EX-99.E 9 suptoapplication.htm SUPPLEMENT TO THE APPLICATION

 

EXHIBIT 26(e)(ii)

 

 

 

The Prudential Insurance Company of America

No. xx xxx xxx

 

A Supplement to the Life Insurance Application for a variable contract in which John Doe is named as the proposed insured.

 

- ---------------------------------------------------------------------------

 

I BELIEVE THIS CONTRACT MEETS MY INSURANCE NEEDS AND FINANCIAL OBJECTIVES. I

ACKNOWLEDGE RECEIPT OF A CURRENT PROSPECTUS FOR THE CONTRACT. I UNDERSTAND THAT THE CONTRACT'S VALUE AND DEATH BENEFIT MAY VARY DEPENDING ON THE CONTRACT'S INVESTMENT EXPERIENCE ....................................... YES x NO o

 

 

Date

Signature of Applicant

 

 

Aug. 3, 1987

JOHN DOE

 

- --------------------------------

-----------------------------------

 

ORD 86218--88