Allianz Life Insurance Co Of New York S-1/A IPO registration (amended)

EX-99.4.b. Schedule Pages

Contract Schedule

Owner:	[John Doe]	Contract Number:	[??687456]
[Joint Owner:	[Jane Doe]]	Issue Date:	[04/15/10]
Annuitant:	[John Doe]	Scheduled Annuity Date:	[04/01/65]
Determining Life (Lives):	[John Doe]	Maximum Issue Age:	[80]
	[Jane Doe]

Purchase Payments

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

Transfers

Number of Free Transfers Permitted:	[12] each Contract Year
Transfer Fee:	$25.00 for each transfer in excess of the free transfers permitted
Transfer Index Anniversary:	Every [Sixth] Index Anniversary

Contract Charges

Product Fee:	[1.25]%
Contract Maintenance Charge:	$[50.00] each Contract Year
Designated Amount:	Contract Value must be $[100,000.00] to waive the Contract Maintenance Charge

Withdrawals

Minimum Partial Withdrawal:	$[100.00]
Minimum Required Value:	$[2,000.00]
Free Withdrawal Amount:	[10]% of total Purchase Payments

Withdrawal Charge Percentages Table

Number of Complete Years Since Receipt of Purchase Payment	Charge
0		8.5	%
1		8	%
2		7	%
3		6	%
4		5	%
5		4	%
6 years or more		0	%

Annuity Payments

Minimum Annuity Payment:	$[100.00]
Annuity Mortality Table:	[Annuity 2000 Mortality Table]
Minimum Annual Annuity Payment Rate:	[1.00]%

Riders:

[The applicable riders based on the information from the application will populate this area.]

3

Guaranteed Purchase Rate Table

Upon request, we will furnish rates for ages and guaranteed periods not shown.

Annuity Options—Guaranteed monthly annuity payments per $1,000

	Option 1				Option 2								Option 3		Option 4		Option 5
					10-year guaranteed period				20-year guaranteed period				100% joint and survivor		10-year guaranteed period
Age on Annuity Date	Male		Female		Male		Female		Male		Female		Male & Female Same Age		Male & Female Same Age		Male		Female
30		[2.08		1.97		2.08		1.97		2.07		1.97		1.84		1.84		2.00		1.92
40		2.45		2.29		2.45		2.29		2.42		2.28		2.10		2.10		2.29		2.19
50		3.02		2.78		3.00		2.77		2.92		2.73		2.49		2.49		2.70		2.57
60		3.95		3.57		3.87		3.53		3.59		3.37		3.12		3.11		3.29		3.14
70		5.66		5.03		5.28		4.83		4.24		4.13		4.22		4.20		4.18		4.00
80		8.93		8.09		7.07		6.79		4.55		4.53		6.37		6.04		5.54		5.38
90		15.24		14.64		8.36		8.30		4.59		4.59		10.68		7.98		7.66		7.50	]

[3A]

Variable Options Contract Schedule

Owner:	[John Doe]	Contract Number:	[??687456]
[Joint Owner:	[Jane Doe]]	Issue Date:	[04/15/10]
Annuitant:	[John Doe]	Scheduled Annuity Date:	[04/15/65]

Allocation Guidelines:

1. [Currently, you can select up to [3] of the Variable Options. This number will not decrease after the Issue Date.]

2. Allocations must be made in whole percentages.

Variable Options:

Variable Account:[Allianz Life of New York Variable Account C]

[AZL Money Market Fund

AZL MVP Balanced Index Strategy Fund

AZL MVP Growth Index Strategy Fund]