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)(2) — Supplemental Application
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AIG Life Insurance Company EXHIBIT (e)(2)
P.O. Box 667 Wilmington, DE 19899-0667
Executive Advantage/SM/
PLEASE PRINT ALL ANSWERS Supplemental Application For Life Insurance
1. Proposed Last Name First Name Middle Initial
Insured _______________________________________________________________
2. Date of Birth 3. Social Security Number
_______________________ _____________________
4. Allocation of premium (Must be in 1% increments and no less than 5% to any
one fund. Total must equal 100%.)
Guaranteed Account...................................................... _____%
AllianceBernstein Variable Products Series Fund
Growth Portfolio - Class A.............................................. _____%
Growth & Income Portfolio - Class A..................................... _____%
Americas Government Income Portfolio - Class A.......................... _____%
Large Cap Growth Portfolio.............................................. _____%
Small Cap Growth Portfolio.............................................. _____%
American Century Variable Portfolios, Inc.
VP Income & Growth Fund................................................. _____%
VP International Fund................................................... _____%
Credit Suisse Trust
Mid Cap Growth Portfolio................................................ _____%
Emerging Markets Portfolio.............................................. _____%
Global Small Cap Portfolio.............................................. _____%
International Focus Portfolio........................................... _____%
Small Cap Growth Portfolio.............................................. _____%
Large Cap Value Portfolio............................................... _____%
Fidelity Variable Insurance Products Fund
VIP Balanced Portfolio - Initial Class.................................. _____%
VIP Contrafund Portfolio - Initial Class................................ _____%
VIP Index 500 Portfolio - Initial Class................................. _____%
Franklin Templeton Variable Products Series
Money Market Fund - Class 1............................................. _____%
Developing Markets Securities Fund - Class 2............................ _____%
Growth Securities Fund - Class 2........................................ _____%
Foreign Securities Fund - Class 2....................................... _____%
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, Inc.
Mercury Fundamental Growth V.I. Fund - Class I.......................... _____%
Mercury Government Bond V.I. Fund - Class I............................. _____%
Mercury Basic Value V.I. Fund - Class I................................. _____%
Mercury Value Opportunities V.I. Fund - Class I......................... _____%
Neuberger Berman Advisers Management
AMT Partners Portfolio.................................................. _____%
PIMCO Variable Insurance Trust
High Yield Portfolio - Admin. Class..................................... _____%
Long-Term U.S. Gov't Portfolio - Admin. Class........................... _____%
Real Return Portfolio - Admin. Class.................................... _____%
Short-Term Portfolio - Admin. Class..................................... _____%
Total Return Bond Portfolio - Admin. Class.............................. _____%
Universal Institutional Funds
Emerging Markets Equity Portfolio - Class I............................. _____%
Core Plus Fixed Income Portfolio - Class I.............................. _____%
High Yield Portfolio - Class I.......................................... _____%
Mid Cap Growth Portfolio - Class I...................................... _____%
U.S. Mid Cap Value Portfolio - Class I.................................. _____%
VALIC Company I
International Equities Fund............................................. _____%
Mid Cap Index Fund...................................................... _____%
Small Cap Index Fund.................................................... _____%
Vanguard Variable Insurance Fund
Total Stock Market Index Portfolio...................................... _____%
Total Bond Market Index Portfolio....................................... _____%
[Download Table]
5. Dollar Cost Averaging (Minimum of $2,000 must be allocated to the
Franklin Money Market Fund.
If elected you must complete the Dollar Cost Averaging Plan YES NO
Request Form.) [_] [_]
6. (a)Did the Owner receive current prospectuses? [_] [_]
(b)Does the Owner understand that:
The death benefit may increase or decrease depending on
investment performance? [_] [_]
The cash value may increase or decrease depending on investment
performance? [_] [_]
The Certificate will lapse if the cash surrender value becomes
insufficient to cover the total monthly deductions? [_] [_]
(c)Does the Owner believe that this Certificate will meet
insurance needs and financial objectives? [_] [_]
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7. Suitability What is the Owner's: Approximate net worth _____________________
Income earned _____________________
Income unearned _____________________
Number of dependents _____________________
Marginal tax bracket _____________________
Investment Objective(s) (check all that apply): Growth ____ Growth and Income
____ Income ____ Capital Appreciation____ Speculation
I, the Owner, represent that the statements and answers in this supplemental
application are written as made by me and are complete and true to the best of
my knowledge and belief.
Signed on __________, 20__
Signature of Owner
at __________ State of ______
--------------------------------------------
Signature of Proposed Insured if not Owner
(Parent if Proposed Insured is Age 15 or
less)
---------------------------------
Signature of Soliciting Agent
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