Post-Effective Amendment
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)(3) — Subaccount Transfer Request Form
EX-99.(E)(3) | TOC | ↑Top | Previous | Next | ↓Bottom | Just 1st |
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[LOGO] The AIG Life Companies (U.S.) EXHIBIT (e)(3)
EXECUTIVE ADVANTAGE/SM/
SUBACCOUNT TRANSFER REQUEST
Policy Number: ____________ Policyholder: _____________________________________
(Last Name, First Name, Middle Name)
Insured: ____________________________________ Social Security No.: ____-___-___
(Last Name, First Name, Middle Name)
. Restrictions on Subaccount Transfers are shown in the Certificate and
Certificate Information pages.
. The Policyholder may make 12 free transfers during a Certificate Year. A
$25 transfer charge may be imposed on each subsequent transfer.
. Transfers from the Guaranteed Account may be made to a Subaccount(s) only
during the 60 day period that is 30 days before and 30 days after the end
of each Certificate Anniversary.
. Transfers must be in whole dollars or whole percentages.
Circle + for transfer into fund. Circle (-) for transfer out of fund.
Amount Percent
------ -----------
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
Developing Markets Securities - Class 2................. +(-) $______ ___%
Growth Securities - Class 2............................. +(-) $______ ___%
Foreign Securities - Class 2............................ +(-) $______ ___%
Money Market Fund - Class 1............................. +(-) $______ ___%
Goldman Sachs Variable Insurance Trust
Structured U.S. Equity Fund............................. +(-) $______ ___%
International Equity Fund............................... +(-) $______ ___%
J.P. Morgan Series Trust II
Small Company Portfolio................................. +(-) $______ ___%
FAM Variable Series 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................... +(-) $______ ___%
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............................ +(-) $______ ___%
NeubergerBerman 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 the statements and answers in this Subaccount
Transfer request are written as made by me and are complete and true to the
best of my knowledge and belief.
---------------------------------------- -------------------------------------
Signature of Insured Signature of Policyholder (if other
than Insured)
________________________ ______, 20____
Date Signed
Transfer, Executive Advantage/SM/, 04/06
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