EX-2
from 10QSB
1 page
Texas Imperial Assumption Certificate Exhibit III.A.3. Assumption Certificate the Texas Imperial Assumption Certificate Is Attached Hereto and Incorporated Herein by Reference. Texas Imperial Life Insurance Company a Stipulated Premium Company Policy Number: Insured: Certificate of Assumption This Is to Certify That Texas Imperial Life Insurance Company ("Texas Imperial"), a Life Insurance Company Organized and Existing Under the Laws of the State of Texas With Offices in Houston, Texas, Has Assumed and Reinsured All of the Contractual Obligations Existing Under the Policy Identified Above Heretofore Issued or Assumed by Statesman National Life Insurance Company ("Statesman") in Accordance With the Terms and Conditions Thereof, the Same as if Such Policy Had Been Originally Issued With All Its Terms, Covenants, Stipulations and Provisions, by American Capitol. This Certificate of Assumption Is Being Issued in Accordance With the Terms and Conditions of an Assumption Agreement Entered Into Among Texas Imperial, the National Organization of Life and Health Guaranty Associations and the Participating Guaranty Associations. the Effective Date of This Certificate of Assumption Is June 1, 1999. Future Payments of Benefits and Claims Will Be Made by Texas Imperial, and All Premium Payments, Claims and Correspondence Relating to the Policy Should Be Sent To: Mailing Address Delivery Address P. O. Box 42813 10555 Richmond Avenue, 2nd Floor Houston, Tx 77242-2813 Houston, Tx 77042 in Witness Whereof, Texas Imperial Life Insurance Company Has Caused This Certificate to Be Signed by Its Duly Authorized Officers as of the Effective Date. - H. Kathleen Musselwhite, John D. Cornett, Secretary President This Certificate Becomes a Part of Your Policy and Should Be Attached Thereto. Issu###-##-####
12/34/56
EX-2
from 10QSB
1 page
American Capitol Assumption Agreement Exhibit III.A.3. Assumption Certificate the American Capitol Assumption Certificate Is Attached Hereto and Incorporated Herein by Reference. <page> American Capitol Insurance Company Policy Number: Insured: Certificate of Assumption This Is to Certify That American Capitol Insurance Company ("American Capitol"), a Life Insurance Company Organized and Existing Under the Laws of the State of Texas With Offices in Houston, Texas, Has Assumed and Reinsured All of the Contractual Obligations Existing Under the Policy Identified Above Heretofore Issued or Assumed by Statesman National Life Insurance Company ("Statesman") in Accordance With the Terms and Conditions Thereof, the Same as if Such Policy Had Been Originally Issued With All Its Terms, Covenants, Stipulations and Provisions, by American Capitol. This Certificate of Assumption Is Being Issued in Accordance With the Terms and Conditions of an Assumption Agreement Entered Into Among American Capitol, the National Organization of Life and Health Guaranty Associations and the Participating Guaranty Associations. the Effective Date of This Certificate of Assumption Is June 1, 1999. Future Payments of Benefits and Claims Will Be Made by American Capitol, and All Premium Payments, Claims and Correspondence Relating to the Policy Should Be Sent To: Mailing Address Delivery Address P. O. Box 42814 10555 Richmond Avenue, 2nd Floor Houston, Tx 77242-2814 Houston, Tx 77042 in Witness Whereof, American Capitol Insurance Company Has Caused This Certificate to Be Signed by Its Duly Authorized Officers as of the Effective Date. /S/H. Kathleen Musselwhite /S/John D. Cornett - H. Kathleen Musselwhite, John D. Cornett, Secretary President This Certificate Becomes a Part of Your Policy and Should Be Attached Thereto. Issu###-##-####
12/34/56