Contract Schedule
  
 
 
Owner:
 
 
[John Doe]
 
 
Contract Number:
 
 
[??687456]
Owner’s Date of Birth:
[January 15, 1977]
Issue Date:
[04/15/22]
Owner’s Gender:
[Male]
Maximum Issue Age:
[80]
[Joint Owner:
[Jane Doe]]
Annuitant:
[John Doe]
[Joint Owner’s Date of Birth:
[January 15, 1977]]
Annuitant’s Date of Birth:
[January 15, 1977]
[Joint Owner’s Gender:
[Female]]
Annuitant’s Gender:
[Male]
Determining Life (Lives):
[John Doe]
    
 
[Jane Doe]
    


Purchase Payments
Interim Fund(s):                                                                                    [AZL Government Money Market Fund]
Initial Purchase Payment:                                                                                    $[10,000.00]
Minimum Additional Purchase Payment:                                                                                              $[50.00]
Maximum Total Purchase Payments:                                                                                    $[1 million; higher amounts may be accepted with our approval, on a non-
discriminatory basis]

Variable Account:                                                                                    [Allianz Life Variable Account B]

Contract Charges
Product Fee:                                                                                    [1.25]%
Contract Maintenance Charge:                                                                                    $[50.00] each Contract Year Contract Maintenance Charge Waiver Minimum:  $[100,000.00]

Withdrawals
Minimum Partial Withdrawal:                                                                                    $[100.00]
Minimum Required Value:                                                                                    $[2,000.00]
Free Withdrawal Amount:                                                                                    [10]% of total Purchase Payments

Withdrawal Charge Percentages Table

Number of Complete Years
Since Receipt of Purchase
 Payment                                                            
 
 
Charge                    
[0
8.50%
1
8.00%
2
7.00%
3
6.00%
4
5.00%
5
4.00%
6 years or more
0%]

Annuity Payments
Maximum Annuity Date:                                                                                    [Index Anniversary on or after the day the Annuitant attains age 100]
Minimum Annuity Payment:                                                                                    $[100.00]
Annuity Mortality Table:                                                                                    [2012 Individual Annuity Reserve Table]
Minimum Annual Annuity Payment Rate:                                                                                              [1.00]%
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Contract Schedule continued from the previous page





Guaranteed Purchase Rate Tables
The tables below are examples of Guaranteed Purchase Rates for a representative set of ages in certain calendar years. Guaranteed Purchase Rates are based on the Annuity Mortality Table and Minimum Annual Annuity Payment Rate shown in the Annuity Payments section of the Contract Schedule. Guaranteed Purchase Rates may vary by Age on Annuity Date, Annuity Option, and the calendar year in which Annuity Payments begin.

The Guaranteed Purchase Rates shown below in Tables 2, 3, and 4 are only applicable if Annuity Payments begin for the designated Age on Annuity Date in the designated calendar year.

Upon request, we will furnish rates for ages and guaranteed periods not shown. Guaranteed Purchase Rates may change based on the calendar year in which annuitization occurs.



 
TABLE 1: GUARANTEED PERIOD
 
Monthly installments per $1,000, payable for the guaranteed period
 
Guaranteed
 
Monthly
 
Period
 
Installments
 
10
 
$[8.37]

Guaranteed Purchase Rates for the Life, Life with a Guaranteed Period, Joint and Survivor, and Joint and 2/3 Survivor change based on the calendar year in which annuitization occurs.

     
 
TABLE 2: LIFE
      
 
Monthly installments per $1,000 payable while the Annuitant is living
 
 
Guaranteed Rates for [2025]
 
Guaranteed Rates for [2035]
 
Guaranteed Rates for [2045]
Age of
Annuitant on Annuity Date
 
Male Annuitant
 
Female Annuitant
 
 
Male Annuitant
 
 
Female Annuitant
 
Male Annuitant
 
 
Female Annuitant
 
[60
 
$[2.91
 
2.76
 
2.83
 
2.70
 
2.76
 
2.65
 
70
 
4.26
 
3.97
 
4.11
 
3.86
 
3.98
 
3.76
 
80]
 
7.26
 
6.58
 
6.95
 
6.36
 
6.68
 
6.16]
 
LIFE WITH A GUARANTEED PERIOD - Male Annuitant
Monthly installments per $1,000, payable for the
guaranteed period and thereafter while the Annuitant is living
 
 
Guaranteed Rates for [2025]
 
Guaranteed Rates for [2035]
 
Guaranteed Rates for [2045]
Age of
Annuitant on Annuity Date
 
Guaranteed Period
 
Guaranteed Period
 
Guaranteed Period
 
5 years
 
10 years
 
5 years
 
10 years
 
5 years
 
10 years
 
[60
 
$[2.91
 
2.89
 
2.83
 
2.81
 
2.75
 
2.74
 
70
 
4.24
 
4.14
 
4.09
 
4.01
 
3.96
 
3.89
 
80]
 
7.02
 
6.26
 
6.76
 
6.12
 
6.52
 
5.98]
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Contract Schedule continued from the previous page





 
LIFE WITH A GUARANTEED PERIOD - Female Annuitant
Monthly installments per $1,000, payable for the
guaranteed period and thereafter while the Annuitant is living
 
 
Age of Annuitant on Annuity Date
 
Guaranteed Rates for [2025]
 
Guaranteed Rates for [2035]
 
Guaranteed Rates for [2045]
 
Guaranteed Period
 
Guaranteed Period
 
Guaranteed Period
 
5 years
 
10 years
 
5 years
 
10 years
 
5 years
 
10 years
 
[60
 
$[2.76
 
2.75
 
2.70
 
2.69
 
2.64
 
2.63
 
70
 
3.95
 
3.88
 
3.84
 
3.78
 
3.75
 
3.70
 
80]
 
6.42
 
5.87
 
6.23
 
5.75
 
6.05
 
5.64]

 
TABLE 3: JOINT AND SURVIVOR
 
Monthly installments per $1,000, payable while either Annuitant is living
 
 
Guaranteed Rates for [2025]
 
Guaranteed Rates for [2035]
 
Guaranteed Rates for [2045]
 
Age of Annuitant on Annuity Date
 
Age of Annuitant on Annuity Date
 
Age of Annuitant on Annuity Date
 
Age of Annuitant on Annuity Date
 
[60
 
70
 
80
 
60
 
70
 
80
 
60
 
70
 
80]
 
[60
 
$[2.35
 
2.60
 
2.72
 
2.31
 
2.56
 
2.66
 
2.28
 
2.51
 
2.61
 
70
 
2.60
 
3.25
 
3.73
 
2.56
 
3.18
 
3.64
 
2.51
 
3.12
 
3.55
 
80]
 
2.72
 
3.73
 
5.09
 
2.66
 
3.64
 
4.96
 
2.61
 
3.55
 
4.84]

 
TABLE 4: JOINT AND 2/3 SURVIVOR
 
Monthly installments per $1,000, payable while both Annuitants are living. After the death of one Annuitant, 2/3 of the original installment amount will continue while the surviving Annuitant is living
 
 
Guaranteed Rates for [2025]
 
Guaranteed Rates for [2035]
 
Guaranteed Rates for [2045]
Age of
Annuitant on Annuity Date
 
Age of Annuitant on Annuity Date
 
Age of Annuitant on Annuity Date
 
Age of Annuitant on Annuity Date
 
[60
 
70
 
80
 
60
 
70
 
80
 
60
 
70
 
80]
 
[60
 
$[2.61
 
3.01
 
3.40
 
2.56
 
2.94
 
3.32
 
2.51
 
2.88
 
3.25
 
70
 
3.01
 
3.70
 
4.46
 
2.94
 
3.60
 
4.34
 
2.88
 
3.52
 
4.23
 
80]
 
3.40
 
4.46
 
5.99
 
3.32
 
4.34
 
5.81
 
3.25
 
4.23
 
5.65]

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