Cash or Loan Values on $1,000 Participating Policies. 2 3 1 $8 19 $71 40 125 60 183 44 9 05 74 62 130 80 190 86 9 95 77 98 136 24 198 58 4 10 90 81 49 141 89 206 61 25 11 89 85 16 147 79 214 93 26 12 92 88 99 153 92 223 58 27 14 00 93 00 160 33 232 53 8 15 14 97 19 167 00 241 80 29 16 33 101 56 173 94 251 37 30 17 58 106 13 181 16 261 22 31 18 89110 89 188 68 271 35 32 20 26 115 87 196 47 281 74 33 21 70 121 06 204 54 292 38 34 23 21 126 49 212 89 303 27 35 24 80 132 14 221 50 314 40 36 26 45 138 03 230 35 325 74 37 28 18 144 14 239 44 337 28 38 29 98 150 49 248 75 349 02 39 31 89 157 08 258 29 360 96 40 33 88 163 86 268 03 373 06 41 35 99 170 83 277 97 385 31 42 38 17 177 99 288 09 397 70 43 40 46 185 31 298 38 410 21 44 42 82 192 79 308 83 422 84 45 45 29 200 43 319 44 435 58 46 47 82 208 20 330 17 448 41 47 50 41 216 12 341 04 461 33 48 53 06 224 16 352 03 474 35 49 55 75 232 35 363 15 487 47 50 58 51 240 68 374 42 500 73 51 61 35 249 17 385 83 514 18 52 64 26 257 81 397 38 527 89 53 67 25 266 59 409 10 542 04 54 70 31 275 54 420 98 556 84 55 73 45 284 66 433 08 572 60 56 76 67 293 94 445 45 589 70 57 79 99 303 41 458 19 608 62 58 83 30 313 08 471 49 629 25 59 86 86 322 96 485 64 654 50 60 90 43 333 11 501 00 683 43 61 94 11 343 61 518 05 718 32 62 97 91 354 59 537 40 761 82 63 101 82 366 28 559 78 818 10 64 105 85 379 03 586 25 893 83 19 Yrs. 65 110 03 393 32 618 29 889 47 $90 32 391 77 666 49 927 45 90 32 391 72 666 42 927 42 90 32 391 67 666 35 927 39 90 31 391 61 666 27 927 36 90 31 391 56 666 19 927 32 90 29 391 50 666 10 927 28 90 28 391 43 666 00 927 24 90 27 391 38 665 91 927 20 90 27 391 32 665 81 927 15 90 27 391 27 665 70 927 10 90 27 391 21 665 59 927 04 90 28 391 16 665 46 926 98 90 28 391 11 665 34 926 91 90 30 391 06 665 20 926 84 90 32 391 01 665 06 926 76 90 35 390 98 664 91 926 67 90 38 390 94 664 76 926 58 90 42 390 92 664 60 926 47 90 47 390 91 664 44 926 35 90 54 390 94 664 28 926 22 90 63 390 99 664 10 926 07 90 73 391 07 663 89 925 90 90 85 391 17 663 66,925 72 90 99 391 31 663 40 925 51 91 17 391 48 663 11 925 27 $26 76 144 33 249 44 371 80 27 57 147 38 254 49 379 26 28 40 150 53 259 71 386 96 29 26 153 79 265 10 394 92 30 15 157 16 270 67 403 12 31 06 160 64 276 42 411 59 32 01 164 24 282 37 420 32 32 99 167 97 288 50 429 32 34 01 171 82 294 83 438 59 35 06 175 79 301 35 448 14 36 15 179 89 308 07 457 95 37 28 184 13 314 99 468 04 38 44 188 50 322 11 478 39 39 64 193 01 329 43 489 CO 40 89 197 64 336 96 499 86 42 18 202 42 344 68 510 95 43 51 207 33 352 61 522 25 44 87 212 38 360 72 533 74 46 29 217 57 369 01 545 43 47 76 222 91 377 47 557 29 49 28 228 38 386 06 569 30 50 83 233 99 394 77 581 46 52 43 239 73 403 60 593 73 54 07 245 59 412 50 606 10 55 79 251 57 421 48 618 57 57 55 257 62 430 50 631 10 91 38 391 66 662 78 925 01 59 38 263 73 439 55 643 68 91 65 391 85 662 39 924 71 61 25 269 88 448 59 656 28 91 94 392 04 661 94 924 38 63 19 276 06 457 61 668 89 92 28 392 22 661 43 924 00 65 15 282 24 466 58 681 49 92 65 392 39 660 84 923 58 67 16 288 40 475 47 694 06 69 20 294 53 484 26 706 58 71 24 300 62 492 92 719 03 73 28 306 64 501 42 731 39 75 31 312 59 509 75 743 66 77 36 318 47 517 89 755 83 79 42 324 27 525 82 767 90 81 49 329 97 533 50 779 88 83 57 335 58 540 93 791 82 85 66 341 09 548 07 803 81 87 78 346 48 554 91 815 92 89 91 351 74 561 41 828 27 92 07 356 86 567 57 840 99 94 24 361 82 573 43 854 24 96 42 366 58 579 06 868 21 98 62 371 17 584 60 883 22 93 06 392 54 660 17 923 10 93 50 392 66 659 39 922 57 93 95 392 75 658 52 921 97 94 42 392 82 657 53 921 30 94 89 392 87 656 43 920 56 95 39 392 92 655 22 919 72 95 94 392 96 653 88 918 80 96 53 393 01 652 41 917 77 97 17 393 07 650 80 916 63 97 87 393 15 649 03 915 37 98 62 393 25 647 08 913 98 99 44 393 35 644 88 912 43 100 34 393 44 642 42 910 73 101 30 393 50 639 68 908 86 102 32 393 49 636 68 906 80 103 41 393 42 633 47 904 54 Paid-up Values (Participating) on $1,000 Participating Policies. 18 19 20 739 947 $ 96 $200 $466 $737 $947 $155 $272 $545 $789 $959 97 202 468 99 204 469 740 947 155 272 544 789 959 544 788 959 100 205 471 741 947 155 271 544 788 959 102 207 473 742 271 544 788 959 21 $26 $ 79 $207 $331 $436 941 152 263 520 54 118 207 404 566 692 144 251 500 736 940 151 262 517 754 947 121 211 410 572 701 144 251 499 734 939 151 261 515 751 56 123 215 416 580 711 145 252 497 731 937 151 260 512 747 944 421 587 723 145 252 496 727 260 509 743 942 428 595 737 146 252 494 724 934 150 259 506 738 940 145 252 720 932 150 258 503 733 938 147 252 716 930 150 257 499 727 936 501 753 948 153 267 534 776 955 766 951 264 524 763 950 522 761 949 758 948 945 936 151 492 63 144 244 462 655 870 147 249 471 675 925 19 yrs 65 150 253 482 700 920 20-PREMIUMS LIFE ANNUAL DIVIDEND POLICY WITH DISABILITY BENEFIT RIDER. No. 99,999. SUM INSURED, $10,000. AGE, 35. ANNUAL PREMIUM, $372.70. NATIONAL LIFE INSURANCE COMPANY. An Insurance of Ten Thousand Dollars is hereby granted on the life of John Doe of Montpelier, Vermont, immediately payable upon receipt at the Home Office of the Company in Montpelier, Vermont, of due proofs of the death of the Insured during the continuance of this policy, to his wife, Mary Doe. CHANGE OF BENEFICIARY.-The right is reserved to the Insured, if no assignment of this policy has been duly filed with the Company, to designate a new beneficiary, from time to time, by filing written notice thereof at the Home Office of the Company. Such change shall take effect only upon its endorsement on the policy by the Company in the lifetime of the Insured. If any beneficiary shall die before the Insured, the interest of such beneficiary shall vest in the Insured, unless otherwise provided by this policy. CONSIDERATION. This policy is issued in consideration of the application therefor and a premium of Three hundred seventytwo and 70/100 Dollars, to be paid to this Company upon delivery of this policy, and of the payment of a like sum on or before the first day of June in every year during the lifetime of the Insured. until twenty full years' premiums have been paid. INCONTESTABILITY. This policy shall be incontestable after one year from its date of issue, except for nonpayment of premiums. PARTICIPATION.-This policy shall participate in the surplus of the Company and the Company will annually determine and account for the portion of the divisible surplus accruing hereon. Dividends, when declared, shall become absolutely the property of the Insured and at his option may be: 1st, Paid in cash: or 2nd, Applied toward the payment of any premium or premiums; or 3rd, Converted into additional paid-up participating insurance; or 4th, Deposited with the Company subject to the payment annually of 3 per cent interest thereon, together with the share of surplus interest apportioned on account of this nolicy by the directors of the Company. Such deposits may be withdrawn at any time and will be included in any cash settlement of this policy. Unless the Insured shall elect otherwise rior to thirty days after any dividend is due, the same will be aid in cash. POLICY THE ENTIRE CONTRACT. This policy and its applicaion, which is made a part hereof and a copy of which is hereon Endorsed, together with General Provisions contained on the everse of this page, which are hereby made a part of this policy is fully as if they were recited at length over the signatures hereunto affixed, constitute the entire contract between the parties. In Witness Whereof, the NATIONAL LIFE INSURANCE COMPANY has, by its President and Secretary, signed this policy this first day of June, 1919, at Montpelier, Vermont. FRED A. HOWLAND, O. D. CLARK, Secretary. GENERAL PROVISIONS. President. NON-FORFEITURE. (a) On failure to pay any premium or any part thereof, or any premium note or interest thereon, when due, this policy, except as otherwise provided herein, shall immediately lapse; if, however, lapse occurs after three full years premiums have been paid, the owner of the policy shall be entitled, at the end of successive policy years, to one of the settlements specified in the following table, which are: First, without action of the Insured, Nonparticipating Continued Term Insurance for $10,000 for the specified term counting from the anniversary date to which full years premiums have been paid; or Second, on application and legal surrender of this policy within three months, a participating Paid-up Policy; or Third, on application and legal surrender of this policy within three months, a Cash Valuc. TABLE OF CONTINUED AND PAID-UP INSURANCE AND CASH OR LOAN VALUES (b) The above table of values represents the full reserves according to the American Experience Table of Mortality with interest at three per cent less deductions (already made) in the amount applicable to purchase continued insurance of not exceeding at any time two and one-half per cent of the amount insured and in the cash or loan values of not exceeding one per cent of |