900

THE HONGKONG GOVERNMENT GAZETTE, JULY 19, 1907.

SCHEDULES.

19

FIRST SCHEDULE.

REVENUE ACCOUNT of the

19

for the Year ending 190

(Date.) | Amount of funds at the beginning of the year,..

Premiums reecived

on

Bew

policies, assuring $ during the year. after deduction of reassurance pre- miums.

Renewal premiuras received during the

year on

policles, assuring $ after deduc- tion of re ssurance premiums. Consideration

re-

ceived for annuities. granted during the year,

All other premiums.

received during the year, after deduc- tion of reassurance premiums, Interest and divid

ends,

Other receipts (accounts to he specified).

(Date.) Claims under policies and additions here- to, after deduction of sums reassured, Surrenders, Amuities, Dividends to policy

holders.

Other payments to

policy holders (items to be given), Commission on first

premiums,

Commission on

10-

newal premiums, Agents travelling ex-

penses and salaries,

fecs

Melical

salaries,

Sala ies

of

and

other

officers & employės, Advertising, Other expenses of management (accounts to be specified),

Dividends and bou- uses to shareholders

(if any), Other

be

payments (accounts to specified),

Amount of funds at the end of the year, as per Second Schedule,

2.

Note 1-Companies having separate accounts for Annuities to return the particulars of their Annuity business in a separate statement.

Note 2-Items in this and in the accounts in the Third and Fifth Schedules should be the net amounts, after deduction of the amounts paid and received in respect of reassurances,

BALANCE SHEET of the

ILABILITIES.

SECOND SCHEDULE.

on the

$心

ASSETS.

19

Shareholders' capital paid

up (if any),

Assurance Fund, Annuity Fund (if any) Other funds (if any) to be

specified,

Total funds, as per First Sche-

dule,

Claims admitted but not paid*, Claims in process of adjust-

ment, or adjusted and not due,

Claims resisted by the Com-

pany,

Annuities due and unpaid. Other suns owing by the Com- pany* (accounts to be speci- fied),

Mortgages on property within

the United Kingdom, Mortgages on property out of

the United Kingdom, Loans on the Company's poli

cies.

Investments :-

In Hongkong Government

securities,

In British Government seen-

ritics...

In Indian and Colonial Go-

vernment securities,

In foreign Government secu-

rities,

In railway and other deben- tures and debenture stocks, In railway shares (prefer-

ence and ordinary), In house property, In other investments (to be

specified),

Loans upon personal security. Agents' balances,

Outstanding premiums on po-

licies in force on the above

date,

Outstanding interest,

Cash-

On deposit,

In band and on current

account,

Other assets (to be specified).

Ľ.

* These items are included in the corresponding items in the First Schedule.

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