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TFDUJPO!JJJ <br />8/TDIFEVMF!PG!DPWFSFE!TUBUFT B.Ifastate,sowninItem3.A.ofteInformation <br />Page,approestisendorsementafterte <br />A.Tisendorsementonlyappliesintestates <br />effectiedateoftispolicy,tisendorsementwill <br />listed in tis Scedle of Coered States. <br />applytotispolicy.Tecoeragewillapplyin <br />tenewstateonteeffectiedateoftestate <br />approal. <br />C.Scedle of Coered States <br />CA <br />Contersigned y <br />Atoried Representatie <br />Gpsn!XD!::!14!13!C Printed in .S.A. Ed. 8/00Qbhf!5!pg!5 <br /> <br />