488
FORM NO. 2.
Profit and Loss Account of the..
for the year ending...
.19......
C.
Balance of last year's account
C.
Interest and dividends
not carried to other
accounts... ...
Less income tax
thereon
Dividends and bonuses to
shareholders.
Expenses not charge to other
accounts
Loss realised (accounts to be
specified)
Profit realised (accounts to be
specified)
Other receipts (accounts to be
specified)
Other payments (accounts
to be specified)
Balance as per Form No. 3
FORM NO. 3.
Balance Sheet of the....
..on the.
$ 0.
C.
19.
C.
LIABILITIES.
Shareholders' capital
paid up (if any)
Fire Insurance fund........
Marine Insurance fund
Other funds (if any) to
be specified)
Claims admitted or inti- mated but not prid
Fire Insurance...
Marine Insurance..
*Other sums owing by the in- surance company (to be stated separately under each head of business)
ASSETS.
Mortgages on property within
the Colony
Loans on securities (to be
specified)
Investments :-
Deposit with the Hongkong
Government
(securities:
to be specified) Deposits with other Govern- ments (securities to be specified)
Other securities (to be
specified)
Agents' balances.......
Outstanding premiumas
Outstanding interest, divi-
dends and rents
Interest accrued but not pay-
able.....
Bills receivable
Cash :-
On deposit
In hand and on Current
account
Other assets (to be specified)
* These items are included in the corresponding items in Form No. 1. NOTE 1.—A balance sheet in the above form must be rendered in respect of each separate fund for which separate investments are made.
NOTE 2.—The balance sheet must state how the values of the securities are arrived at, and a certificate must be appended signed by the same persons as sign the balance sheet, to the effect that in their belief the assets set forth in the balance sheet are in the aggregate fully of the value stated therein, less any investment reserve fund taken into account.
NOTE 3.—If the insurance company carries on both fire and marine insurance business and does not keep its fire and marine insurance funds distinct, separate figures need not be given for the two classes of funds or claims.