBunlessyouopt-outinSection4D. To opt out of the GMIB, please check the box below. D I decline the GMIB (Please go to section 4C to select GMDB only) 4B: Guaranteed Minimum Death Benefit (GMDB) with GMIB To elect a GMDB other than the Return of Principal death benefit1 with GMIB, please make an election below: single Yes, owner I wish to ages elect 20-65. Greater For of joint Annual owners Roll both up or owners Highest must Anniversary be ages 50-65. Value ) death benefit (Available only for For Yes, joint I wish owners to elect both Highest owners Anniversary must be ages Value 50-70. death ) benefit (Available only for single owner ages 20-70. 4C: GMDB Only (without GMIB) Yes, I wish to elect RMD Wealth Guard GMDB2 without GMIB (Available only for owners age 20 to 683) Yes, I wish to elect Highest Anniversary Value death benefit without GMIB (Available only for owners age 0 to 70)    Yes, I wish to elect Return of Principal GMDB1 without GMIB (Available only for owners ages 0-70) 4D: Annual Reset Election • If your contract is issued with GMIB, it will automatically include the Automatic Reset program. • The Automatic Reset program resets the GMIB and if elected the “Greater of” GMDB each year that you are eligible. If you accept the Automatic Reset program, resets will occur automatically unless such automatic resets are or have been terminated. The reset will result in a new waiting period to exercise the GMIB of up to the later of 10 years or the original exercise date, but not later than age 95. To opt out of the Automatic Reset Program, please check the box below. I decline the Automatic Reset Program. Or to elect a Customized Reset Program, check the box below. Customized Reset Program Reset my GMIB and if elected “Greater of” GMDB each year up to and including the contract anniversary date in the year    only. I understand that resets will only occur during this time period if I am eligible.                (YYYY) 1 There is no additional charge for the Return of Principal death benefit. 2 Available for Traditional IRA, SEP IRA and QPDC only. 3 The charge for this rider is based on the Owner’s age at the time the contract is issued, regardless of the Owner’s age when the application is signed. The charge is higher for Owner issue ages 65-68. X04469_Compact Retirement Cornerstone® — Series CP® ICC20 App01 RC CP -Z    Page 4 of 10

5. Investment Selection R • You must allocate 100% of your initial contributions to either the Investment Options in Section 5A OR any Special DCA E in Section 5B. Q • All future allocations will be apportioned according to the percentages below unless instructed otherwise by you. U • Contributions Account Investment received Options after the and Special the Protected DCA program Benefit terminates Account Investment will be allocated Options to according the Investment to the    instructions below. R I • If you do not allocate amounts to the Protected Benefit Account Investment Options, the guaranteed benefits will have no E value under your contract until you allocate amounts at a future date. D PROTECTED BENEFIT ACCOUNT INVESTMENT ACCOUNT Investment Options Investment Options Total Allocation to Protected Benefit Account Total Allocation to Investment Investment Options % (percent must be a Account Investment Options % whole number) (percent must be a whole number) If your contract is issued with GMIB and you are younger Please see the Investment Account Investment Option than age 50, you may not allocate amounts to the Protected section on page 6 to select your allocations. Benefit Account until you attain age 50. Please see the Protected Benefit Account Investment Options section at the bottom of page 5 to select your allocations. Total Investment Account Investment Options percentage plus Protected Benefit Account Investment Options percentage must equal 100%. Choose either 5A or 5B below. R 5A: Immediate Allocation E Allocate 100% immediately to the Investment Account Investment Options and/or the Protected Benefit Q Account Investment Options. U I 5B: Special Dollar Cost Averaging Programs R Allocate 100% immediately to the Special Dollar Cost Averaging Program selected below. E Check box for one time period. D 3 months 6 months 12 months • You may designate either or both the Investment Account Investment Options and the Protected Benefit Account Investment Options as the destination Option for DCA. • If you select the Protected Benefit Account Investment Options, your funds will be considered invested in the Protected Benefit Account from the date of contribution. The destination cannot be changed to the Investment Account Investment Options at a later date. PROTECTED BENEFIT ACCOUNT Investment Options If you allocated 100% to the Investment Account Investment Options proceed to page 6 to enter your allocation instructions. If your contract is issued to the with Protected GMIB and Benefit you Account are younger until than you attain age 50, age you 50. may not allocate amounts Percentages must be whole numbers Allocation % Growth/Aggressive Growth Allocation % Moderate/Moderate Growth % EQ/AB Dynamic Aggressive Growth GB % 1290 VT Moderate Growth Allocation GB % EQ/AB Dynamic Growth GB % EQ/AB Dynamic Moderate Growth GB % EQ/Aggressive Growth Strategy GB % EQ/American Century Moderate Growth Allocation GB % EQ/Goldman Sachs Growth Allocation GB % EQ/AXA Investment Managers Moderate Allocation GB % EQ/Growth Strategy GB % EQ/Balanced Strategy GB % EQ/JPMorgan Growth Allocation GB % EQ/First Trust Moderate Growth Allocation GB % EQ/Legg Mason Growth Allocation GB % EQ/Goldman Sachs Moderate Growth Allocation GB Conservative/Conservative Growth % EQ/Invesco Moderate Allocation GB % EQ/Conservative Growth Strategy GB % EQ/Invesco Moderate Growth Allocation GB % EQ/Conservative Strategy GB % EQ/Legg Mason Moderate Allocation GB % EQ/Moderate Growth Strategy GB 100% Protected Benefit Account Investment Options* *    This amount represents 100% of the percentage shown above in the Protected Benefit Account Investment Options section. X04469_Compact Retirement Cornerstone® — Series CP® ICC20 App01 RC CP -Z    Page 5 of 10

INVESTMENT ACCOUNT Investment Options Percentages must be whole numbers Allocation % Allocation % Asset Allocation Small Cap Stocks % %    1290 1290 VT VT Moderate DoubleLine Growth Dynamic Allocation Allocation % 1290 VT GAMCO Small Company Value % 1290 VT Microcap % BlackRock Global Allocation V.I. Fund % 1290 VT Small Cap Value % EQ/AB Dynamic Aggressive Growth % EQ/AB Small Cap Growth % EQ/AB Dynamic Growth % % EQ/Small Invesco V. I. Company Small Cap Index Equity Fund % EQ/AB Dynamic Moderate Growth % EQ/Aggressive Growth Strategy International/Global Stocks % EQ/All Asset Growth Allocation % 1290 VT Low Volatility Global Equity % EQ/American Century Moderate Growth Allocation % 1290 VT SmartBeta Equity % EQ/AXA Investment Managers Moderate Allocation % American Funds Insurance Series® Global Small Capitalization FundSM % EQ/Balanced Strategy ® ® % American Funds Insurance Series New World Fund % EQ/Conservative Growth Strategy % EQ/Emerging Markets Equity PLUS % EQ/Conservative Strategy % EQ/International Core Managed Volatility % EQ/First Trust Moderate Growth Allocation % EQ/International Equity Index % EQ/Goldman Sachs Growth Allocation % EQ/Invesco Global Portfolio % EQ/Goldman Sachs Moderate Growth Allocation % % EQ/Lazard EQ/Invesco Emerging International Markets Growth Equity % EQ/Growth Strategy % EQ/Invesco Moderate Allocation % % EQ/MFS EQ/MFS International International Intrinsic Growth Value % EQ/Invesco Moderate Growth Allocation % Neuberger Berman International Equity Portfolio % EQ/JPMorgan Growth Allocation % Templeton Developing Markets VIP Fund % EQ/Legg Mason Growth Allocation Specialty % EQ/Legg Mason Moderate Allocation % 1290 VT GAMCO Mergers & Acquisitions % EQ/Moderate Allocation % 1290 VT Natural Resources % EQ/Moderate Growth Strategy % 1290 VT Real Estate % First Trust/Dow Jones Dividend & Income Allocation Portfolio % % Eaton EQ/Invesco Vance Global VT Floating-Rate Real Estate Income Fund % First Trust Multi Income Allocation Portfolio % Franklin Allocation VIP Fund % % EQ/MFS EQ/MFS Technology Utilities Series % Franklin Income VIP Fund % EQ/T.Rowe Price Health Sciences % Invesco V.I. Equity and Income Fund % EQ/Wellington Energy Portfolio % QS Legg Mason Dynamic Multi-Strategy VIT Portfolio % Multimanager Technology Large Cap Blend Stocks % Neuberger Berman U.S. Equity Index PutWrite Strategy Portfolio % ClearBridge Variable Appreciation Portfolio % PIMCO VIT CommodityRealReturn® Strategy Portfolio % % ClearBridge EQ/ClearBridge Variable Select Dividend Equity Managed Strategy Volatility Portfolio % % Templeton ProFund VP Global Biotechnology Bond VIP Fund % % EQ/Equity EQ/Common 500 Stock Index Index High Yield Bonds % EQ/Fidelity Institutional AM® Large Cap % % Invesco 1290 VT V. High I. High Yield Yield Bond Fund % EQ/Franklin ® Rising Dividends % MFS Investors Trust Series % Ivy VIP High Income Large Cap Growth Stocks Bonds % BlackRock Large Cap Focus Growth V.I. Fund % 1290 VT DoubleLine Opportunistic Bond % ClearBridge Variable Aggressive Growth Portfolio % American Funds Insurance Series® Bond FundSM % % EQ/Large EQ/ClearBridge Cap Growth Large Cap Index Growth % % EQ/Core EQ/Franklin Bond Strategic Index Income % % EQ/T. EQ/Loomis Rowe Sayles Price Growth Growth Stock % EQ/Intermediate Government Bond % EQ/PIMCO Global Real Return % MFS® Massachusetts Investors Growth Stock Portfolio % EQ/PIMCO Real Return % Multimanager Aggressive Equity % EQ/PIMCO Total Return Large Cap Value Stocks % EQ/PIMCO Ultra Short Bond % 1290 VT Equity Income % Fidelity® VIP Strategic Income Portfolio % % EQ/Invesco EQ/BlackRock Comstock Basic Value Equity % % PIMCO Lord Abbett VIT Income Bond Debenture Portfolio % % EQ/Large EQ/JPMorgan Cap Value Value Opportunities Index % Putnam VT Diversified Income Fund Cash/Cash Equivalents % EQ/Large Cap Value Managed Volatility % Invesco V.I. Diversified Dividend Fund % % Guaranteed EQ/Money Market Interest Option (GIO) (maximum 25%) Mid Cap Stocks 100% Investment Account Investment Options* % ClearBridge Variable Mid Cap Portfolio % % EQ/American EQ/Goldman Sachs Century Mid Mid Cap Cap Value Value TOTAL%     *    This amount represents 100% of the percentage is shown % % EQ/Janus EQ/MFS Mid Enterprise Cap Focused Portfolio Growth Portfolio above in the Investment Account Investment Option section. % % EQ/Mid EQ/Mid Cap Cap Value Index Managed Volatility % Fidelity® VIP Mid Cap Portfolio % Invesco V.I. Mid Cap Core Equity Fund X04469_Compact Retirement Cornerstone® — Series CP® ICC20 App01 RC CP -Z    Page 6 of 10

6. Broker Transfer Authority Disclosure andYes provide . I have to granted Equitable authority Investment to each Option of my transfer Financial instructions Professional(s), in writing, which by telephone are listed below, or electronically, to act as my and agent I hereby    good authorize faith and on the direct stated Equitable identity to of act the on person(s) such instructions placing such . I understand instructions, and and acknowledge (ii) will have that no Equitable liability for (i) any may claim, rely in    authorization loss, liability, or until expense such time that as may we arise receive in connection written notification with such in instructions our Processing . Equitable Office that will continue broker transfer to act upon authority this has to provide been terminated transfer instructions . Upon receipt on your of such behalf notification, . Equitable Equitable may (i) change will terminate or terminate the Financial telephone Professional’s(s’) or electronic or ability    overnight electronic mail transfer transfer services procedures because at of any disruptive time without transfer prior activity notice, . and (ii) restrict fax, internet, telephone and other 7. Current Insurance BOTH questions in the Owner Response and the Financial Professional Response R columns must be completed and match for the contract to be issued. E Owner Response Financial Professional Q Replacement Questions Response U I 1.    Do you have any other existing life insurance or annuities? Yes                No Yes                No R (If yes, a State Requirements Questionnaire may be required) E 2.    Will any existing life insurance or annuity be (or has it been) Yes                No Yes                No D surrendered, withdrawn from, loaned against, changed or otherwise assuming reduced in the value, Certificate/Contract or replaced in connection applied for with will this be issued transaction on the life of the Owner? (If yes, complete the following below and submit a State Requirements Questionnaire, if required.) Please list the contract(s) below that will be used to fund this new Equitable contract Company Type of Plan Year Issued Certificate/Contract Number Company Type of Plan Year Issued Certificate/Contract Number Company Type of Plan Year Issued Certificate/Contract Number 8. Fraud Warning Any of a criminal person who offense knowingly and subject presents to penalties a false statement under state in an law application . for insurance may be guilty 9. Special Instructions Primary Attach a Residential separate sheet Address if additional in Section space 2A, is please needed complete . For Owners the following: whose Mailing Address differs from their Mailing Address — P.O. Box accepted City State Zip Code 10. Electronic Delivery contract,    I authorize contract Equitable endorsements, to send all annuity documents statements, regarding confirmation my contract notices, to me privacy electronically policy, . This prospectuses means that and my all    other notices regarding my contract will be sent to me electronically. My email address is1: This when authorization documents are will available continue on unless Equitable’s and until website revoked . Please and means logon that to equitable Equitable .com will to send update an email your email or notice address, to me to revoke be delivered your authorization by the United for electronic States Postal delivery Service or request for compliance paper copies reasons . Certain . types of correspondence may continue To online receive account and view access such with documents Equitable .electronically, Upon issuance I understand of your contract I must you register will receive (with a an user email name providing and password) a temporary for or password save statements and instructions and other to register documents for online to your account home computer access. Through . If the email this provided online account is not you a valid can address, view, download you will receive electronically paper on versions equitable of your .com, statements you agree and to the other disclosures, contract related terms and documents requirements . When pertaining you agree to to electronic do transactions transactions set forth on the website. 1Non-natural owners (such as trusts): please provide the email address of the authorized signatory. X04469_Compact Retirement Cornerstone® — Series CP® ICC20 App01 RC CP -Z    Page 7 of 10

11. Signature and Acknowledgements GENERAL DISCLOSURE. BY SIGNING BELOW, I/WE UNDERSTAND AND ACKNOWLEDGE THAT: • Account value(s) attributable to allocations to the investment options, and any variable annuity benefit payments I may elect, may increase or decrease and are not guaranteed as to dollar amount. • In the case of IRAs and qualified plans that provide tax deferral under the Internal Revenue Code, by signing this application I acknowledge that I am buying the Contract for its features and benefits other than tax deferral, as the tax deferral feature of the Contract does not provide additional benefits. • Under penalty of perjury, I certify that all the Taxpayer Identification Numbers, citizenship and owner status information in Section 2 are correct. • All information and statements furnished in this application are true and complete to the best of my knowledge and belief. • Equitable may accept amendments to this application provided by me or under my authority. • No Financial Professional has the authority to make or modify any Contract on behalf of Equitable, or to waive or alter any of Equitable’s rights and regulations. Equitable must agree to any change made to the Contract and benefits applied for, or to the age at issue, in writing signed by an officer of the company. • Charges under the Contract generally apply for the duration of the Contract. • The prospectus and applicable supplements contain more complete information including the limitations, restrictions and conditions that applies to the Contract and any optional benefit riders. OPTIONAL GUARANTEED BENEFIT DISCLOSURE. I/WE UNDERSTAND AND ACKNOWLEDGE THAT: • There are additional charges for the elected optional benefit riders, unless otherwise noted in this application. • To receive the benefits under the rider(s), I/we must allocate amounts to the Protected Benefit Account Investment Options either immediately or at a future date, subject to the terms and limitations of the Contract. I understand that allocating amounts to the Protected Benefit Account either immediately or, subject to the terms and conditions of the Contract, on a future Contract Date Anniversary maximizes the benefit of the roll up feature. If Equitable discontinues transfers and contributions to the Protected Benefit Account Investment Options, I/we will thereafter not be able to create or add to the benefit base. • Contributions and transfers to the GMIB and “Greater of” GMDB (if elected) are only permitted starting at age 50. If I am between the ages of 43 and 49 on my Contract Date, the applicable Initial Lock-in Deferral Rollup Rate and Initial Lock-in Annual Rollup Rate will only apply after I attain age 50, and then only for the amount of time remaining of my first seven Contract Years. If I am age 42 or younger on my Contract Date, the Initial Lock-in Deferral Rollup Rate and Initial Lock-in Annual Rollup Rate will never apply to my Contract and my benefit(s) will rollup based on the applicable Ten Year Treasuries Formula Rate according to the terms of the Contract. • The rollup rate used for the rollup benefit bases under GMIB and GMDB (if elected) does not represent a guarantee of my Account Value or Cash Value. The rollup rates that apply to my contract are specified in the Rate Sheet Supplement to the Prospectus. • The benefit base does not represent an Account Value or Cash Value. The benefit base cannot be split in connection with a divorce. • Unless otherwise declined, contracts with the GMIB will automatically issue with the Automatic Reset program. The Automatic Reset program resets my GMIB and if elected “Greater of” GMDB Rollup Benefit Base each year that I am eligible. Resets will occur automatically unless such automatic resets are or have been terminated. The annual reset will result in a new wait period to exercise the GMIB, of up to the later of 10 years or the original exercise date (but not later than age 95) which may be started beginning on each Contract Date Anniversary that the GMIB and if elected “Greater of” GMDB Rollup Benefit Base is reset. If my Annuity Account Value does not exceed my GMIB benefit base on any Contract Anniversary, no reset will occur. To cancel my reset I must submit a signed and completed reset cancellation request. Any such request must be received at Equitable’s processing office at least 1 business day prior to the Contract Date Anniversary to which the cancellation applies. Requests received after this window will apply the following year. I am not able to cancel a reset once it has occurred. For jointly owned Contracts, eligibility to reset the benefit base is based on the age of the older owner. • Equitable reserves the right to change the charges for the GMIB, the “Greater of” GMDB, and the RMD Wealth Guard GMDB Riders, up to the maximum charges stated in the Contract and prospectus at any time. I will have the option to exercise the GMIB or terminate the GMIB, “Greater of” GMDB or the “RMD Wealth Guard” GMDB Riders if a fee increase is imposed by submitting a written request to Equitable’s Processing Office. • Withdrawals under the Contract may reduce my optional benefit. X04469_Compact Retirement Cornerstone® — Series CP® ICC20 App01 RC CP -Z    Page 8 of 10

11. Signature and Acknowledgements (continued) • An optional benefit, with the exception of the RMD Wealth Guard GMDB Rider after the first contract anniversary, may be of limited use if required minimum distributions apply, now or in the future, to my Contract because withdrawals that are made from this Contract to meet the required amount may significantly reduce the benefit. However, if I elect the GMIB or “Greater of” GMDB and also elect the Automatic RMD Withdrawal Service, withdrawals of my required minimum distributions made through the automatic RMD Withdrawal Service will not reduce my GMIB or for the “Greater of” GMDB the GMDB Rollup benefit base during the GMDB Rollup Period. Prospectus Information: I acknowledge that I have received the most current prospectus and supplements, for Retirement Cornerstone® Series CP®. After reviewing my financial information and goals with my Financial Professional, I believe that this Certificate/Contract will meet my financial goals. R Consent for Delivery of Initial Prospectus on CD-ROM: E Yes. By checking this box and signing the enrollment form/application below, I acknowledge that I received Q the initial prospectus on computer readable compact disk ‘‘CD’’, and that my computer has a CD drive and I am U able to access the CD information. In order to retain the prospectus indefinitely, I understand that I must print or R I download it. I also understand that I may request a prospectus in paper format at any time by calling Customer Service at 800-789-7771, and that all subsequent prospectus updates and supplements will be provided to me in E paper format, unless I enroll in Equitable’s Electronic Delivery Service. D Contract State : We will issue and deliver a contract to you based upon your state of primary residence. If you sign the enrollment form/application in a state other than your primary residence state: I certify that either: I have a second residence where the enrollment form/application was signed (the state of sale) or    I work or maintain a business in the state where the enrollment form/application was signed (the state of sale). (Check one) When you sign this application, you are agreeing to the elections that you have made in this application and acknowledge that you have read and understand the information. X Owner Signature City, State Date (MM/DD/YYYY) X Joint Owner Signature City, State Date (MM/DD/YYYY) X Annuitant Signature (if other than Owner) City, State Date (MM/DD/YYYY) X Joint Annuitant Signature (if other than Owner) City, State Date (MM/DD/YYYY) X04469_Compact Retirement Cornerstone® — Series CP® ICC20 App01 RC CP -Z    Page 9 of 10

12. Financial Professional Information R A. Did you (i) verify the identity by reviewing the driver’s license/passport of the Owner, or E in the case of an entity owner, obtain documentary evidence of entity’s existence Q (e.g. articles of incorporation, trust agreement, etc.), and (ii) inquire about the source of the customer’s assets and income? Yes No U I B. Is the Proposed Owner/Annuitant, or is their family member or close associate, a R government, political official or foreign military official?    Yes No E If “Yes”, please provide explanation of position and relationship D C. Is the Proposed Owner/Annuitant currently an Active Duty* Member of the Armed Forces?    Yes No (If Yes, you must also submit a completed and signed LIFE INSURANCE/ANNUITY DISCLOSURE TO ACTIVE DUTY MEMBERS OF THE ARMED FORCES). *Active Duty means full-time duty in active military service of the United States and includes members of the reserve component (National Guard and Reserve) while serving under published orders for active duty or full-time training. It does not include members of the reserve component who are performing active duty or active duty for training under military calls or orders specifying periods of less than 31 calendar days. X ELAS Primary Financial Professional Signature Social Security Number    Agent Code %     Print Name Phone Number Client Account Number Email Address Agent Location X Financial Professional Signature Social Security Number Agent Code %     Print Name Phone Number Financial Professional Use Only. Contact your home office for program information. Once selected, program cannot be changed. Option I    Option II    Option III    Option IV    Option V Cat No. 161972 X04469_Compact Retirement Cornerstone® — Series CP® ICC20 App01 RC CP -Z    Page 10 of 10