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:                                                                                    [0.25]%

  Contract Maintenance Charge:                                                                                    $[50.00] each Contract Year Contract Maintenance Charge Waiver Minimum:  $[100,000.00]

  

  

  Advisory Fee

  Maximum Annual Advisory Fee Percentage:                                                                                              [1.50%]

  

  

  

  

  Market Value Adjustment

  MVA Period:                                                                                    [7 Index Years]

  MVA Reference Rate Index:                                                                                    [Bloomberg US Long Corporate Bond Index]

  MVA Limit:                                                                                    [10%]

  

  

  

  

  Withdrawals

  Minimum Partial Withdrawal:                                                                                    $[100.00]

  Minimum Required Value:                                                                                    $[2,000.00]

  Free Withdrawal Amount:                                                                                    [10]% of total Annual Contribution Amounts

  

  

  

  

  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:                                                                                              [0.10]%

  
    
      	
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              [Admin. Tracking Number]

            


      

      

    

    
      


    
      	
              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]

        


  

  

  

  

  [Index disclosure language will be populated here.]

  
    	
            S40875-01-IADV

          


    	
            [3C]

          


    	
            [Admin. Tracking Number]