Separate Account II of AGL, et al. – ‘485BPOS’ on 5/1/06 – EX-99.(E)(4)

On:  Monday, 5/1/06, at 2:17pm ET   ·   Effective:  5/1/06   ·   Accession #:  1193125-6-94793   ·   File #s:  333-34199, 811-04867

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Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 485BPOS     485B (Form N-6) Pea 17 Aig Life Executive            243   1.20M 
                          Advantage Vul                                          
 2: EX-99.(E)(2)  Supplemental Application                             2     13K 
 3: EX-99.(E)(3)  Subaccount Transfer Request Form                     2±    11K 
 4: EX-99.(E)(4)  Premium Allocation Form                              2±    11K 
 5: EX-99.(E)(5)  Loan/Surrender Request Form                          2     12K 
 6: EX-99.(E)(6)  Dollar Cost Averaging Request Form                   2     12K 
 7: EX-99.(E)(8)  Reallocation and Rebalancing Request Form            2±    11K 
 8: EX-99.(E)(9)  Automatic Rebalancing Request                        2±    10K 
 9: EX-99.(H)(7)(D)  Amendment No. 3 to Franklin Templeton             9     27K 
                          Participation Agreement                                
10: EX-99.(N)(1)  Pricewaterhousecoopers LLP Consent                   1      7K 

EX-99.(E)(4)   —   Premium Allocation Form

EX-99.(E)(4)
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[LOGO] The AIG Life Companies (U.S.)                             EXHIBIT (e)(4) 

EXECUTIVE ADVANTAGE/SM/ 

PREMIUM ALLOCATION  

Policy Number: ____________ Policyholder: _____________________________________ 
                                        (Last Name, First Name, Middle Name)

Insured: ____________________________________ Social Security No.: ____-___-___ 
(Last Name, First Name, Middle Name)                          

[_] I revoke my current Premium Allocation and direct that all future premiums  
be invested as described below.                                         

Allocation of Premium                                                           

Guaranteed Account...................................................... $_____ 
AllianceBernstein Variable Product Series Fund, Inc.                            
  Americas Government Income........................................... $_____
  Growth Portfolio..................................................... $_____
  Growth and Income Portfolio.......................................... $_____
  Large Cap Growth Portfolio........................................... $_____
  Small Cap Growth Portfolio........................................... $_____
American Century Variable Portfolios, Inc.                                      
  VP Income & Growth Fund.............................................. $_____
  VP International Fund................................................ $_____
Credit Suisse Trust                                                             
  Emerging Markets Portfolio........................................... $_____
  Global Small Cap Portfolio........................................... $_____
  International Focus Portfolio........................................ $_____
  Large Cap Value Portfolio............................................ $_____
  Mid-Cap Growth Portfolio............................................. $_____
  Small Cap Growth Portfolio........................................... $_____
Fidelity Variable Insurance Products                                            
  VIP Balanced Portfolio............................................... $_____
  VIP Contrafund Portfolio............................................. $_____
  VIP Index 500 Portfolio.............................................. $_____
Franklin Templeton Variable Insurance Products Trust                            
  Money Market - Class 1............................................... $_____
  Developing Markets Securities - Class 2.............................. $_____
  Growth Securities - Class 2.......................................... $_____
  Foreign Securities - Class 2......................................... $_____
Goldman Sachs Variable Insurance Trust                                          
  Structured U.S. Equity Fund.......................................... $_____
  International Equity Fund............................................ $_____
FAM Variable Funds                                                              
  Mercury Basic Value V.I. Fund........................................ $_____
  Mercury Fundamental Growth V.I. Fund................................. $_____
  Mercury Government Bond V.I. Fund.................................... $_____
  Mercury Value Opportunities V.I. Fund................................ $_____
J.P. Morgan Series Trust II                                                     
  Small Company Portfolio.............................................. $_____
Morgan Stanley Universal Institutional Funds                                    
  Core Plus Fixed Income Portfolio..................................... $_____
  Emerging Markets Equity Portfolio.................................... $_____
  High Yield Portfolio................................................. $_____
  Mid Cap Growth Portfolio............................................. $_____
  U.S. Mid Cap Value Portfolio......................................... $_____
Neuberger Berman Advisers Management Trust                                      
  AMT Partners Portfolio............................................... $_____
PIMCO Variable Insurance Trust                                                  
  High Yield Portfolio................................................. $_____
  Long Term U.S. Government Portfolio.................................. $_____
  Real Return Portfolio................................................ $_____
  Short-Term Portfolio................................................. $_____
  Total Return Bond Portfolio.......................................... $_____
Vanguard Variable Insurance Fund                                                
  Total Bond Market Index Portfolio.................................... $_____
  Total Stock Market Index Portfolio................................... $_____
VALIC Company I                                                                 
  International Equities Fund.......................................... $_____
  Mid Cap Index Fund................................................... $_____
  Small Cap Index Fund................................................. $_____

As Policyholder, I represent that:                                              

a) the statements and answers in this Premium Allocation are written as made by 
me and are complete and true to the best of my knowledge and belief.      

b) I have received copies of the current prospectuses.                          

c) I understand that the Death Benefit and Cash Surrender Value may increase or 
decrease depending on investment performance.                             

d) I understand that the Policy will lapse if Net Cash Surrender Value becomes  
insufficient to cover monthly deductions.                                 

e) I believe that this Policy will meet my insurance needs and financial        
objectives.                                                               

----------------------------------------  ------------------------------------- 
Signature of Insured                      Signature of Policyholder (if other   
                     than Insured)

____________________________   ______, 2006                                     
Date Signed                                                                     

Premium Allocation, Executive Advantage/SM/, 04/06