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AA 2000-1 Page 1

Mailing Address: Principal Life Life Insurance
Des Moines, IA 50392-0001 Insurance Company Application

PART A

1. PERSONAL INFORMATION ABOUT THE PROPOSED INSURED
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Name (First, Middle, Last) Sex Date of Birth
___ Male ___ Female / /
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Street Address Social Security Number Birthplace (State or Country)
- -
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City, State, Zip Code Driver's License Number State Issued

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Home Phone Number Work Phone Number
( ) ( )
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2. BASIC COVERAGE APPLIED FOR
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Product________________________ Policy Mode Premium $___________________________
Face Amount (excluding supplemental
benefit/riders) Direct Mode: (choose one)
$____________________ __Annual __Semi Annual __Quarterly __Single Pay
__Nonsmoker __Smoker __EFT (complete EFT form + attach sample check)
Death Benefit Option if applicable: List Bill: Reference Number _______________
__ Option 1-Level Face Amount __Annual __Semi Annual __Quarterly __Monthly
__ Option 2-Face + Accumulated Value Unscheduled Premium $____________________
__ Option 3-Face + Premiums Paid Unscheduled Mode Premium $_______________

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3. BENEFITS/RIDERS (Some riders are product specific)
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__Accidental death - Amount $______ __20 Year Premium Guarantee
__Accounting Benefit __Guaranteed Increase Option - Amount $____
__Automatic Premium Loan - AL only __Payor Death or Disability
(N/A with EFT mode) __Policy Split Option
__Change of Insured __Salary Increase - Amount $
__Children Term - Amount $_________ __Single Life Term - Amount $
(If tele-app, no supplemental
application required) __Spouse Term - Amount $
__Cost of Living/Increase Option __Supplemental Benefit $
Bill for:__Contractual (Indexed) __Waiver Disability Benefit
__Liberalized (Percentage)__Waiver of Monthly Deductions/Monthly
Extra Protection Increase - Policy Charges
Amount $ __Waiver of Scheduled Premium/Specified
Four Year Term Premium
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4. DIVIDEND OPTIONS - AL only
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__Policy Improvement __Reduce Unscheduled __Accumulate at Interest __Cash
__Plan Enhancement __Additional Insurance __Reduce Premium
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AA 2000-1 Page 2

Mailing Address: Principal Life Life Insurance
Des Moines, IA 50392-0001 Insurance Company Application

Proposed Insured________________________________________________________________
D.O.B. _____ /_____ /____ Policy Number___________________________________

5. OWNERSHIP INFORMATION (If trust, provide name/date of trust)
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Name Relationship to Insured

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Address Taxpayer ID Number

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City, State, Zip Code D.O.B.

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Joint Owner
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Name Relationship to Insured

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Address Taxpayer ID Number

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City, State, Zip Code D.O.B.

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Contingent Owner
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Name Relationship to Insured

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6. BENEFICIARY INFORMATION
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Name (Primary) Relationship to Insured

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Contingent Beneficiary (Name and Relationship)

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Single Life Term Rider Beneficiary (Name and Relationship)

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__Proceeds to be left at interest. Beneficiary to have election and
withdrawal rights.
Pay interest: __ Monthly __ Quarterly __ Semi-Annually __ Annually
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7. SPOUSE TERM/PAYOR BENEFITS (Complete only if this coverage is applied for)
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Name (First, Middle, Last) Sex __Nonsmoker Date of Birth

__M __ F __Smoker / /
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Birthplace Driver's License Number State Issued Social Security Number
- -
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Unless changed, the beneficiary under the Spouse Term Rider is the insured,
if living, otherwise the estate of the spouse. While the insured lives, the
owner of this policy also owns the Spouse Term Rider. On the death of the
insured, the spouse is the owner of the Spouse Term Rider.
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Spouse/Payor Instructions:
Telephone App Process: Part B (insurability questions) will be completed
by telephone.
Paper App Process: Complete a separate Part B.
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AA 2000-1 Page 3

Mailing Address: Principal Life Life Insurance
Des Moines, IA 50392-0001 Insurance Company Application

Proposed Insured________________________________________________________________
D.O.B. ____/____/____ Policy Number__________________________________________

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8. OTHER LIFE INSURANCE
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Other life insurance or annuities in force or applied for? __ Yes __ No
(If yes, list all other life insurance or annuities in force or currently
being applied for.)

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*Amount Product/Purpose
Insured's PENDING ADB Year (Business or Personal)?
Name Company Amount with other amount of If business, type
companies issue (Key Person, Buy-Sell, etc.)
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9. REPLACEMENT
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Will this insurance replace or affect any other life or annuity contract for any
person proposed for coverage (including pending coverage provided with a binding
receipt)? __ Yes __ No
If yes, enclose replacement forms (if applicable) and provide company name(s)
_______________________________ and policy number(s) ___________________________
*If coverage is PENDING with other companies, will all pending coverage
be accepted? __ Yes __ No
Explain
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IF TELEPHONE APP, ANSWER QUESTION 10 AND PROCEED TO PART C
IF PAPER APP, STOP HERE AND PROCEED TO PART B
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10. MEDICAL QUESTION (Complete if telephone application process; otherwise,
complete Part B)
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Within the last ten years, has any proposed insured (includes primary insured,
spouse, payor and children) been treated for, or diagnosed as having a heart
condition, chest pain, stroke, cancer, diabetes, alcohol abuse or drug
dependency? (If yes, explain below) __ Yes __ No

Proposed Details (including dates and healthcare
Insured's Name provider's name/address)

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IF TELEPHONE APPLICATION, PROCEED TO PART C (Signature Page)

AA 2000-1 -- CONTINUED -- Page 8

Mailing Address: Principal Life Life Insurance
Des Moines, IA 50392-0001 Insurance Company Application

PART C - AGREEMENT/AUTHORIZATION TO OBTAIN AND DISCLOSE INFORMATION
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("Company" means Principal Life Insurance Company)

AGREEMENT

Statements In Application: I represent that all statements in this application
are true and complete and were correctly recorded before I signed my name below.
I understand and agree that the statements in the application, including
statements by the Proposed Insured in any medical questionnaire that becomes a
part of this application, shall be the basis of any insurance issued. I also
understand that misrepresentations can mean denial of an otherwise valid claim
and rescission of the policy during the contestable period.

When Insurance Effective: Except as may be provided by the Conditional Receipt,
I understand and agree that the Company shall incur no liability unless: (1) a
policy issued on this application has been physically delivered to and accepted
by the owner and the first premium paid; and (2) at the time of such delivery
and payment, the person to be insured is actually in the state of health and
insurability represented in this application, medical questionnaire, or
amendment that becomes a part of this application; and (3) the Part D of the
completed Tele-App interview or the Delivery Receipt form is signed by me and
the Proposed Insured (if different than me) and dated at delivery. If these
conditions are met, the policy is deemed effective on the Policy Date stated in
the policy.

Limitation of Authority: I understand and agree that no agent, broker, licensed
representative, telephone interviewer, or medical examiner has any authority to
determine insurability, or to make, change or discharge any contract, or to
waive any of the Company's rights. The Company's right to truthful and complete
answers to all questions on this application and on any medical questionnaire
that becomes a part of this application may not be waived. No knowledge of any
fact on the part of any agent, broker, licensed representative, telephone
interviewer, medical examiner or other person shall be considered knowledge of
the Company unless such fact is stated in the application.

C.O.D. or Advance Premium Paid:
__ This application is C.O.D. or __ I have paid $_____________________
as an advance premium with this application which is no less than one month's
advance premium. If money was paid, I have been given the Conditional Receipt.
In return I have read, understand, and agree to its terms. --

CONSENT TO BE INSURED BY EMPLOYER If your employer is the owner and beneficiary
on this application: I agree to allow my employer to purchase insurance on my
life. I understand that my employer will have all present and future rights of
ownership and will also be the beneficiary of the policy. There is no
obligation, on my part, to pay the policy premiums. I acknowledge that as an
employee, the employer has an insurable interest in my life. I understand and
agree that my administrators, estate, heirs and assignees have no rights to any
policy proceeds. I further authorize my employer to increase the amount of
insurance on my life in the future without another consent from me and without
further notice to me as long as I am employed by the employer. I consent to and
authorize my employer or its successors to continue to be the owner and
beneficiary of this policy(s) indefinitely including after the end of my
employment by the employer.

AUTHORIZATION I authorize any doctor, hospital, clinic, health care provider,
pharmacy benefit manager, insurance (or reinsuring) company, consumer reporting
agency, insurance agent, broker, licensed representative, or any other
organization, institution or person having personal information (including
physical, mental, drug or alcohol use history) regarding me or any named
proposed insured, to provide to the Company, its representatives or reinsurers,
any such data. I authorize the Company to conduct a telephone interview in
connection with my application for insurance.

AA 2000-1 HOME OFFICE COPY Page 9
AUTHORIZATION (CONTINUED)
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I authorize the Medical Information Bureau (MIB, Inc.) to furnish the above data
to the Company or its reinsurers. I authorize the Company to release any such
data to MIB, Inc. or as required by law. Notwithstanding any other provision in
this form, the authorization to release data to the MIB, Inc. shall survive the
termination of this form to the extent necessary to confirm, correct or update
previously supplied data to the MIB, Inc. Data released may include results of
my medical examination or tests requested by the Company. I understand that the
data obtained by use of this authorization will be used by the Company to
determine eligibility for insurance.

I have received a copy of the "Notice of Insurance Information Practices," which
includes notice required by any Fair Credit Reporting Act. It also describes
MIB, Inc. I agree that this authorization shall be valid for 30 months from the
earlier of: (1) the date of this application, or (2) the date of my policy. I
may revoke this authorization for information not then obtained. Such revocation
must be in writing. It will not be effective until received at the Company's
Home Office. I agree a photocopy of this authorization is as valid as the
original. I have received a copy of this authorization.

OWNER TAXPAYER ID CERTIFICATION
As owner of this contract, I certify under penalties of perjury:
1. The taxpayer identification number shown on this application is correct.
2. I am not subject to IRS backup withholding. Cross out item 2 above and
check this box if you are currently subject to backup withholding.
3. I am a U.S. person (which includes a U.S. resident alien). If no taxpayer
identification number is provided (and I am not waiting for a number to be
issued to me), then I declare that I am not a U.S. person and the
appropriate Form W-8 will be provided (cross out item 3 above). The
Internal Revenue Service does not require your consent to any provision of
this document other than the certifications required to avoid backup
withholding.
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Proposed Insured (If age 15 or over)Spouse/Payor (If coverage is applied for)

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Parent (If Proposed Insured is under age 18 and Parent has not signed as Owner)

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Owner(s) (If other than Proposed Insured) Title (If corporation, officer other
than Proposed Insured)

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Owner(s) (If other than Proposed Insured) Title (If corporation, officer other
than Proposed Insured)

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Signed at:City State Date Agent/Broker/Licensed Representative License No.

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Cosignature by resident Agent/Broker/Lic. Rep., if applicable in your state Date License No.

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AA 2000-1 -- CONTINUED -- Page 10

Mailing Address: Principal Life Life Insurance
Des Moines, IA 50392-0001 Insurance Company Application

PART C - AGREEMENT/AUTHORIZATION TO OBTAIN AND DISCLOSE INFORMATION
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("Company" means Principal Life Insurance Company)

AGREEMENT

C.O.D. or Advance Premium Paid:
__ This application is C.O.D. or __I have paid $___________________________
as an advance premium with this application which is no less than one month's
advance premium. If money was paid, I have been given the Conditional Receipt.
In return I have read, understand, and agree to its terms.

AA 2000-1 CLIENT COPY Page 11
AUTHORIZATION (CONTINUED)
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OWNER TAXPAYER ID CERTIFICATION

As owner of this contract, I certify under penalties of perjury:

1. The taxpayer identification number shown on this application is correct.

2. I am not subject to IRS backup withholding. Cross out item 2 above and
check this __ box if you are currently subject to backup withholding.

3. I am a U.S. person (which includes a U.S. resident alien). If no taxpayer
identification number is provided (and I am not waiting for a number to be
issued to me), then I declare that I am not a U.S. person and the
appropriate Form W-8 will be provided (cross out item 3 above). The
Internal Revenue Service does not require your consent to any provision of
this document other than the certifications required to avoid backup
withholding.

AA 2000-1 Page 12
Notice of Insurance Information Practices

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We appreciate your applying for insurance with our company. This notice explains
our information practices. It describes the information we need, possible
sources, reasons for collection and how your data is kept confidential. This
notice also tells how we process your application. Please keep this notice for
your records. The word "you" in this notice means the proposed insured.

Overview
Your insurance application contains specific personal questions about you and
any named dependents. We need your answers to decide if you qualify for
coverage. If you qualify, we determine the coverage for which you are eligible
and the cost. This process, known as underwriting, takes into account factors
such as physical and mental conditions, medical history, job, age, and hobbies.
Underwriting makes it possible to keep rates fair.

Sources and Types of Information
You are the primary source of personal data. We may call you to verify data on
your application, or to obtain more data. We may ask you about your age, medical
history, job, income, habits, hobbies and other personal characteristics. We may
contact other sources for personal data, including: (1) spouse, (2) roommate,
(3) accountant, (4) lawyer, (5) employer, (6) other persons who know you well,
(7) insurance companies to which you may have applied for insurance in the past
and (8) MIB, Inc. We may also contact your doctor, hospital or other health care
provider to clarify your medical history. We may ask that you have medical exams
and tests.

Proper underwriting of your application may require use of an investigative
consumer report. Upon written request we will tell you if a report is made. We
will provide the name and address of any outside agency who prepares the report.
We will also tell you the nature and substance of the report. It would contain
the same types of information that we collect from the other sources listed
above. This data may be obtained through interviews with you, your friends,
neighbors and associates.

You may ask that you be interviewed if we request this report. Data collected
and retained by a consumer reporting agency may be disclosed to other insurance
companies having proper authorization.

Our Use of Information

We will attempt to keep your data confidential. It will be seen only by
employees and agents of Principal Life Insurance Company who underwrite and
administer your coverage. We may also provide data to: (1) MIB, Inc.; (2) other
insurance companies, if you authorize release of the data to them; (3) our
reinsurers, if needed to secure reinsurance; (4) federal and state agencies and
others if required by law; (5) our research personnel (anonymously) to help
market our products.

Access To Your Data
Upon your written request, we will provide you with the nature and scope of your
personal data in our records. You must give us proper identification. We will
respond to your first request within 30 days from the date of receipt. You may
be charged a fee for any copies of your data. Medical data will be disclosed to
a doctor of your choice, unless you instruct us to send the medical data
directly to you. (Medical information received from doctors and other health
care providers may be prohibited from redisclosure.) You have the right to see
your nonmedical data and obtain a copy. You have the right to know the specific
information leading to an adverse underwriting decision and the source of that
information. You have the right to correct or amend any data in your file. Any
request for correction or amendment must be in writing. If we agree with you, we
will notify anyone we may have given such incorrect data. We will also delete
data from your file if we agree it is incorrect. If we disagree with your
correction or amendment, we will give you our reason. You may respond in writing
listing the basis on which you dispute the correctness of the data. Your
response will be added to your file.

Information obtained through consumer reporting agencies will be furnished to
you according to the provisions of the Fair Credit Reporting Act. You have a
right to see and obtain a copy of any report made.

Upon written request, we will tell you the name of any person to whom we may
have given your data. You should direct all requests to: Underwriting, Principal
Life Insurance Company, Des Moines, Iowa 50392- 1620 (Telephone 1-800-247-9988,
extension 76438).

MIB Pre-Notice
Information regarding your insurability will be treated as confidential.
Principal Life Insurance Company or its reinsurers may, however, make a brief
report thereon to the Medical Information Bureau, a non-profit membership
organization of life insurance companies, which operates an information exchange
on behalf of its members. If you apply to another Bureau member company for life
or health insurance coverage, or a claim for benefits is submitted to such a
company, the Bureau, upon request, will supply such company with the information
in its file.

Upon receipt of a request from you, the Bureau will arrange disclosure of any
information it may have in your file. If you question the accuracy of
information in the Bureau's file, you may contact the Bureau and seek a
correction in accordance with the procedures set forth in the federal Fair
Credit Reporting Act. The address of the Bureau's information office is P.O. Box
105, Essex Station, Boston, Massachusetts 02112, telephone number (617)
426-3660.

With your authorization, Principal Life Insurance Company, or its reinsurers,
may also release information in its file to other insurance companies to whom
you apply for life or health insurance, or to whom a claim for benefits may be
submitted.

AA 2000-1

Mailing Address: Principal Life Life Insurance
Des Moines, IA 50392-0001 Insurance Company Conditional Receipt

(In this Receipt, "we", "us", "our", or "the Company" is Principal Life
Insurance Company.)
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Name of Proposed Insured(s)

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Advance payment of:

$_______________________________________________________________________________
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has been received this date as a premium deposit with the application bearing
the same date as this Receipt.
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Agent/Broker/Licensed Representative Date of Receipt

/ /
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AUTHORITY:

This Receipt is not a "binder." No agent, broker, licensed representative,
medical examiner, or telephone interviewer may accept risks, determine
insurability or bind the Company in any way. No agent, broker, or licensed
representative may waive or change any terms of the Receipt, or of the
policy(ies) applied for, or any other rights of the Company.

The agent, broker, or licensed representative has NO AUTHORITY to accept any
premium or to issue this Receipt: if it is apparent that any Condition Precedent
to coverage under this Receipt is not or cannot be satisfied. This Conditional
Receipt shall be ineffective if issued without authority. Only the Home Office,
and not the agent, broker, or licensed representative, has authority to modify
any provisions of this Receipt. INSURANCE PROVIDED:

If all of the Conditions Precedent set forth in this Receipt are fulfilled
exactly, insurance under this Receipt takes effect on the Start Date. The Start
Date is the date upon which all of our initial application requirements are
completed. Our initial application requirements consist of full completion and
signing of the application (Parts A and C, if using the telephone application
process; Parts A, B, & C, if using the paper application process) and all
necessary supplements, and any medical exams and tests required by our published
rules.

The insurance provided by this Receipt shall be that applied for on the
application, subject to all the LIMITATIONS set forth in this Receipt. Any
insurance provided by this Receipt ends on the Stop Date, which is the earliest
of:
(a) 75 days after the Start Date;
(b) the date we mail the proposed owner a premium refund and a notice that we
will not consider the application on a prepaid basis;
(c) the date we mail the proposed owner a premium refund and a notice that no
policy will be issued on the application;
(d) the date a policy is presented to the proposed owner (whether or not
accepted by the proposed owner).

This Receipt does not commit us to issue any policy. However, in determining
whether to issue a policy and on what terms, we will consider no changes in a
Proposed Insured's health or insurability occurring between the Start Date and
the Stop Date. We have until the actual delivery of the policy to make this
determination. If an event giving rise to a claim occurs at any time before
physical delivery and acceptance of a policy by the owner, the claim will be
considered solely under this Receipt even if a policy is issued. If any
provision of this Receipt is unenforceable under state law, all other terms and
conditions shall continue in full force and effect.

CONDITIONS PRECEDENT:

All the following conditions must be fulfilled exactly. Otherwise there is NO
insurance under this Receipt and the Receipt is void:
1. On the Start Date, all Proposed Insureds must be insurable, as determined
by our underwriters under our underwriting guidelines. If a condition
affecting such insurability existed in fact on the Start Date, it shall be
considered in the determination of insurability.
2. The premium deposit must be at least one full month's premium for each
policy applied for.
3. The premium deposit must be paid at the time the application is signed, and
this Receipt must be issued at the same time.
4. The premium deposit must be received in our Home Office and must be honored
on first presentation for payment.

--CONTINUED--

AA 2000-1
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LIMITATIONS
1. Except as limited by this Receipt, our liability is governed by the terms
of the policy(ies) applied for.
2. No death benefit is payable under this Receipt if the Proposed Insured dies
by suicide while sane or insane. In such case, our sole liability shall be
to pay the premium we received to the named beneficiary(ies).
3. No benefit is payable under this Receipt and this Receipt is void, if there
is any incorrect, untrue, incomplete, or omitted statement of material fact
in Part A, B, or C of the application, any supplemental form, or medical
questionnaire that becomes a part of the policy. No knowledge of any fact
on the part of any agent, broker, licensed representative, medical
examiner, telephone interviewer or other person shall be considered
knowledge of the Company unless such fact is stated in the application.
4. The total death benefit (including any accidental death benefit applied
for) payable under this Receipt and all other Receipts that may be in
effect with us is limited as follows:
(a) If the Proposed Insured is insurable on a standard or more favorable
basis - $1,000,000 or the amount applied for, whichever is less.
(b) If the Proposed Insured is insurable on a basis less favorable than
standard and:
(i) the death of the Proposed Insured occurs prior to the Issue Date
of the policy applied for and prior to the Stop Date - $100,000
or the amount of insurance applied for, whichever is less; or
(ii) the death of the Proposed Insured occurs on or after the Issue
Date of the policy applied for and prior to the Stop Date -
$1,000,000 or the face amount of the policy dated and issued as
an offer by us, whichever is less.
(c) For Survivorship Life insurance, no death benefit will be paid under
this Receipt unless both Proposed Insureds have died.

For purposes of this Receipt only, "Issue Date" means the date which all
of our underwriting and administrative requirements to date and issue
the policy applied for at the time of issuance of this Receipt are
completed.

PREMIUMS:

If a policy is issued from the application bearing the same date as this Receipt
and is accepted by the proposed owner, we will apply the premium deposit to the
first premium due for such policy. If no policy is put into force but a benefit
is paid under this Receipt, we will keep the earned portion of the premium
deposit and refund the balance, if any. If no policy is put into force and no
benefit is paid under this Receipt, the premium deposit will be refunded. ALL
PREMIUM CHECKS MUST BE MADE PAYABLE TO THE INSURANCE COMPANY - DO NOT MAKE CHECK
PAYABLE TO THE AGENT OR LEAVE THE CHECK PAYEE BLANK.