AD5Y.RPT                        # output file name
07-04-1991                      # today's date
Mr. Adjustable Premium          #    client's name
1234 Five Year Av.              #    number, street
SnoopyTown, AllState 99999      #    city, state, zip code
(168) 168-8888                  #    home phone
Principal Financial PF-21345    # existing insurance and policy no.
35                              #    age at issue in existing policy
Non-Smoker                      #    issue class in existing policy
200000.0 45                     #    (existing protection) (level years)
0.0                             #    complete protection entry
720.0  5                        #    (existing annual premium) (level years)
1048.0 5
1578.0 5
2436.0 5
3726.0 5
5738.0 5
8934.0 5
13504.0 5
21780.0 5
0.0                             #    complete annual premium entry
0.0                             #    cash-value at end of this year
30000.0                         #    cash-value at age 65
36                              # age today for comparing policy
WWWYLI                          #    comparing for proposed policy
200000.0 100                    #    (proposed protection) (level years)
0.0                             #    complete protection entry
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* This is a sample template of "Ali" input file.
* The data is typical of adjustable 5-year level policy.
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