INCONTESTABILITY.-After one year this policy shall be incontestable, except for non-payment of premiums, or for violation of the condition relating to military and naval service in time of war. All statements made by the Insured in the application shall, in the absence of fraud, be deemed representations and not warranties.

MISTAKE IN AGE.-If the age of the Insured has been understated, the amount payable hereunder shall be such as the premium paid would have purchased at the correct age.

ASSIGNMENT.-No assignment of this policy shall be binding upon the Company until it be filed with the Company at its Home Office. The Company assumes no responsibility as to the validity of any assignment.

NET VALUES.-After three full years' premiums have been paid in cash, the reserve on this policy at date of default, computed according to the American Experience Table of Mortality with 3% per cent. interest, less a surrender charge in no case of more than 21⁄2 per cent. of the amount of the insurance, and less any indebtedness against this policy, may be used, at the option of the Insured, in any one of the ways set forth in the following Tables:

INDEBTEDNESS.-If there be any indebtedness against this policy, the cash value and the loan value shall be reduced thereby; the paid-up value shall be reduced proportionately; and the extended insurance shall be for the amount of the policy-less the indebtedness, and shall be such as said reduced cash value will provide, computed according to the method set forth in the preceding paragraph.

1. CASH. On surrender of this policy before the expiration of the month of grace, the Company will pay its cash value; provided, however, that such payment may be deferred for a period of three months. (Table 1.)

TABLES OF NET VALUES

COUPONS DETACHED

The figures apply to a policy for $1,000. As this contract is for $10,000, the cash, loan, or paid-up insurance available after the end of any year will be Ten times the amount herein stated.

The figures are for the end of each policy year, and are on the assumption of no indebtedness against this policy.

Figures for other years computed on the same basis will be furnished on request.

The above values will be increased by the cash value of any unredeemed matured coupons.

2. LOAN. On the sole security of this policy and the proper assignment hereof, the Company will loan, at five per cent. interest payable annually in advance on the anniversary of the policy, an amount equal to its loan value, less the unpaid balance of the current year's premium, if any. Failure to repay principal or interest shall not void this policy unless the total indebtedness hereon to the Company shall equal or exceed such loan value, nor until one month after notice shall have been mailed to the Insured and the assignee, if any. However, such loan may be deferred for a period of three months. (Table 2.)

3. PAID-UP INSURANCE. On written request by the Insured and surrender of this policy before the expiration of the month of grace, a non-participating policy for the amount of paid-up insurance will be issued. (Table 3.)

4. AUTOMATIC EXTENDED INSURANCE.-If the Insured within the month of grace has failed to pay the premium due on this policy and has not availed himself of any other option, this policy will be automatically continued for its face value without further payment of premiums as Non-Participating Term insurance from the date to which premiums have been paid in cash. (Table 4.)

REINSTATEMENT.-This policy will be reinstated at any time after the date of lapse, upon evidence of insurability satisfactory to the Company, and the payment of premium arrears with five per cent. interest per annum compounded, and the payment of any other indebtedness due the Company with accumulated interest.

NOTICE.-Agents are not authorized to modify this policy, or to extend the time for the payment of premium.

Attestation

In Witness Whereof, The Ohio State Life Insurance Company has caused this Policy of Insurance to be signed by the President and Secretary at its Home Office in Columbus, Ohio, this First day of May, 1916.

JOSEPH K. BYE,
Secretary.

TABLES OF NET VALUES

JOHN M. SARVER,
President.

The following represents the cash, loan, paid-up and extended insurance values of this policy at end of years indicated, provided all coupons are intact. The figures apply to a policy of $1,000. As this contract is for $10,000, the cash, loan or paid-up insurance available at the end of any year will be Ten times the amount herein stated.

Matured coupons may be redeemed in cash at any time by surrendering the same at the Home Office of the Company in Columbus, Ohio. The Cash Value will be the Surrender Value of the paid-up insurance which such coupons would purchase, and at no time will be less than the cash shown on such coupons.

In the event of the death of the insured while any matured coupons are attached to this policy, the amount of such death claim will be increased $19.00 per thousand of insurance for each such unredeemed coupon.

No. 1.

$69.80.

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Sixty-Nine and 80/100 Dollars in exchange for this coupon, provided that all premiums to the second annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 2.

JOSEPH K. BYE, Secretary.

$71.20. The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Seventy-One and 20/100 Dollars in exchange for this coupon, provided that all premiums to the third annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 3.

JOSEPH K. BYE, Secretary.

$72.70. The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Seventy-Two and 70/100 Dollars in exchange for this coupon, provided that all premiums to the fourth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 4.

JOSEPH K. BYE, Secretary.

$74.30.

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Seventy-Four and 30/100 Dollars in exchange for this coupon, provided that all premiums to the fifth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

JOSEPH K. BYE, Secretary.

$74.90

No. 5. The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Seventy-Four and 90/100 Dollars in exchange for this coupon, provided that all premiums to the sixth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 6.

JOSEPH K. BYE, Secretary.

$76.50.

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Seventy-Six and 50/100 Dollars in exchange for this coupon, provided that all premiums to the seventh annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 7.

JOSEPH K. BYE, Secretary.

$78.20.

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Seventy-Eight and 20/100 Dollars in exchange for this coupon, provided that all premiums to the eighth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

JOSEPH K. BYE, Secretary. $80.00

No. 8. The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Eighty and 00/100 Dollars in exchange for this coupon,

provided that all premiums to the ninth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part. JOSEPH K. BYE, Secretary.

No. 9.

$81.70

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Eighty-One and 70/100 Dollars in exchange for this coupon, provided that all premiums to the tenth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 10.

JOSEPH K. BYE, Secretary.

$83.60.

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Eighty-Three and 60/100 Dollars in exchange for this coupon, provided that all premiums to the eleventh annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 11

JOSEPH K. BYE, Secretary.

$85.50.

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Eighty-Five and 50/100 Dollars in exchange for this coupon, provided that all premiums to the twelfth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 12

JOSEPH K. BYE, Secretary.

$87.40.

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Eighty-Seven and 40/100 Dollars in exchange for this coupon, provided that all premiums to the thirteenth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 13.

JOSEPH K. BYE, Secretary.

$89.40.

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Eighty-Nine and 40/100 Dollars in exchange for this coupon, provided that all premiums to the fourteenth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 14

JOSEPH K. BYE, Secretary.

$91.50.

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Ninety-One and 50/100 Dollars in exchange for this coupon, provided that all premiums to the fifteenth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 15.

JOSEPH K. BYE, Secretary. $92.60

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Ninety-two and 60/100 Dollars in exchange for this coupon, provided that all premiums to the sixteenth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 16.

JOSEPH K. BYE, Secretary.

$94.70.

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Ninety-Four and 70/100 Dollars in exchange for this coupon, provided that all premiums to the seventeenth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

JOSEPH K. BYE, Secretary.

No. 17.

$96.80

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Ninety-Six and 80/100 Dollars in exchange for this coupon, provided that all premiums to the eighteenth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 18

JOSEPH K. BYE, Secretary.

$99.00

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash Ninety-Nine and 00/100 Dollars in exchange for this coupon, provided that all premiums to the nineteenth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

No. 19.

$101.30.

The Ohio State Life Insurance Co., Columbus, Ohio, will pay in cash One Hundred One and 30/100 Dollars in exchange for this coupon, provided that all premiums to the twentieth annual premium inclusive have been paid on policy as herein designated, of which this coupon forms a part.

JOSEPH K. BYE, Secretary.

INSTALLMENT OPTIONS AT MATURITY.

The Insured, by written notice to the Company at its Home Office, and with the written consent of the assignee, if any, may elect to have the net sum payable under the policy, if not less than $1000, paid either in cash or left with the Company to be paid in one of the following ways:

(1) TRUST OPTION.-By payment of interest thereon of three and one-half per cent per annum, payable annually, to the payee under this policy at the end of each year during the life of the payee and by the payment upon the death of the payee of the said net sum and the accrued interest to the executors, administrators or assigns of the payee, unless otherwise directed in said notice.

(2) INSTALLMENT OPTION.-By payment of equal annual installments for a specified number of years, the first installment being paid immediately, in accordance with the following table for each One Thousand Dollars of said net sum:

(3) MONTHLY INSTALLMENT OPTION.-By payment of two hundred and forty monthly installments of $5.75 each, the first installment payable immediately, for each One Thousand Dollars of said net sum.

(4) INSTALLMENT AND DEFERRED BENEFIT OPTION.-By payment of the said net sum in twenty equal annual installments, first installment payable immediately at maturity, and the payment of an additional amount equal to one-half of the said net sum twenty years after the payment of the first installment.

(5) LIFE INCOME OPTION.-By the payment of equal annual installments, first installment payable immediately on maturity and annually thereafter until twenty such installments have been paid, and for so many years longer as the payee shall survive, in accordance with the following table for each One Thousand Dollars of said net sum: