Online kit contents - Vanguard kit contents Click the links below to move quickly through this...

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Online kit contents Click the links below to move quickly through this document. Vanguard Variable Annuity Issued by Transamerica Premier Life Insurance Company and, in New York State only, by Transamerica Financial Life Insurance Company. Application (Complete this application if you wish to open a Vanguard Variable Annuity.) Assessment and Disclosure Form (Complete this document to determine whether a Vanguard Variable Annuity is appropriate for you.) 1035 Exchange Assignment Form (Complete this form if you’re transferring all or part of an existing annuity or life insurance policy to a Vanguard Variable Annuity contract.) To print this kit: You can print selected pages by clicking your browser’s printer icon and entering the appropriate PDF page numbers. You can also print this kit in its entirety by clicking the printer icon and selecting All. This material was prepared for general distribution. It is being provided for informational purposes only and should not be viewed as an investment recommendation. If you need advice regarding your particular investment needs, contact a financial professional. When evaluating an annuity as one of your investments, it’s very important to consider the financial strength and stability of the insurer. The financial strength of Transamerica Premier Life Insurance Company and Transamerica Financial Life Insurance Company is reflected in the high ratings they’ve received from financial rating agencies. Visit transamerica.com to review the most current ratings. The Vanguard Variable Annuity is a flexible-premium variable annuity issued by Transamerica Premier Life Insurance Company, Cedar Rapids, Iowa (NAIC No. 66281), and in New York State only, by Transamerica Financial Life Insurance Company, Harrison, New York (NAIC No. 70688). Form No. VVAP U 1101 (in Florida, Form No. VVAP U 1101 (FL), in Oregon, Form No. VVAP U 1101 (OR) (R), and in New York, VVA NY 0208 (R13)), without agent representation. The Vanguard Group administers the Vanguard Variable Annuity for the issuer. Its variable annuity and investment costs rank among the lowest in the industry, according to Morningstar, Inc., December 2016. The Vanguard Group, Transamerica Premier Life Insurance Company, and Transamerica Financial Life Insurance Company do not provide tax advice. Investors are encouraged to consult a tax advisor for information on how annuity taxation applies to their individual situations. 5086 W (05/17)

Transcript of Online kit contents - Vanguard kit contents Click the links below to move quickly through this...

Online kit contents

Click the links below to move quickly through this document.

Vanguard Variable Annuity Issued by Transamerica Premier Life Insurance Company and, in New York State only, by Transamerica Financial Life Insurance Company.

Application (Complete this application if you wish to open a Vanguard Variable Annuity.)

Assessment and Disclosure Form (Complete this document to determine whether a Vanguard Variable Annuity is appropriate for you.)

1035 Exchange Assignment Form (Complete this form if you’re transferring all or part of an existing annuity or life insurance policy to a Vanguard Variable Annuity contract.)

To print this kit:

You can print selected pages by clicking your browser’s printer icon and entering the appropriate PDF page numbers. You can also print this kit in its entirety by clicking the printer icon and selecting All.

This material was prepared for general distribution. It is being provided for informational purposes only and should not be viewed as an investment recommendation. If you need advice regarding your particular investment needs, contact a financial professional.

When evaluating an annuity as one of your investments, it’s very important to consider the financial strength and stability of the insurer. The financial strength of Transamerica Premier Life Insurance Company and Transamerica Financial Life Insurance Company is reflected in the high ratings they’ve received from financial rating agencies. Visit transamerica.com to review the most current ratings.

The Vanguard Variable Annuity is a flexible-premium variable annuity issued by Transamerica Premier Life Insurance Company, Cedar Rapids, Iowa (NAIC No. 66281), and in New York State only, by Transamerica Financial Life Insurance Company, Harrison, New York (NAIC No. 70688). Form No. VVAP U 1101 (in Florida, Form No. VVAP U 1101 (FL), in Oregon, Form No. VVAP U 1101 (OR) (R), and in New York, VVA NY 0208 (R13)), without agent representation. The Vanguard Group administers the Vanguard Variable Annuity for the issuer. Its variable annuity and investment costs rank among the lowest in the industry, according to Morningstar, Inc., December 2016. The Vanguard Group, Transamerica Premier Life Insurance Company, and Transamerica Financial Life Insurance Company do not provide tax advice. Investors are encouraged to consult a tax advisor for information on how annuity taxation applies to their individual situations.

5086 W (05/17)

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Getting started with the Vanguard Variable AnnuityIssued by Transamerica Premier Life Insurance Company and, in New York State only, by Transamerica Financial Life Insurance Company.

Opening your Vanguard Variable Annuity account can be an important step toward a comfortable financial future. Before you invest, please remember to . . .

Need help?

If you have questions, our annuity associates are available at 800-522-5555 on business days from 8 a.m. to 8 p.m., Eastern time.

This material was prepared for general distribution. It is being provided for informational purposes only and should not be viewed as an investment recommendation. If you need advice regarding your particular investment needs, contact a financial professional.

The Vanguard Variable Annuity is a flexible-premium variable annuity issued by Transamerica Premier Life Insurance Company, Cedar Rapids, Iowa (NAIC No. 66281), and in New York State only, by Transamerica Financial Life Insurance Company, Harrison, New York (NAIC No. 70688). Form No. VVAP U 1101 (in Florida, Form No. VVAP U 1101 (FL), in Oregon, Form No. VVAP U 1101 (OR) (R), and in New York, VVA NY 0208 (R13)), without agent representation. The Vanguard Group administers the Vanguard Variable Annuity for the issuer. Its variable annuity and investment costs rank among the lowest in the industry, according to Morningstar, Inc., December 2016. The Vanguard Group, Transamerica Premier Life Insurance Company, and Transamerica Financial Life Insurance Company do not provide tax advice. Investors are encouraged to consult a tax advisor for information on how annuity taxation applies to their individual situations.

5171 (05/17)

© 2017 The Vanguard Group, Inc. All rights reserved. VVACK 052017

Review the Vanguard Variable Annuity prospectus carefully.

Complete, sign, and return all pages of the Vanguard Variable Annuity application. If the annuity owner is a trust, you must complete and return the Certificate of Authority for Trusts.

Complete and sign the Assessment and Disclosure Form. The statements on this form will help you ensure that the Vanguard Variable Annuity is an appropriate investment for you. Be sure to include this form when applying for the Vanguard Variable Annuity.

Choose your purchase method. Enclose a check for $5,000 or more, payable to Transamerica Premier Life Insurance Company or, in New York State only, Transamerica Financial Life Insurance Company. Or, if you’re moving an existing annuity, return a completed and signed 1035 Exchange Assignment Form and applicable state replacement form (if required). If you’re transferring qualified money to the Vanguard Variable Annuity, complete and return the Qualified Funds Transfer/Rollover Form.

Choose investment portfolios and allocate at least $1,000 to each one you select. Remember that you may exchange assets between portfolios tax-free at no cost.

Name an annuitant (and a joint annuitant, if applicable). The annuitant is the person whose life expectancy is used to calculate each annuity payment. In most cases, you’ll be both the annuity owner and the annuitant. If you’re moving an existing annuity, the annuitant designation will stay the same.

Name the annuitant’s primary and secondary beneficiaries. You must designate at least one beneficiary for yourself and one for your annuitant. If you’re the owner and the annuitant, you can use the same beneficiary. If you intend to designate someone other than yourself as your annuitant, call us for further information.

Return all forms and any attachments in the envelope provided. If you don’t have the envelope, mail all forms and attachments to: Vanguard, P.O. Box 1105, Valley Forge, PA 19482-1105.

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This Prospectus Supplement must be accompanied or preceded by the Prospectus for the

Vanguard Variable Annuity dated May 1, 2017

TPLPSA_092017

VANGUARD® VARIABLE ANNUITY

Issued by

TRANSAMERICA PREMIER LIFE INSURANCE COMPANY

Separate Account VA DD

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY

Separate Account B

Supplement Dated September 7, 2017

to the

Prospectus dated May 1, 2017

Effective on or about September 7, 2017 the following investment options are generally available to contracts:

SUBACCOUNT PORTFOLIO ADVISOR/SUBADVISOR

Total International Stock Market Index Portfolio

Total International Stock Market Index Portfolio

The Vanguard Group, Inc. (Vanguard)

Investment Objective: The Portfolio seeks to track the performance of a benchmark index that measures the investment return of stocks issued by companies located in developed and emerging markets, excluding the United States.

Global Bond Index Portfolio Global Bond Index Portfolio The Vanguard Group, Inc. (Vanguard)

Investment Objective: The Portfolio seeks to track the performance of a benchmark index that measures the investment return of the global, investment-grade, fixed income market.

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VVAPP 0714

1 of 16

Form ZVAX

For a Vanguard Variable AnnuityAn Individual Flexible-Premium Variable AnnuityEffective January 2018

Use this application to establish a Vanguard Variable Annuity unless you’re a resident of Florida, New York, Oregon, or Vermont. If you’re a resident of one of these states, please call us for the appropriate application.

For applicants in Alaska: Upon your written request, Transamerica Premier Life Insurance Company is required to provide reasonable factual information concerning the benefits and provisions of the contract to you. We’ll respond to your inquiries within ten days. If for any reason you’re not satisfied with the contract, you may return it within ten days after it is delivered and receive a refund equal to the premiums paid, including any policy or contract fees or other charges, less the amounts allocated to any separate accounts under the policy or contract, plus the value of any amounts allocated to any separate accounts under the policy or contract on the date the returned policy is received by the insurer.

For applicants in Arizona: Upon written request, Transamerica Premier Life Insurance Company is required to provide, within a reasonable time, factual information regarding the benefits and provisions of this contract. If for any reason you’re not satisfied with the contract, you may return it within ten days (or within 30 days if this is a replacement contract) after receipt of the contract, plus five days’ mailing time. Contract owners over age 65 have 30 days to examine the contract. To return your contract, mail it to Vanguard, P.O. Box 1105, Valley Forge, PA 19482-1105. If returned, the contract will be void from the contract date and you’ll be refunded the premiums paid, including any contract fees or other charges, less the amounts allocated to any separate accounts under the contract, plus the value of any amounts allocated to any separate accounts under the contract on the date the returned contract is received by the insurer.

BENEFITS ARE ON A VARIABLE BASIS AND MAY INCREASE OR DECREASE AND AREN’T GUARANTEED AS TO A FIXED-DOLLAR AMOUNT.

Print in capital letters and use black ink.

Questions?Call 800-522-5555.

If you need other forms, go to vanguard.com/serviceforms.

Application to Transamerica Premier Life Insurance CompanyHome office: Cedar Rapids, IA

VVAPP 0714

Form ZVAX

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■ Trust for an existing trust only Refer to the enclosed Certificate of Authority for Trusts form for additional requirements. This form must be completed and returned with your application to open a Vanguard Variable Annuity as a trust account.

All currently serving trustees must sign in

Section 13.>

Only grantor trusts may use the grantor’s

Social Security number. All other

trusts must provide an employer

ID number.

>

2. Contract owner, minor, or trust information

The information you provide below will appear on your new annuity contract exactly as it appears here. Important: If you’re transferring an existing contract to Vanguard through a 1035 exchange, the owner information below must match the owner information as it appears on the contract you’re transferring. If the contract owner is a trust, complete our Certificate of Authority for Trusts form and follow any state-specific instructions on that form. Call us if you need assistance.

Owner information

Name of individual first, middle initial, last or trust

Gender

■ Male ■ FemaleCitizenship

■ U.S. ■ Resident alien

Street address P.O. box or rural route number isn’t acceptable.

City, state, zip

Birth or trust date mm/dd/yyyy

E-mail address

Social Security number Other taxpayer ID number

Daytime phone area code, number, extension Evening phone area code, number, extension

■ JointAccount owned by two or more people.

■ Individual Account owned by one person.

1. Type of account Check only one.

■ Uniform Gifts to Minors Act/Uniform Transfers to Minors Act (UGMA/UTMA)

Account established as an irrevocable gift or transfer of assets to a minor. The assets in thisaccount may only be used for the benefit of the minor. An adult custodian administers the account until the minor reaches the age of termination (or later age, if permitted by state law) for the state under whose law the gift or transfer is being made. Complete Section 2 listing the minor as the contract owner and Section 3 with custodian information.

VVAPP 0714

Form ZVAX

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Name of individual first, middle initial, last or trust

3. Joint contract owner/custodian information

Provide all the information requested if there is a joint owner or custodian. Otherwise, leave this section blank.

Note: If this is a rollover to a qualified contract, a joint owner isn’t permitted.

Gender

■ Male ■ FemaleCitizenship

■ U.S. ■ Resident alien

Street address P.O. box or rural route number isn’t acceptable.

City, state, zip

Birth or trust date mm/dd/yyyy

E-mail address

Social Security number Other taxpayer ID number

Daytime phone area code, number, extension Evening phone area code, number, extension

Only grantor trusts may use the

grantor’s Social Security number.

All other trusts must provide an employer

ID number.

>

Street or P.O. box

Mailing address if different from above; used as the contract’s address of record and for all

contract mailings.

■ Check here if the mailing address is the same as the street address.

City, state, zip

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VVAPP 0714

Form ZVAX

4. Annuitant information

The annuitant is the person on whose life expectancy the annuity payments are based. If the annuitant and the contract owner are the same person, simply check the box below. If the contract owner is an individual, there must be an immediate familial relationship (such as spouse, domestic partner, parent, child, grandparent, grandchild, or sibling) between the owner and the annuitant.

Note: If this is a rollover to a qualified contract, the annuitant must be the same as the contract owner.

■ Same as contract owner.

Name of individual first, middle initial, last

Relationship to contract owner

Gender

■ Male ■ FemaleCitizenship

■ U.S. ■ Resident alien

If you check this box, skip to Section 5.

>

Street address P.O. box or rural route number isn’t acceptable.

City, state, zip

Birth date mm/dd/yyyy

E-mail address

Social Security number

Daytime phone area code, number, extension Evening phone area code, number, extension

VVAPP 0714

Form ZVAX

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5. Joint annuitant information if applicable

Complete this section only if there’s a joint annuitant. If the joint annuitant and the joint contract owner are the same person, simply check the box below.

■ Same as joint contract owner.

Name of individual first, middle initial, last

Gender

■ Male ■ FemaleCitizenship

■ U.S. ■ Resident alien

If you check this box, skip to Section 6.

>

Street address P.O. box or rural route number isn’t acceptable.

City, state, zip

Birth date mm/dd/yyyy

Social Security number

E-mail address

Daytime phone area code, number, extension Evening phone area code, number, extension

Relationship to contract owner

6. Annuitant’s beneficiaries

Your primary beneficiaries will be first to receive the death benefit from the contract when the annuitant dies. The beneficiary and the annuitant can’t be the same person.

Primary beneficiaries

Indicate the percentages of assets to be distributed to the designated primary beneficiaries upon the annuitant’s death. The total must equal 100%.

Name of individual first, middle initial, last trust or organization

Birth or trust date mm/dd/yyyy

Relationship to annuitant % of benefit

Gender

■ Male ■ FemaleCitizenship

■ U.S. ■ Resident alien ■ Nonresident alien

Country of citizenship for non-U.S. parties

Social Security number Other taxpayer ID number

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VVAPP 0714

Form ZVAX

Birth or trust date mm/dd/yyyy

If you’d like to name more than

two primary beneficiaries,

please attach a separate sheet.

>

Total

100%

If the percentages don’t total 100%, Vanguard will

allocate equal percentages totaling 100%.

Name of individual first, middle initial, last trust or organization

Street address P.O. box or rural route number isn’t acceptable.

City, state, zip

E-mail address

Daytime phone area code, number, extension Evening phone area code, number, extension

Relationship % of benefit

Gender

■ Male ■ FemaleCitizenship

■ U.S. ■ Resident alien ■ Nonresident alien

Country of citizenship for non-U.S. parties

Social Security number Other taxpayer ID number

Street address P.O. box or rural route number isn’t acceptable.

City, state, zip

E-mail address

Daytime phone area code, number, extension Evening phone area code, number, extension

VVAPP 0714

Form ZVAX

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Secondary beneficiaries

Your secondary beneficiaries will become the primary beneficiaries if all the primary beneficiaries die before the annuitant. Indicate the percentage of your assets to be distributed to each beneficiary. The total must equal 100%.

Name of individual first, middle initial, last trust or organization

Street address P.O. box or rural route number isn’t acceptable.

City, state, zip

E-mail address

Daytime phone area code, number, extension Evening phone area code, number, extension

Relationship to annuitant % of benefit

Total

100%

If the percentages don’t total 100%, Vanguard will

allocate equal percentages totaling 100%.

If you’d like to name more than

two secondary beneficiaries,

please attach a separate sheet.

>

Name of individual first, middle initial, last trust or organization

Street address P.O. box or rural route number isn’t acceptable.

City, state, zip

E-mail address

Daytime phone area code, number, extension Evening phone area code, number, extension

Relationship to annuitant % of benefit

Gender

■ Male ■ FemaleCitizenship

■ U.S. ■ Resident alien ■ Nonresident alien

Gender

■ Male ■ FemaleCitizenship

■ U.S. ■ Resident alien ■ Nonresident alien

Country of citizenship for non-U.S. parties

Country of citizenship for non-U.S. parties

Birth or trust date mm/dd/yyyy

Birth or trust date mm/dd/yyyy

Social Security number Other taxpayer ID number

Social Security number Other taxpayer ID number

VVAPP 0714

Form ZVAX

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7. Contract owner’s designated beneficiary if applicable

Complete this section only if the contract owner and the annuitant are not the same.

In the space below, name the individual who will receive the accumulated value of the contract if the contract owner dies and the annuitant is still living.

Name of individual first, middle initial, last trust or organization

Street address P.O. box or rural route number isn’t acceptable.

City, state, zip

E-mail address

Daytime phone area code, number, extension Evening phone area code, number, extension

8. Optional riders

There are two optional riders available under your contract. Refer to the Vanguard Variable Annuity prospectus for detailed information on both riders. Please read the prospectus and consider carefully before selecting either optional rider. Call us at 800-522-5555 if you have any questions or would like additional information.

■ Return of Premium option. If you check this box, the annuitant’s beneficiary will receive the greater of the accumulated value or the sum of your contributions (less adjusted partial withdrawals and premium taxes, if any). You may select this option only if the annuitant (and joint annuitant, if applicable) is age 75 or younger.

Return of Premium Death Benefit

Note: This is your only opportunity to choose the Return of Premium option. If you don’t select this option, the annuitant’s beneficiary will receive the accumulated value of your contract upon the annuitant’s death.

Gender

■ Male ■ FemaleCitizenship

■ U.S. ■ Resident alien ■ Nonresident alien

Country of citizenship for non-U.S. parties

Birth or trust date mm/dd/yyyy

Social Security number Other taxpayer ID number

Relationship to annuitant % of benefit

VVAPP 0714

9 of 16

Form ZVAX

■ Joint. Please make sure you’ve completed Sections 3 and 5. For nonqualified contracts, the annuitant’s spouse or civil union/domestic partner must be designated as both the joint contract owner and the joint annuitant. (In California only, for nonqualified contracts, the annuitant’s spouse or civil union/domestic partner must be designated as the joint annuitant.) For qualified contracts, the annuitant’s spouse or civil union/domestic partner must be designated as both the joint annuitant and the primary beneficiary.

Guaranteed Lifetime Withdrawal Benefit

The Guaranteed Lifetime Withdrawal Benefit (GLWB) is an optional rider that provides a guaranteed* lifetime income for you and, if applicable, a joint annuitant. The level of income depends on the annuitant’s attained age (the younger of the living spouses for the joint rider) at the time of the first withdrawal as well as the amount allocated to the designated investments eligible for the GLWB.

Note: The GLWB rider can be added to your contract by completing this section. You must allocate a portion of your initial premium payment to one or more of the designated investments eligible for the GLWB as listed in Section 10. If you don’t wish to elect the GLWB at this time, skip to Section 9. You can elect the rider at a later date.

■ Single

9. Your method of purchase

You can establish your Vanguard Variable Annuity with a check or wire transfer, the assets in an existing annuity contract or life insurance policy, a transfer/rollover of tax-deferred assets from a traditional IRA or qualified plan or annuity, or with shares from a Vanguard account.

To find out if your assets are eligible for a tax-free transfer/rollover, consult your employer/custodian or call us at 800-522-5555.

You must check a box. > Will this annuity replace, discontinue, or change an existing annuity contract or life insurance policy? ■ Yes ■ No

Amount

$

Check A, B, C, or D to indicate the source of the assets you’ll be using to establish your contract.

■ A. Check or wire transfer

Establish the contract with the enclosed check or wire transfer. Make check payable to Transamerica Premier Life Insurance Company. For wire transfer instructions, call 800-522-5555.

■ B. 1035 exchange

Establish the contract with assets in an existing nonqualified (after-tax) annuity contract or life insurance policy. Provide the name(s) of the issuing company (companies), the policy number(s), and the cash value(s) in the Transfer Instructions section on page 10.

*Product guarantees are subject to the claims-paying ability of Transamerica Premier Life Insurance Company.

VVAPP 0714

Form ZVAX

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Transfer instructions

This information must be completed if you’re transferring your assets from another company or from an existing Vanguard account. Please attach another sheet if you have additional account numbers.

Company name

Company name

Company name

Policy, contract, fund, or account number Value or percentage of shares

$ %

Policy, contract, fund, or account number Value or percentage of shares

$ %

Policy, contract, fund, or account number Value or percentage of shares

$ %

This information must be completed

if you’re transferring assets from

another account.

>

■ D. Vanguard account

Establish the contract with nonqualified (after-tax) assets from a Vanguard account. List Vanguard below in the Transfer Instructions section and indicate the value or percentage of shares to be deducted from your account(s). For Vanguard mutual fund accounts, provide your fund and account number(s). For a Vanguard Brokerage Account, provide your account number and assets will be deducted from your money market settlement fund. If you intend to register your new annuity under a name or address that differs from those on your existing Vanguard accounts, call us at 800-522-5555.

■ C. Transfer/rollover

Establish the contract with qualified (pre-tax) assets from an employer-sponsored retirement plan, a traditional IRA, or a qualified annuity contract now held at Vanguard or at another company.

Provide the names of the companies that issued them, the account numbers, and the cash value in the Transfer Instructions section.

VVAPP 0714

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Form ZVAX

10. Your initial premium allocation

You may allocate your initial premium payment (minimum $5,000) among any of the portfolios listed below. Note that the minimum balance for each portfolio is $1,000.

If you selected the Guaranteed Lifetime Withdrawal Benefit in Section 8, you must allocate some portion of your initial premium to one of three designated investments: the Conservative Allocation Portfolio, the Moderate Allocation Portfolio, or the Balanced Portfolio. You can, of course, allocate premiums to these designated investments even if you don’t elect the benefit.

Indicate the percentage of your initial premium payment that you wish to allocate to each portfolio or designated investment. Percentages must total 100%.

Note: For details about each portfolio or designated investment, read the Portfolio Profiles section of the Vanguard Variable Insurance Fund prospectus, which is attached to the enclosed Vanguard Variable Annuity prospectus.

Money Market Portfolio (0064) % Equity Income Portfolio (0008) %Short-Term Investment-Grade Portfolio (0144) %

Diversified Value Portfolio (0145) %

Total Bond Market Index Portfolio (0067) % Growth Portfolio (0010) %Global Bond Index Portfolio (0804) %

Capital Growth Portfolio (0603) %

High Yield Bond Portfolio (0146) %

Mid-Cap Index Portfolio (0143) %

Conservative Allocation Portfolio* (0801) %

Small Company Growth Portfolio (0160) %

Moderate Allocation Portfolio* (0803) %

Real Estate Index Portfolio (0147) %

Balanced Portfolio* (0069) % International Portfolio (0086) %Total Stock Market Index Portfolio (0604) %

Total International Stock Market Index Portfolio (0802) %

Equity Index Portfolio (0068) %

Total 100%

*Designated investments eligible for the Guaranteed Lifetime Withdrawal Benefit.

VVAPP 0714

12 of 16

Form ZVAX

If you don’t have a preprinted check or deposit slip, provide your account information below. In addition, you must attach a letter from your bank that contains your account information and the name(s) on the bank account.

Preprinted check or preprinted deposit slip

Tape your preprinted check or

deposit slip here.

Don’t staple.

>J. A. Sample123 StreetAnywhere, USA 12345

PAY TO THEORDER OF

MEMO

:000123456: 12345678987654321: 87654

Bank routing number Account number

BANK NAMECITY USA 87654

VOID AFTER 60 DAYS

DOLLARS

$

Check number

Bank account registration List all names that appear on the bank account.

Bank routing/ABA number Enter nine digits. Bank account number

Bank name Account type

■ Checking ■ Savings

11. Banking information optional

Complete this section if you wish to have a bank on file for your Vanguard Variable Annuity contract. The registration on your bank account must be identical to the registration of your annuity contract. If your bank account registration differs from your annuity, call 800-522-5555 to obtain a Vanguard Variable Annuity Bank Transfer Service Form.

Your bank, savings and loan, or credit union must be a member of the Automated Clearing House (ACH) network and your account type must permit electronic transfers. Cash management accounts and mutual fund accounts may not be used.

>Check this box, if applicable.

■ Yes, I’d like to receive a copy of the Statement of Additional Information.

VVAPP 0714

Form ZVAX

13 of 16

I acknowledge receipt of a current prospectus and declare that all statements in this application are true to the best of my knowledge and belief. I understand that all payments and values provided by the contract may vary as to dollar amount to the extent they are based on the investment performance of the selected portfolio(s). With this in mind, I feel the contract applied for will meet anticipated financial needs.

I understand and further agree that:

• Unless I have notified Transamerica Premier Life Insurance Company of a community or marital property interest in this contract, Transamerica Premier Life Insurance Company will rely on good faith belief that no such interest exists and will assume no responsibility for inquiry.

• This application is subject to acceptance by Transamerica Premier Life Insurance Company. If this application is rejected for any reason, Transamerica Premier Life Insurance Company will be liable only for return of purchase payment paid.

• Federal law requires all financial institutions to obtain customer information, including the name, residential address, date of birth, Social Security number or other taxpayer ID number, and any other information necessary to sufficiently identify each customer. Failure to provide this information could result in the annuity contract not being issued, transactions being delayed or unprocessed, or the annuity contract being terminated.

• Transamerica Premier Life Insurance Company does not deduct premium taxes at the time I make a premium payment. I further acknowledge that, generally, premium taxes will be deducted from the policy value when I begin receiving annuity payments, when I surrender the policy, or when death proceeds are paid. The Maine premium tax is 2%.

• If I’m using this form to establish banking instructions on a Vanguard Variable Annuity contract, I authorize The Vanguard Group, Inc., and Vanguard Marketing Corporation, and any affiliates or subsidiaries of either (individually or collectively, “Vanguard”), upon telephone or online request, to pay amounts representing redemptions or withdrawals made by me, or to secure payment of amounts invested by me, by initiating credit or debit entries to the bank named by me. I authorize the bank to accept any such credits or debits to my account without responsibility for the correctness thereof. I acknowledge that the origination of ACH transactions to my account must comply with U.S. law. I further agree that Vanguard won’t incur any loss, liability, cost, or expense in connection with my telephone or online request. I understand that this authorization may be terminated by me at any time by written notification to Vanguard and to the bank. The termination request will be effective as soon as Vanguard has had a reasonable amount of time to act upon it. I represent and warrant to Vanguard that I’m an owner or authorized signer on the bank account specified by me on this form and that no other owner or authorized signer of such bank account (other than the joint Vanguard account owner(s), if applicable) is required to sign in order to authorize the initiation of ACH entries to such bank account.

13. Signatures All owners must sign below exactly as their names appear in Sections 2 and 3.

12. Phone and online authorization

Check the box below if you or the joint owner wish to establish telephone and online privileges for your annuity contract.

■ I authorize Transamerica Premier Life Insurance Company to honor permitted transactions I request through telephone instruction or online as a registered user of vanguard.com. In the event this contract is owned by more than one owner, each owner authorizes Transamerica Premier Life Insurance Company to accept permitted telephone or online transactions from one owner. I hereby acknowledge that all instructions given pursuant to this authorization are subject to the conditions set forth in the prospectus and that neither Transamerica Premier Life Insurance Company nor The Vanguard Group, Inc., will be liable for any loss, liability, cost, or expense for acting in accordance with such instructions believed by them to be genuine and in accordance with the procedures set forth in the prospectus.

VVAPP 0714

Form ZVAX

Mailing information

Mail ALL pages of this application—even if some sections are left blank—and any other required documents in the enclosed postage-paid envelope.

VanguardP.O. Box 1105Valley Forge, PA 19482-1105

Vanguard455 Devon Park DriveWayne, PA 19087-1815

Reminders

You MUST include the following items, if applicable. If any are missing when Vanguard receives this form, your application won’t be processed.

• Assessment and Disclosure Form. Must be completed and returned with this application for all new contracts.

• 1035 Exchange Assignment Form. Must be completed and returned with your application if your method of purchase in Section 9 is a 1035 exchange.

• State Replacement Notice. If required by your state, must be completed and returned with your application if you’re replacing or transferring an existing annuity contract or life insurance policy with or to the Vanguard Variable Annuity.

• Qualified Funds Transfer/Rollover Form. Must be completed and returned with your application if your method of purchase in Section 9 is a transfer/rollover, and assets will be transferred directly from your employer account. This form isn’t required if you’ve taken possession of the money and are sending us a check. Please also check with your employer to request any company-specific distribution forms, and send those completed forms to us with your other paperwork.

• Certificate of Authority for Trusts form. Must be completed and returned with your application if you selected trust as the account type in Section 1.

>If you don’t have

a postage-paid envelope, mail to:

>For registered or certified mail, or

overnight delivery, mail to:

14 of 16

Signed at city, state

>Sign here.

Signature of owner, custodian, or authorized trustee

X

Date mm/dd/yyyy

Signature of joint owner

X

Date mm/dd/yyyy

Note: By signing this form, I acknowledge that I’ve reviewed the entire form, including any applicable state-mandated warnings appearing on the pages following this signature page, and to the best of my knowledge and belief, all of my statements and answers on this application are correct and true.

I also acknowledge that the accumulation values under the variable accumulation provisions of the contract being applied for are variable and aren’t guaranteed as to fixed dollar amounts.

VVAPP 0714

Form ZVAX

Please read the warning that applies to your state.

Alabama

Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents false information in an application for insurance is guilty of a crime and may be subject to restitution fines or confinement in prison, or any combination thereof.

Arkansas

Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

Colorado

It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance, and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory Agencies.

District of Columbia

Warning: It’s a crime to provide false or misleading information to an insurer for the purpose of defrauding the insurer or any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance benefits if false information materially related to a claim was provided by the applicant.

Kentucky

Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties.

Louisiana

Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

Maine

It’s a crime to knowingly provide false, incomplete, or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines, or a denial of insurance benefits.

Maryland

Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

New Jersey

Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties.

New Mexico

ANY PERSON WHO KNOWINGLY PRESENTS A FALSE OR FRAUDULENT CLAIM FOR PAYMENT OF A LOSS OR BENEFIT OR KNOWINGLY PRESENTS FALSE INFORMATION IN AN APPLICATION FOR INSURANCE IS GUILTY OF A CRIME AND MAY BE SUBJECT TO CIVIL FINES AND CRIMINAL PENALTIES.

Ohio

Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud.

Oklahoma

Warning: Any person who knowingly, and with intent to injure, defraud, or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete, or misleading information is guilty of a felony.

Pennsylvania

Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties.

Rhode Island

Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

Tennessee

It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits.

Washington

It is a crime to knowingly provide false, incomplete, or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines, and denial of insurance benefits.

15 of 16

VVAPP 0714

Form ZVAX

© 2017

The Vanguard Group, Inc.

All rights reserved.

ZVAX 122017

16 of 16

West Virginia

Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

For all other states

Any person who knowingly presents a false statement in an application for insurance may be guilty of a criminal offense and subject to penalties under state law.

1 of 2

Form ZSDF

Questions?Call 800-462-2391. If you need other forms, go to vanguard.com/serviceforms.

Vanguard Variable Annuity

Assessment and Disclosure FormTransamerica Premier Life Insurance CompanyTransamerica Financial Life Insurance Company (in New York State only)

Use this form to ensure that a Vanguard Variable Annuity is appropriate for your needs.

You’re required, as the prospective owner (and joint owner, if applicable) to read each statement on this form and sign and date the form to document your review and understanding of each applicable statement.

Please send the completed form to Vanguard with the Application and other necessary paperwork.

Print in capital letters and use black ink.

(over)

In considering the purchase of a Vanguard Variable Annuity contract:

• I believe that the Vanguard Variable Annuity is appropriate for my insurance needs and financial objectives, considering my tax bracket, investments, and financial status.

• I understand that the Vanguard Variable Annuity is a deferred annuity and that I may not see a benefit from tax-deferred compounding for ten years or more.

• I understand that withdrawals from the annuity before I reach age 59½, like early withdrawals from other tax-deferred products, may be subject to a 10% federal penalty tax.

• I understand that an annuity’s expenses (including underlying portfolio expenses) can outweigh the benefits of tax-deferred compounding for investors in lower tax brackets. Those investors may be able to earn higher total returns by investing in mutual funds outside of an annuity.

• I understand that a variable annuity, like other securities, is subject to market risk and that the contract doesn’t protect me from losing money.

• I understand that accumulation values fluctuate and that the contract I’m applying for doesn’t guarantee a fixed dollar value for my assets.

• I understand the risks associated with the portfolios I’ve chosen to invest in. I feel that these portfolios suit my investment objective.

• I understand that investments in stock portfolios generally carry a greater possibility of fluctuations in value or loss of value than investments in fixed income or cash portfolios.

• I understand that portfolios that invest in a narrow segment of the stock market (“sector funds”) may carry even greater risks.

• I understand that the Guaranteed Lifetime Withdrawal Benefit (GLWB) is an optional rider that can be added to a Vanguard Variable Annuity. I understand that I’ll be charged an additional annual fee if I select the GLWB on my Application and that the additional annual charge will remain in effect unless I notify Vanguard that I no longer wish to keep the GLWB rider.

5065 0714

Print owner’s name

Print owner’s name

Form ZSDF

Signature of owner

XDate mm/dd/yyyy

Signature of owner

XDate mm/dd/yyyy

Signed at city/state

Mailing information

Mail ALL pages of this form in the enclosed postage-paid envelope.

VanguardP.O. Box 1105Valley Forge, PA 19482-1105

Vanguard455 Devon Park DriveWayne, PA 19087-1815

>If you don’t have

a postage-paid envelope, mail to:

>

For registered or certified mail, or

overnight delivery, mail to:

© 2014 The Vanguard Group, Inc. All rights reserved.

ZSDF 072014

2 of 2

If the annuity is being purchased with new nonqualified retirement assets/investments:

• I’m purchasing this annuity with funds that I don’t need for current expenses.

• I understand that I should invest in a variable annuity only after contributing the maximum amount to qualified plans (such as IRAs and 401(k) plans) that are available to me. Qualified plans may feature tax-deductible contributions, often offer more investment options than annuity contracts, and don’t charge the mortality and expense risk charges and administrative fees that annuities do.

If you’re purchasing the annuity by transferring an existing annuity via a 1035 exchange:

• I understand that if I replace an existing annuity or life insurance policy with a Vanguard Variable Annuity contract, the death benefit promised under the existing policy (including any guarantee that my beneficiary will receive more than the annuity’s current market value) won’t transfer to my new annuity.

By signing below, I acknowledge that:

• I’m purchasing a Vanguard Variable Annuity contract.

• I’ve read, understand, and agree with all of the statements above.

• I’ve received, read, and understand the Vanguard Variable Annuity prospectus.

• I understand that annuities are long-term investments intended primarily for retirement planning.

Vanguard Variable Annuity

1035 Exchange Assignment Form

Important information about your 1035 exchange

A 1035 exchange normally takes four to five weeks. To prevent delays, please review the following requirements before completing the form:

• Replacement Notice. Some states require a Replacement Notice. If a Replacement Notice is enclosed with this package, you must complete and sign it, and return it with the 1035 Exchange Assignment Form. Please read the Replacement Notice before signing the form.

• Vanguard Variable Annuity Application. If you’re making a 1035 exchange to a new contract, you must also complete an application. If you’re making a 1035 exchange into an existing Vanguard Variable Annuity contract, an application isn’t required.

• Assessment and Disclosure Form. You’re required to complete and submit this document when making a 1035 exchange.

• Your original existing policy or contract. Your current insurance company probably won’t send us your annuity assets unless they receive your original policy. If your policy is lost, check the “Lost contract” box in Section 1 of the 1035 Exchange Assignment Form or attach a signed statement indicating that you’re unable to find the policy.

• Trust ownership. If your contract or policy is owned by a trust, you must complete and return the Vanguard Variable Annuity Certificate of Authority for Trusts form. In addition, if you’re a resident of Arizona or Indiana, you’re required to provide a copy of the entire trust agreement in accordance with your state regulations. Call 800-522-5555 if you have questions, or go to vanguard.com/serviceforms for a copy of the Certificate of Authority for Trusts.

• Signature guarantee. Your current insurance company may require that your signature be guaranteed by an authorized officer. Please check to see if a signature guarantee is required and, if so, obtain one.

• Additional forms. Ask your current provider whether they require any additional forms to release your assets via 1035 exchange.

• Partial 1035 exchange. Adverse tax consequences may apply. Consult your tax advisor before making a partial exchange.

Before requesting an exchange, please note:

• Early withdrawal fees. Many providers charge a fee for early withdrawal of life insurance or annuity assets. Ask your current provider whether your 1035 exchange will trigger a withdrawal fee.

• Minimum investment. If this exchange is your first contribution to your Vanguard Variable Annuity contract, the value of your annuity contract or cash value of your life insurance policy must be at least $5,000. Vanguard Variable Annuity contracts valued at less than $25,000 will be assessed an annual contract maintenance fee of $25.

• Outstanding loans. If there are any outstanding loans against your policy or contract, the provider will repay them with money from your contract and report to the IRS that you made a taxable withdrawal from your account. To avoid this, repay the loans before applying for an exchange.

• Cost basis information. Your current provider must provide Vanguard with information on the cost basis of the transferred assets. Once we receive it, we’ll retain this information for future cost basis calculations. Until we’ve received the cost basis, the cost basis of your transferred assets will be noted as $0.

• Death benefits. Death benefits may vary from one policy or contract to another. You should compare the death benefit of your current policy or contract with the death benefit options of the Vanguard Variable Annuity contract.

Form ZEF5

Return ALL pages of this form, even if some sections are left blank.

Tips for completing the 1035 Exchange Assignment Form

• Identical registration. Your Vanguard Variable Annuity contract and your existing insurance policy or annuity contract must be identically registered, with identical owners’ and annuitants’ names, addresses of record, and Social Security or taxpayer identification numbers.

• Owners’ signatures. All owners, joint owners, or trustees of the existing policy or contract must sign the 1035 Exchange Assignment Form.

• Lost contract. If you can’t find your original contract, check the ”Lost contract” box in Section 1.

• Investment allocation. If you’re making a 1035 exchange of assets to an existing Vanguard Variable Annuity contract, your assets will be invested according to the existing contract’s default allocations that are on file with us. If you want to change your allocation, call our licensed specialists at 800-522-5555 on business days from 8 a.m. to 8 p.m., Eastern time.

Form ZEF5

1 of 4

Form ZEF5

Use this form to make a 1035 exchange of all or part of an existing annuity or life insurance policy for a Vanguard Variable Annuity contract. Complete a separate form for each annuity or life insurance policy you wish to exchange.

Don’t use this form to transfer any of the following:

• 403b tax-sheltered annuity, typically opened through your employer.

• IRA (traditional or Roth).

• Any type of retirement savings plan that was started with your employer.

Print in capital letters and use black ink.

Vanguard Variable Annuity

1035 Exchange Assignment FormTransamerica Premier Life Insurance Company

Questions?Call 800-522-5555. If you need other forms, go to vanguard.com/serviceforms.

1. Existing policy or contract information Provide the following information about your existing policy or contract.

My contract was established as a(n):■ Life insurance policy ■ Annuity contract ■ Other: ___________________________Name of owner first, middle initial, last

Name of joint owner (if applicable) first, middle initial, last

Name of insured or annuitant (if other than owner) first, middle initial, last

Name of co-insured or joint annuitant (if other than owner) first, middle initial, last

Owner’s Social Security number Other taxpayer ID number

Name of issuing insurance company Issuing insurance company phone

Policy or contract number ■ Lost contract By checking this box, I certify that my original policy has been lost.

Street address P.O. Box or rural route number isn’t acceptable.

Issuing insurance company street address

City, state, zip

City, state, zip

Return ALL pages of this form, even if some sections are left blank.

Form ZEF5

2 of 4

3. Certification Attach copies of your original contract policy, if available, and most recent account statement.

As the undersigned owner of the contract or policy identified in Section 1 (“said contract”), I hereby assign and transfer to Transamerica Premier Life Insurance Company (“the Company”) all assignable benefits, interest, property, and rights in the said contract and ask that the check conveying full or partial surrender proceeds, as indicated, be made payable to Transamerica Premier Life Insurance Company. I understand that the Company will surrender said contract and, upon receipt of the surrender proceeds, will issue a contract to me. I certify that no other person, firm, or corporation has any interest in said contract, nor have proceedings in insolvency or bankruptcy been instituted against me.

Existing Vanguard Variable Annuity contract number if applicable

2. Exchange instructions

Indicate whether this is a full or partial exchange. If you intend to make a 1035 exchange into an existing Vanguard Variable Annuity contract, enter the contract number below.

■ Full 1035 exchange (100% of contract value)

■ Immediately

■ Partial 1035 exchangeAmount

$

■ Upon the maturity of my existing contractMaturity date mm/dd/yyyy

Full or partialCheck one.

When I want my exchange processedCheck one.

If you don’t check a box, we’ll proceed

with a full exchange. >

If you don’t check a box, we’ll proceed with an immediate

exchange.

>

Signed on this, the ______ day of __________________, 20 ___, at

City, state

I further certify that the sole purpose of this Assignment is to effect an exchange of said contract under Section 1035(a) of the U.S. Internal Revenue Code. I understand that the Company doesn’t assume responsibility for the validity or effect of the resulting tax-free exchange or for the value of the said contract on the date my surrender request is processed.

Form ZEF5

If a signature guarantee is

required, DON’T sign until you’re in the presence of an authorized officer.

>

>

You can get a signature guarantee from an authorized officer of a bank, a broker, and many

other financial institutions.

A notary public CAN’T provide a

signature guarantee.

Signature guarantee

Please ask your current provider whether a signature guarantee is required to process this exchange. Failure to provide a required signature guarantee could delay this transaction.

Have an authorized officer place the guarantor’s stamp below.

Signature(s)

Authorized officer’s title

Name of institution

Date mm/dd/yyyy

Signed guarantee stamp

Signature of owner (individual, custodian, or trustee)

X

Date mm/dd/yyyy

Signature of joint owner (if applicable)

X

Date mm/dd/yyyy

Signature of joint owner

X

Date mm/dd/yyyy

Daytime phone area code, number, extension

I request that my current provider not attempt to retain my assets.

Signature of owner

X

Date mm/dd/yyyy

Return ALL pages of this form, even if some sections are left blank.

3 of 4

© 2014 The Vanguard Group, Inc. All rights reserved.

ZEF5 072014

4 of 4

Mailing information

Mail ALL pages of this form in the enclosed postage-paid envelope.

Vanguard P.O. Box 1105Valley Forge, PA 19482-1105

Vanguard 455 Devon Park DriveWayne, PA 19087-1815

>If you don’t have

a postage-paid envelope, mail to:

Reminders

• Include your existing policy or check the “Lost policy” in Section 1.

• Obtain all required signatures in Section 3.

>For overnight

delivery, mail to:

1 of 4

Form ZCAT

Transamerica Premier Life Insurance CompanyTransamerica Financial Life Insurance Company (in New York State only)

Use this form to identify the trustees who are authorized to act on the Vanguard Variable Annuity contract(s) listed below.

Include a copy of the entire trust agreement with this form, in accordance with your state regulations, if the trust is registered in any of the following states: Arizona, California, Florida, Indiana, Kansas, Kentucky, Montana, Nevada, New Mexico, North Dakota, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, or Wyoming.

Print in capital letters and use black ink.

Questions?Call 800-462-2391. If you need other forms, go to vanguard.com/serviceforms.

Vanguard Variable Annuity

Certificate of Authority for Trusts

1. Vanguard Variable Annuity information

Name of trust

Contract number

Contract number

Contract number

Date of trust mm/dd/yyyy Taxpayer ID number

2. Number of signatures required to transact

Note: None of The Vanguard Group, Inc., Vanguard Marketing Corporation, Transamerica Premier Life Insurance Company, or Transamerica Financial Life Insurance Company are responsible for the investment recommendations or decisions made by the trustees.

Complete and return pages 1–3 of this form.

In the box below, indicate the number of trustees whose signatures are required to initiate activity on the contract(s). If a number isn’t indicated, all trustees must sign transaction requests.

Number of trustee signatures required to initiate activity for the trust.

If you need more space to list

additional contracts, photocopy this page.

>

Form ZCAT

2 of 4

Name of individual first, middle initial, last or organization

Name of individual first, middle initial, last or organization

Provide the requested information for each trustee. All trustees must sign in Section 4.

3. Trustee information

City, state, zip

Street address

Street address

City, state, zip

E-mail optional

E-mail optional

Daytime phone area code, number, extension Evening phone area code, number, extension

Daytime phone area code, number, extension Evening phone area code, number, extension

Social Security number or employer ID number Birth date mm/dd/yyyy

Social Security number or employer ID number Birth date mm/dd/yyyy

All of this information is required. If you need more space to list additional

trustees, photocopy this page.

>

All trustees must sign on the next page.

The undersigned trustees are authorized by trust provision to act on behalf of this trust. The trustees may invest the assets of the trust or annuity; give instructions for the purchase, sale, or exchange of trust assets; and execute all forms required by the Vanguard Variable Annuity contract(s).

The trustees agree on behalf of the trust to defend, indemnify, and hold harmless The Vanguard Group, Inc., Transamerica Premier Life Insurance Company, Transamerica Financial Life Insurance Company, Vanguard Marketing Corporation, and their affiliates (and their respective directors, officers, employees, and agents) from any claim or expense arising from their reliance on instructions, oral or written, that they believe came from the trustees named on the next page.

Name of trust

The undersigned are duly appointed trustees of the

All trustees must sign this section. The printed name and signature must match. A signature guarantee isn’t required.

4. Trustee signatures

Form ZCAT

3 of 4

This Certificate of Authority will remain in effect until the trustees send a written revocation to Vanguard Annuity and Insurance Services. None of Transamerica Premier Life Insurance Company, Transamerica Financial Life Insurance Company, The Vanguard Group, Inc., or Vanguard Marketing Corporation shall be liable for actions they take before they have had a reasonable opportunity to review and act upon the written revocation.

By signing below, I certify that I’ve read and understand fully this Certificate of Authority for Trusts and that the information provided herein is correct.

Note: If the trustee is an organization, the Vanguard Variable Annuity also requires a certified Vanguard Variable Annuity Indemnification and Certification of Corporation/Organization Resolution form.

Complete and return pages 1–3 of this form.

Name of trustee

Name of trustee

Signature of trustee

X

Signature of trustee

X

If additional signatures are

required, provide them on a

photocopy of this page.

>

5. Certification of trust

This section must be completed by someone other than a trustee. The certifier’s printed name and signature must match. A signature guarantee isn’t required.

I,

Name of certifier

, of

Name of bank or firm

hereby certify with my signature

Signature of individual certifying trust

on

Date mm/dd/yyyy

that the trustees listed in Section 3 are all of the duly appointed and currently qualified trustees of the

Name of trust

Taxpayer ID number of trust

Form ZCAT

Mailing informationMail your completed form and any supporting documentation in the enclosed postage-paid envelope.

Vanguard P.O. Box 1105Valley Forge, PA 19482-1105

Vanguard 455 Devon Park DriveWayne, PA 19087-1815

>If you don’t have

a postage-paid envelope, mail to:

RemindersInclude a copy of the entire trust agreement with this completed form if you reside in one of the states listed at the top of page 1.

If the trustee is an organization, complete and submit with this form a certified Vanguard Variable Annuity Indemnification and Certification of Corporation/Organization Resolution form.

>For overnight

delivery, mail to:

© 2014 The Vanguard Group, Inc. All rights reserved.

ZCAT 072014

4 of 4

1 of 4

Form ZQP2

Use this form to initiate a rollover, direct rollover, or transfer of funds from a qualified retirement account or qualified annuity to a Vanguard Variable Annuity. Your qualified retirement funds will be invested in a flexible-premium, variable IRA annuity.

If you’re transferring qualified retirement funds into a new Vanguard Variable Annuity, this form must be accompanied by:

• A completed Vanguard Variable Annuity Application.

• Your current plan contract, if applicable.

• A signed state replacement form, if applicable.

• An initial investment of $5,000 or more.

If you’re transferring qualified retirement funds into an existing Vanguard Variable Annuity, this form must be accompanied by:

• Your current plan contract, if applicable.

• A signed state replacement form, if applicable.

Required minimum distribution (RMD) notice: If you’re over age 70½ and are taking an RMD from your retirement plan, you must take that distribution before transferring your retirement assets to Vanguard.

Vanguard Variable Annuity

Qualified Funds Transfer/Rollover FormTransamerica Premier Life Insurance Company

Questions?Call 800-522-5555. If you need other forms, go to vanguard.com/serviceforms.

1. Your information

Name of owner first, middle initial, last

Social Security number

Street address P.O. box or rural route number isn’t acceptable.

City, state, zip

Return ALL pages of this form, even if some sections are left blank.

Form ZQP2

2 of 4

3. Notice to current trustee/custodian

I want to effect a direct rollover/transfer of assets you hold in my qualified retirement account or annuity referenced in Section 2 into the Vanguard Variable Annuity, as set forth below. The amounts transferred won’t be distributed for my direct use or control.

You’re instructed to convert into cash the following mutual funds and other investments.

Account owner: Provide all of the following information for each investment you want to roll over/transfer. If you don’t check “All” or “Partial,” your entire account will be liquidated and transferred to Vanguard. If you don’t provide a dollar amount, the transfer may be delayed.

2. Current plan information

■ Immediately

■ Upon the maturity of my existing contractMaturity date mm/dd/yyyyWe must receive

this form at least 30 days before the

maturity date.

>

Please transfer these funds to Vanguard, P.O. Box 1105, Valley Forge, PA 19482-1105, according to the conditions stated in Section 4. If funds aren’t currently held in one of the plan types listed in Section 4 or if additional information is required to complete this transfer, please notify Vanguard Annuity and Insurance Services.

Name of custodian/trustee/administrator of your current plan or annuity

Policy or contract number ■ Lost contract By checking this box, I certify that my original policy has been lost.

Name of investment

Name of investment

Name of investment

Phone number area code, number, extension

Name of current qualified retirement plan (401(k), 403(b)(7), IRA) or qualified annuity

Street address P.O. box or rural route number isn’t acceptable.

City, state, zip

Account number Check one:■ All or ■ Partial

Dollar amount

$

Account number Check one:■ All or ■ Partial

Dollar amount

$

Account number Check one:■ All or ■ Partial

Dollar amount

$

You’re directed to liquidate these assets. Check one.

Form ZQP2

3 of 4

4. Type of transfer/rollover

Vanguard accepts the transfer/rollover of funds from your current account or policy on the conditions that this is a tax-free exchange and that the assets have accumulated in accordance with the Internal Revenue Code.

5. Signature

The registered plan holder for the current IRA, qualified retirement plan, or qualified annuity must sign this form to authorize the transfer of qualified funds into the Vanguard Variable Annuity.

6. Custodian authorization

The Vanguard Variable Annuity has established a flexible-premium, variable IRA annuity that qualifies under Section 408 of the Internal Revenue Code and hereby agrees to accept the transfer described above and, upon receipt, to apply the proceeds to the IRA annuity established on behalf of the individual.

■ Asset transfer (from a traditional IRA, SEP-IRA, SIMPLE IRA or HR-10 (Keogh) account)

■ An initial investment in a new Vanguard Variable Annuity contract.

■ Direct rollover from a qualified plan (such as a 401(k) or 403(b)).

■ An additional investment in an existing Vanguard Variable Annuity contract.

Contract number

■ Rollover (I’ve taken possession of the assets and have enclosed a check made payable to Transamerica Premier Life Insurance Company.)

Is this a replacement annuity? ■ Yes ■ No

Type of transfer/rolloverCheck one.

This asset transfer is intended as Check one.

Signature of owner

X

Date mm/dd/yyyy

Return ALL pages of this form, even if some sections are left blank.

Title of authorized officer

Face amount of policy replaced

$Approximate amount of replacing policy

$Signature of authorized officer

X

Date mm/dd/yyyy

Form ZQP2

© 2014 The Vanguard Group, Inc. All rights reserved.

ZQP2 072014

4 of 4

Instructions to custodian• Send redemption proceeds by check to: Vanguard, P.O. Box 1105, Valley Forge, PA 19482-1105.

• Please make the check payable to Transamerica Premier Life Insurance Company, c/o The Vanguard Group, FBO: (Owner name).

• The individual’s Social Security number and the following contract number must be on the check.

Contract number

Please call 800-522-5555 if you have any questions.

Return ALL pages of this form even if some sections are left blank.

TPA416-NOTEPN

Revised April 21, 2016

NOTICE OF PRIVACY PRACTICESTRANSAMERICA COMPANIES

TPAThis Notice is provided to you by the Transamerica companies listed at the end of this Notice. This notice is intended for those customers whose Transamerica products and services are currently administered through a relationship between the Transamerica companies and a third party administrator on behalf of the Transamerica companies. To the extentyou may have other Transamerica company products or services, your customer information related to those products and services is governed by that company’s respective Notice of Privacy Practices.

We value our customers and your trust in us, especially when you share your personal information with us. We understand that the privacy and security of that personal information is important to you. We call this information “customer data” or just “data”. This Notice describes the customer data we collect and how we use, share and protect that data. If your relationship with us ends, we will continue to handle your data in accordance with this Notice. Customer Data That We Collect We collect the following types of customer data:

Data Typical SourcesName, email and physical address, age, social security and driver’s license numbers, employment, financial and health data and history

From you directly, when you submit applications and forms and engage in communications with us. We may also receive this data from employers, healthcare providers and other insurance companies

Data about your transactions with us and unaffiliated third parties (“Third Parties”), such as account balances, coverages, premiums, payment and claims history and medical or health data

From our affiliates (companies under common ownership) and Third Parties

Credit history, employment information and other information about your creditworthiness, medical care and health

Consumer reporting agencies and other service providers we use. We may also receive this data from your employers, healthcare providers and other insurance companies

Information about products and services you obtain or in which you might be interested

You or possibly Third Parties with whom we have joint marketing arrangements or other Third Parties

How We Use Your DataWe use data for purposes allowed by law. For example, we may use your data to:

• Process claims and transactions;• Maintain your accounts;• Research, develop, provide and market products and services;• Prevent and prosecute fraud or criminal activities;• Comply with applicable laws; and• Maintain, operate and market our business.

Sharing DataWe may share your data with Third Parties and affiliates as permitted or required by law, or when you authorize us to do so. We may also share your data with Third Parties in certain circumstances, such as:

• Those who provide services to support our business, including processing claims, account maintenance, and marketing and sales;

• Credit bureaus;• Insurance regulators, law enforcement, governmental authorities and other Third Parties in response to legal

process or as required by law;• Health care professionals, including to verify coverage or to provide information relating to a medical condition;• Governmental agencies so they can decide if you are eligible for public benefits;• Other financial companies in connection with joint marketing efforts;

TPA416-NOTEPN

• Other insurance companies (including successor insurers), agents and insurance support organizations to coordinate your benefits or in connection with insurance transactions involving you;

• Group policyholders, for example, regarding claims experience or to support service audits;• Certificate or policy holders regarding the status of an insurance transaction; • Your representatives and lawyers;• Those who have a legal or beneficial interest in your assets (such as creditors with a lien on your account); • To prevent and prosecute fraud or criminal activities;• To conduct actuarial or research studies; and• In connection with the sale or merger of all or part of our business.

Our affiliates include a broad range of companies who provide financial services. These include insurance companies and agencies, and investment advisors, as well as mutual funds and broker/dealers. Our affiliates are companies with whom we share common ownership. We do not share information about your creditworthiness among our affiliates.We may share your data with our affiliates:

• For their everyday business purposes;• So they can determine which of their products and services may be of interest to our customers; • So they can provide various services to us to support our business, such as claims processing or maintaining your

account; and• So they can audit themselves or their agents.

For Vermont Residents only.We will not share data we collect about you with Third Parties, except as permitted by Vermont law or authorized by you. We may still share data about our transactions or experiences with you with our affiliates.For California Residents only. We will not share data we collect about you to either our affiliates or Third Parties, except as permitted by law or as authorized by you.

Your Right of Access and Correction.You have a right of access and correction with respect to data we collect, except data that relates to and is collected in connection with a claim or criminal or civil lawsuit involving you. You must make your request to us in writing listing the account or policy numbers with the data you are requesting to access. If you tell us of an error in the data, we will review it. If we agree, we will correct our records. If we don’t agree, you may dispute our findings in writing and send your statement to us. We will include your statement whenever we provide your disputed information to anyone outside Transamerica. This is a summary of your rights. For a copy of our more detailed Notice of Insurance Information Practices as applicable to your product or service, please send a written request to 4333 Edgewood Rd NE, Cedar Rapids, IA 52499.

Protecting Your Data. We restrict access to customer data to persons who need access to it in order to do their jobs or to provide products and services to you. We train our workforce in the proper handling of customer data. In addition, we maintain other physical, electronic, and procedural safeguards to protect your data.

We may revise this privacy notice. If we make material changes, we will notify you as required by law. This Notice is provided by the following Transamerica companies and any separate accounts established for products they offer:

Transamerica Advisors Life Insurance CompanyTransamerica Capital, Inc

Transamerica Casualty Insurance CompanyTransamerica Financial Life Insurance CompanyTransamerica Investors Securities Corporation

Transamerica Life Insurance CompanyTransamerica Premier Life Insurance Company

Transamerica Retirement Advisors, LLCTransamerica Retirement Insurance Agency, LLC

Transamerica Retirement Solutions, LLCStonebridge Benefit Services, Inc

TAP416 082017