Pruco Life Insurance of New Jersey Watch

from S-3/A 8 pages Page 2 of 7 (All Pages Must Be Returned) Ord 310335 Nyp-Rila-App(7/22)ny E. Optional Other Annuitant for Custodial Ira Contracts Your Optional Other Annuitant Must Be a Contingent Annuitant. for Non-Qualified Contracts Your Op- Tional Other Annuitant Must Be a Joint Annuitant. 1. Ownership Information (Continued) U.S. Citizen Resident Alien/Citizen Of: Male Female Social Security Number (All 9 Digits Required) Date of Birth (MM/Dd/Yyyy) Address Same as Owner Name (First, Middle, Last, Suffix) Street Address City State Zip Home Phone Relationship to Owner 2. Beneficiary Information • Select Primary or Contingent Beneficiary Type for Each Beneficiary. the Beneficiary Type Will Be Primary if Not Selected. • Percentage for All Primary Beneficiaries Must Total 100%. Percentage for All Contingent Beneficiaries Must Total 100%. • for More Than 3 Beneficiaries, Use Section 6 to Provide All Information Requested Below for Each Beneficiary. • for Custodial Ira Contracts, the Custodian Must Be Listed as the Sole Primary Beneficiary. Primary Contingent Social Security Number (All 9 Digits Required) or Tax Id Date of Birth (MM/Dd/Yyyy) % Name (First, Middle, Last, Suffix, Trust or Custodian) Relationship Percentage Street Address City State Zip Telephone Number Email Address Primary Contingent Social Security Number (All 9 Digits Required) or Tax Id Date of Birth (MM/Dd/Yyyy) % Name (First, Middle, Last, Suffix, Trust or Custodian) Relationship Percentage Street Address City State Zip Telephone Number Email Address Primary Contingent Social Security Number (All 9 Digits Required) or Tax Id Date of Birth (MM/Dd/Yyyy) % Name (First, Middle, Last, Suffix, Trust or Custodian) Relationship Percentage Street Address City State Zip Telephone Number Email Address Trustee Name Date of Trust (MM/Dd/Yyyy) Trustee Name and Date of Trust Required Only if a Trust Is Listed as Beneficiary

from S-3/A 8 pages Indenture or similar

from S-3/A 7 pages Indenture or similar

from POS AM 5 pages P-Rila-Sch-Spc(7/23)-Ny 1 Pruco Life Insurance Company of New Jersey, Newark, New Jersey Index Strategies Specifications Schedule Annuity Number: [001-00001] Effective Date: [February 1, 2024] [Point to Point With Cap Index Strategies: Index Index Value on Effective Date Initial Index Term Initial Index Strategy Base Guaranteed Minimum Cap Rate Initial Cap Rate* Buffer [Msci Eafe Index, Price Return (Mxea)] [0.00] [1 Year] [0.00] [5.00%] [0,00%] [10.00%] [S&P 500® Index, Price Return (Spx)] [0.00] [1 Year] [$0.00] [5.00%] [0.00%] [10.00%] [Msci Eafe Index, Price Return (Mxea)] [0.00] [1 Year] [$0.00] [4.50%] [0.00%] [15.00%] [S&P 500® Index, Price Return (Spx)] [3,785.38] [1 Year] [$100.000.00] [4.50%] [13.50%] [15.00%] [Msci Eafe Index, Price Return (Mxea)] [0.00] [1 Year] [$0.00] [3.00%] [0.00%] [30.00%] [S&P 500® Index, Price Return (Spx)] [0.00] [1 Year] [$0.00] [3.00%] [0.00%] [30.00%] [Msci Eafe Index, Price Return (Mxea)] [0.00] [3 Year] [$0.00] [15.00%] [0.00%] [10.00%] [Msci Eafe Index, Price Return (Mxea)] [0.00] [3 Year] [$0.00] [12.00%] [0.00%] [20.00%] [S&P 500® Index, Price Return (Spx)] [0.00] [3 Year] [$0.00] [15.00%] [0.00%] [10.00%] [S&P 500® Index, Price Return (Spx)] [0.00] [3 Year] [$0.00] [12.00%] [0.00%] [20.00%] [Msci Eafe Index, Price Return (Mxea)] [0.00] [6 Year] [$0.00] [24.00%] [0.00%] [20.00%]

from POS AM 3 pages Indenture or similar

from S-3 5 pages P-Rila-Sch-Spc(7/22)-Ny 1 Pruco Life Insurance Company of New Jersey, Newark, New Jersey Index Strategies Specifications Schedule Annuity Number: [001-00001] Effective Date: [September 1, 2022] [Point to Point With Cap Index Strategies: Index Index Value on Effective Date Initial Index Term Initial Index Strategy Base Guaranteed Minimum Cap Rate Initial Cap Rate Buffer [Msci Eafe Index, Price Return (Mxea)] [0.00] [1 Year] [0.00] [5.00%] [0%] [10.00%] [S&P 500® Index, Price Return (Spx)] [0.00] [1 Year] [$0.00] [5.00%] [0%] [10.00%] [Msci Eafe Index, Price Return (Mxea)] [0.00] [1 Year] [$0.00] [4.5.0%] [0%] [15.00%] [S&P 500® Index, Price Return (Spx)] [3,785.38] [1 Year] [$100.000] [4.50%] [13.50%] [15.00%] [Msci Eafe Index, Price Return (Mxea)] [0.00] [3 Year] [$0.00] [15.00%] [0%] [10.00%] [Msci Eafe Index, Price Return (Mxea)] [0.00] [3 Year] [$0.00] [9.00%] [0%] [20.00%] [S&P 500® Index, Price Return (Spx)] [0.00] [3 Year] [$0.00] [15.00%] [0%] [10.00%] [S&P 500® Index, Price Return (Spx)] [0.00] [3 Year] [$0.00] [9.00%] [0%] [20.00%] [Msci Eafe Index, Price Return (Mxea)] [0.00] [6 Year] [$0.00] [180.00%] [0%] [20.00%] [S&P 500® Index, Price Return (Spx)] [0.00] [6 Year] [$0.00] [18.00%] [0%] [20.00%] ]

from S-3 4 pages Indenture or similar

from S-3 3 pages Indenture or similar

from S-3 3 pages Indenture or similar

from S-3 3 pages Indenture or similar

from S-3 3 pages Indenture or similar

from S-3 3 pages P-Rila-Sch-B-Dcd(7/22)-Ny 1 Annuity Schedule Page Annuity Number: [001-00001] Issue Date: [September 1, 2022] Type of Business: [Non-Qualified] Beneficial Owner: [John Doe Dcd Fbo Jack Doe] Date of Birth: [May 21,1975] Sex: [Male] Key Life: [Jack Doe] Date of Birth: [October 21,1975] Sex: [Male] Allocation of Initial Purchase Payment Purchase Payment: [$100,000.00] Maximum Total Purchase Payments: [$1,000,000.00] Without Home Office Approval Key Life: The Key Life Is the Person Whose Life Expectancy Is Used to Determine Payments Under This Annuity. Beneficial Owner: The Individual That Acquired an Interest in the Death Benefit Proceeds Under the Decedent’s Contract. Index Strategy Allocation Percentage(s): [Point to Point With Cap Index Strategy [100%] [S&P 500® Index, Price Return] [ 1 Year] [$100,000.00] [15.00% Buffer] [Tiered Participation Rate Index Strategy [0%] ] Transfer Account Allocations Percentage: Transfer Account [$00.00] [0%] Transfer Account Period: [45] Days From [The Date the Application Is Signed] Variable Sub-Account Allocation Percentage: [Mfs® International Growth Portfolio – Service Class] [0%] [Mfs® Total Return Bond Series – Service Class] [0%] [Mfs® Total Return Series – Service Class] [0%] [Mfs® Value Series – Service Class] [0%] [Psf Government Money Market Portfolio – Class III] [0%] Purchase Payment Limitation: No Additional Purchase Payments Accepted Minimum Additional Purchase Payment: Not Applicable Minimum Additional Purchase Payment Under Automatic Purchase Plans: Not Applicable Withdrawals Maximum Free Withdrawal Percentage: [10%] of Purchase Payments Minimum Withdrawal Amount: [$100] Minimum Surrender Value After a Partial Withdrawal: [$5,000]

from S-3 5 pages Indenture or similar

from S-3 20 pages Indenture or similar

from S-3/A 31 pages Please Read the Contract Carefully; It Is a Legal Contract Between You and Pruco Life Insurance Company of New Jersey. Expense Charges Applicable to the Contract Are Shown on the Contract Data Pages. if You Have a Question About the Contract, or a Claim, See Your Representative or Contact the Annuity Service Center. Right to Cancel Contract

from S-3/A 4 pages Pruco Life Insurance Company of New Jersey 213 Washington Street, Newark, New Jersey 07102 a Prudential Financial Company Endorsement

from S-3/A 25 pages Read Your Contract Carefully

from S-3/A 26 pages Read Your Contract Carefully

from S-3/A 24 pages Read Your Contract Carefully

from S-3/A 25 pages Agency R-Nk 1 Approved State of New York Feb 13, 1997