Jackson National Life Insurance Company

Jackson National Life Insurance Company PO Box 305153. NasiMle TN 37230-5153 Phone 80 37-8854 Fax 803-333-7879 Visit us al DARREN K INDYKE RISC JACKSON® NATIONAL LIFE INSURANCE COMPANY PAYMENT NOTICE how We/ vivid MI/10g kny3/40 4,9fror dizoorD 4t e AN/M.4M r thole) i POLICY NO. INSURED DUE DATE DESCRIPTION AMOUNT VILD004735 JEFFREY E EPSTEIN 11/19/14 ANNUAL PREMIUM DUE $9,382.40 IMPORTANT INFORMATION: Paying by check authorizes Jackson National Life Insurance Company to send the information horn your check electronically to your bank for payment. Your account mil be debited in the amount of your check and the transaction will appear on your bank statement. You will not receive your cancelled check back. 11 we cannot post the transaction electronically, you authorize us to present a copy of your check for payment. Payment must be received by the due date shown above or your poUcy will enter its gram period end wil terminate if the renewal premium is not received by the last day of the grace period, unless your policy has a net cash value and provides for and coverage continues under any of the following: 1) a nonlortoiture option, 21 an option to discontinue premium payments, or 31 an automatic premium loan election. Common nonforfeiture options are the purchase of extended term insurance, the purchase of reduced paid-up insurance or you may surrender your policy for the net cash value. Refer to your pokey for time limits and options available. ike Volk 01 Mitt So00,000 -155e0at VZoi/990 20 yose leve( RDA RETAIN THIS PORTION f OR YOUR RECORDS , AMOUNT DUE $9,382.40 RETURN THIS POETRY! WITH YOUR PAYMENT POLICY NUMBER INSURED'S NAME VIL0004735 JEFFREY E EPSTEIN__ MAKE CHECK PAYABLE TO Jackson National Life Insurance Company ▪ Making multiple full payments. • Meiling address change indicated on back. Enclose your payment with this coupon and send to: Jackson National Life Insurance Company PO Box 371425 Pittsburgh, PA 15250-7425 Amount Due on 11/19/14 89,382.40 Premium Payment $9,392.40 $ Late Premham Rear Sill so 00 $ Loan Repayment $0.00 $ Total Amount Due $9,392.40 $ Additional Payment $ Total Amount Enclosed S 352509130430303437333500000000000011191412009382401435500938240000000005 EFTA01202987 JACKSON® NATIONAL LIFE INSURANCE COMPANY Rev.06/2013 FACTS Why? What? How? WHAT DOES JACKSON NATIONAL LIFE INSURANCE COMPANY (Jackson) DO WITH YOUR PERSONAL INFORMATION? Financial companies choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Please read this notice carefully to understand what we do. The types of personal information we collect and share depend on the product or service you have with us. This Information can include: • Social Security Number • Birth Date • Address • Financial Information • Medical History When you are no longer our customer, we continue to share your information as described in this notice. All financial companies need to share customers' personal information to run their everyday business. In the section below, we list the reasons financial companies can share their customers' personal information; the reasons Jackson chooses to share; and whether you can limit this sharing. Reasons we can share your personol information For our everyday business purposes — such as to process your transactions, maintain your account(s), respond to court orders and legal investigations, or report to credit bureaus Doec Jackson Share? Yes Can you limit this snaring? No For our marketing purposes— to offer our products and services to you No We don't share For joint marketing with other financial companies No We don't share For our affiliates' everyday business purposes — information about your transactions and experiences No We don't share For our affiliates' everyday business purposes— information about your creditworthiness No We don't share For nonaffiliates to market to you No We don't share Jackson National Life Insurance Company Questions? PO Box 305153 Nashville TN 37230-5153 TPA3116B Rev. 06/2013 EFTA01202988 JAC KS a N® NATIONAL LIFE INSIJRANCL COMPANY WHAT WE DO How does Jackson protect my personal information? To protect your personal information from unauthorized access and use, we use security measures that comply with federal law. These measures include computer safeguards and secured files and buildings. Employees are bound to a Code of Conduct requiring all information be kept in strict confidence, and are subject to disciplinary action for violation of the Code. We restrict access to nonpublic personal information to those employees who need to know that information to provide products and services to you. How does Jackson collect my personal information? We collect your personal information, for example, from • information we receive from you on applications and forms; • information about your transactions with us; • information we receive from a consumer reporting agency; • information we obtain from others in the process of verifying information you provide us; and • individually identifiable health information, such as your medical history, when you have applied for a life insurance policy. Federal law gives you the right to limit only Why can't I limit all sharing? • sharing for affiliates' everyday business purposes — information about your creditworthiness • affiliates from using your information to market to you • sharing for nonaffiliates to market to you State laws and individual companies may give you additional rights to limit sharing. Definnton... Affiliates Jackson does not share with our affiliates. Nonaffiliates Jackson does not share with nonaffillates so they can market to you. Joint Marketing Jackson does not jointly market. TPA31168 Rev. 06/2013 EFTA01202989