Return of Premium Term - **

Insured: Peace Date: August 19, 2014

Female, Age 44 Prepared by: GABRIELLA

RODRIGUEZ

Premium Mode: Special Monthly Agency: RICK DURAN AGENCY

* * **** **

MARLBORO, NJ 07746

License No: 1307764

Phone No: 848-***-****

This demonstration was produced to be used in New Jersey.

Summary of Coverages and Premium

Special Monthly Initial Premium

Base Plan

$100,000 Return of Premium Term - 30: $65.51

Premium Class: Super Preferred Non-Tobacco

Total Special Monthly Initial Premium $65.51

Description of Coverage

Plan This policy (Form Number ICC11 08025) is a level term to age 95 life insurance policy

with a Return of Premium Benefit. The initial premium is guaranteed for the first 30

policy years. After the first 30 policy years, premiums increase significantly. These

premiums continue to increase annually and are adjustable but will not exceed the

maximum premiums listed in the policy. This policy is convertible to the later of age 75

or the end of 5 policy years.

Definitions

Non-Tobacco Available for those who do not currently use tobacco or other nicotine products and have

not used tobacco or other nicotine products within the 12-month period prior to

application.

Preferred Non-Tobacco Available for those who can meet underwriting requirements more stringent than the

standard Non-Tobacco risk category.

Super Preferred Non-Tobacco Available for those who currently do not use tobacco or other nicotine products and have

not used tobacco or other nicotine products within the 36-month period prior to

application and can meet underwriting requirements more stringent than the Preferred

risk category.

Annualized Premium The actual cash outlay each year which includes benefits and riders.

Total Annualized Premium The sum of each year's Annualized Premium.

Cash Surrender Value The guaranteed cash surrender value payable at the surrender of the contract prior to the

30th policy year. If all premiums have been paid and the insured is still living at the end

of the 30th policy year, the Return of Premium Benefit will be paid and is equal to the

Cash Surrender Value. The Return of Premium Benefit is not taxable.

State Farm Life Insurance Company

TM022(07/2010) One State Farm Plaza, Bloomington, IL 61710 Page 1 of 2

Return of Premium Term - 30

Insured: Peace Date: August 19, 2014

Female, Age 44 Prepared by: GABRIELLA

RODRIGUEZ

Premium Mode: Special Monthly Agency: RICK DURAN AGENCY

9 S MAIN ST

MARLBORO, NJ 07746

License No: 1307764

Phone No: 848-***-****

Guaranteed Premiums and Values

End Total Cash

of Annualized Annualized Surrender

Year Premium Premium Value

5 787 3,931 851

10 787 7,862 3,482

15 787 11,792 6,848

20 787 15,723 11,078

30 787 23,584 23,584

35 11,610 72,244 0

50 49,989 496,965 0

51 56,491 553,456 0

This is a demonstration of policy guarantees; it is not a contract.

This demonstration should not be relied upon for tax advice. The tax status of this policy should be reviewed with the policyowner's legal and tax

advisors.

Not FDIC - No Bank Guarantee

Insured - May Lose Value

State Farm Life Insurance Company

TM022(07/2010) One State Farm Plaza, Bloomington, IL 61710 Page 2 of 2

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