rila-schxb5x21






RILA-SCH-B(5/21)  ANNUITY SCHEDULE PAGE      ANNUITY NUMBER: [001-00001] ISSUE DATE:  [March 1, 2013]    TYPE OF BUSINESS:  [Non-Qualified]    OWNER:  [John Doe]            DATE OF BIRTH:  [October 21, 1972] SEX:  [Male]    OWNER:  [Mary Doe]            DATE OF BIRTH:  [October 15, 1972] SEX:  [Female]    ANNUITANT:  [John Doe]     DATE OF BIRTH:  [October 21,1972] SEX:  [Male]    [JOINT ANNUITANT:  [Mary Doe]     DATE OF BIRTH:  [January 15, 1952] SEX:  [Female]]    [CONTINGENT ANNUITANT: [Mary Doe] DATE OF BIRTH: [January 15, 1952] SEX: [Female]]    PURCHASE PAYMENT ALLOCATION    PURCHASE PAYMENT:  [$100,000.00]    INDEX STRATEGY ALLOCATION PERCENTAGE(S):    [Point to Point with Cap Index Strategy   XX%    [Index Name] [Index Term]  [$XXXX.XX] [XX.XX% Buffer]  [Index Name] [Index Term]  [$XXXX.XX] [XX.XX% Buffer]    Tiered Participation Rate Index Strategy   XX%    [Index Name] [Index Term]  [$XXXX.XX] [XX.XX% Buffer]  [Index Name] [Index Term]  [$XXXX.XX] [XX.XX% Buffer]    Step Rate Plus Index Strategy   XX%    [Index Name] [Index Term]  [$XXXX.XX] [XX.XX% Buffer]  [Index Name] [Index Term]  [$XXXX.XX] [XX.XX% Buffer]]                                    WITHDRAWALS    MAXIMUM FREE WITHDRAWAL PERCENTAGE: [10%] of the Purchase Payment during the first  Annuity Year. Thereafter [10%] of the prior Contract Anniversary Account Value during the Contingent  Deferred Sales Charge period.    MINIMUM WITHDRAWAL AMOUNT:  [$100]    MINIMUM SURRENDER VALUE AFTER A PARTIAL WITHDRAWAL:  [$2,000]    ACCOUNT VALUE ALLOCATION    MINIMUM VARIABLE SUB-ACCOUNT AMOUNT:  [$20]    MINIMUM INDEX STRATEGY AMOUNT:  [$2,000]          





 






RILA-SCH-B(5/21)    ANNUITY SCHEDULE PAGE (continued)    CHARGES    INSURANCE CHARGE (ONLY APPLICABLE TO ACCOUNT VALUE ALLOCATED TO THE  VARIABLE SUB-ACCOUNT(S)):    MORTALITY AND EXPENSE RISK CHARGE:     For Purchase Payments less than [$1,000,000] the Insurance Charge is    [1.15%]     For Purchase Payments of [$1,000,000] or more the Insurance Charge is reduced to  [1.05%]    ADMINISTRATION CHARGE:         [0.15%]    CONTINGENT DEFERRED SALES CHARGE:       Annuity  Year    1    2    3    4    5    6  7 and  later  Surrender  Charge  Percentage  [7% 7% 6% 5% 4% 3% 0%]    ANNUITIZATION    LATEST AVAILABLE ANNUITY DATE:  [The first day of the calendar month next following the oldest  Owner’s or Annuitant’s 95th birthday.]    EARLIEST AVAILABLE ANNUITY DATE:  [Three years from the Issue Date]    MINIMUM ANNUITY PAYMENT:  [$100 per month]    MINIMUM SURRENDER VALUE AT ANNUITIZATION:  [$2,000]    ANNUITY TABLES    The rates in Tables 1 and 2 below are applied to the Account Value on the Annuity Date to compute the  minimum amount of the annuity payment for the payout options described below. Table 1 is used to  compute the minimum annuity payment under Option 1 (Payments for Life with 120 Months Period  Certain). Table 2 is used to compute the minimum initial annuity payment under Option 2 (Joint and Last  Survivor).    BASIS OF COMPUTATION FOR ANNUITY OPTIONS: [We use an interest rate of 0.25% per year. The  adjusted age is the Annuitant’s age as of the Annuitant’s last birthday prior to the date on which the first  payment is due, adjusted as shown in the “Translation of Adjusted Age” table below. The actuarial basis  of the Annuity Options is the Annuity 2000 valuation mortality table, with four-year age setback and  projected mortality improvement factors (modified Scale G) projected from the age at annuitization to the  age at which the probability of survival is needed in the calculation of the annuity payment.                  





 






RILA-SCH-B(5/21)      ANNUITY SCHEDULE PAGE (continued)    Translation of Adjusted Age  Calendar Year in Which  First Payment Is Due  Adjusted Age Calendar Year in Which  First Payment Is Due  Adjusted Age  2020 through 2029 Actual Age minus 2 2070 through 2079 Actual Age minus 7  2030 through 2039 Actual Age minus 3 2080 through 2089 Actual Age minus 8  2040 through 2049 Actual Age minus 4 2090 through 2099 Actual Age minus 9  2050 through 2059 Actual Age minus 5 2100 through 2109   Actual Age minus 10  2060 through 2069 Actual Age minus 6 2110 through 2119 Actual Age minus 11]    AMOUNT OF MONTHLY PAYMENT FOR EACH $1,000 APPLIED    [ANNUITY OPTION 1 Table – Payments for Life with 120 Months Period Certain  Adjusted  Age Male Female  Adjusted  Age Male Female  Adjusted  Age Male Female  41 1.76 1.62 61 2.90 2.60 81 5.83 5.39  42 1.79 1.65 62 2.99 2.68 82 6.03 5.61  43 1.83 1.68 63 3.09 2.76 83 6.22 5.83  44 1.87 1.72 64 3.19 2.85 84 6.41 6.05  45 1.91 1.75 65 3.30 2.94 85 6.60 6.27  46 1.96 1.79 66 3.41 3.04 86 6.78 6.48  47 2.00 1.83 67 3.53 3.15 87 6.96 6.69  48 2.05 1.87 68 3.65 3.26 88 7.12 6.89  49 2.10 1.91 69 3.78 3.37 89 7.28 7.08  50 2.15 1.95 70 3.92 3.50 90 7.43 7.25  51 2.20 2.00 71 4.07 3.63 91 7.56 7.41  52 2.26 2.05 72 4.22 3.77 92 7.69 7.56  53 2.32 2.10 73 4.38 3.91 93 7.80 7.69  54 2.38 2.15 74 4.54 4.07 94 7.91 7.81  55 2.44 2.20 75 4.71 4.23 95 8.00 7.92]  56 2.51 2.26 76 4.89 4.40        57 2.58 2.32 77 5.07 4.59        58 2.65 2.39 78 5.25 4.78        59 2.73 2.45 79 5.44 4.97        60 2.81 2.53 80 5.64 5.18                                                                                                                                 





 






RILA-SCH-B(5/21)  ANNUITY SCHEDULE PAGE (continued)  [ANNUITY OPTION 2 Table - Joint and Last Survivor  Male  Adjusted  Age  Female Adjusted Age  45 50 55 60 65 70 75 80 85 90 95  45 1.59 1.68 1.75 1.80 1.84 1.87  1.89 1.90  1.91  1.91  1.91  50 1.64 1.76 1.86 1.95 2.02 2.07 2.11 2.13 2.14 2.15 2.15  55 1.68 1.82 1.96 2.09 2.21 2.30 2.36 2.40 2.43 2.44 2.45  60 1.71 1.87 2.05 2.22 2.39 2.54 2.65 2.73 2.78 2.81 2.82  65 1.73 1.90 2.11 2.33 2.56 2.79 2.98 3.13 3.23 3.29 3.32  70 1.74 1.92 2.15 2.41 2.70 3.02 3.32 3.58 3.78 3.90 3.97  75 1.74 1.94 2.17 2.46 2.81 3.21 3.64 4.06 4.42 4.68 4.84  80 1.75 1.95 2.19 2.50 2.88 3.35 3.91 4.52 5.12 5.60 5.94  85 1.75 1.95 2.20 2.51 2.92 3.44 4.10 4.91 5.79 6.62 7.26  90 1.75 1.95 2.20 2.53 2.94 3.49 4.23 5.19 6.36 7.62 8.73  95 1.75 1.95 2.21 2.53 2.96 3.52 4.30 5.37 6.78 8.47 10.15]  SEPARATE ACCOUNT(S):  INDEX STRATEGIES SEPARATE ACCOUNT(S):  [Prudential Annuities Life Assurance Corporation Index Strategies Separate Account]  VARIABLE SEPARATE ACCOUNT(S):   [Prudential Annuities Life Assurance Corporation Variable Account B]  RIDERS AND ENDORSEMENTS MADE A PART OF THE ANNUITY ON THE ISSUE DATE:  [Point to Point with Cap Index Strategy Endorsement  Tiered Participation Rate Index Strategy Endorsement  Step Rate Plus Index Strategy Endorsement  Index Linked Variable Income Benefit Rider  Index Linked Variable Income Benefit Schedule Supplement  Return of Purchase Payments Death Benefit Rider  Individual Retirement Annuity Endorsement  Roth Individual Retirement Annuity Endorsement]