1701

LIFE INSURANCE COMPANIES. No. 11 of 1907.

Brought forward,... Claims in process of adjustment, or adjusted and not due....

Claims resisted by the company.....

Annuities due and unpaid ............... Other sums owing by the company* (accounts to be specified)....

6.

Brought forward,...

In Indian and Colonial Government securities...... In foreign Government securities

In railway and other debentures and debenture stocks

In railway shares (preference and ordinary). In house property....... In other investments (to be specified)..

Loans upon personal security Agents' balances............ Outstanding premiums on policies in force on the above date........ Outstanding interest

Cash

On deposit........... $ In hand and on current account.

Other assets (to be specified).

$

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

THIRD SCHEDULE.

REVENUE ACCOUNTS of the for the Year ending (No. 1) LIFE ASSURANCE ACCOUNT.

(Date.) Amount of life assurance fund at the beginning of the year.... Premiums received on new policies, assuring $ during the year after deduction of reassurance premiums.

(Date.) Claims under life policies, and additions thereto, after deduction of sums reassured

Surrenders....

Annuities

Dividends to policy holders.......

Other payments to policy holders (items to be given)...... Commission on first premiums.

Carried forward....

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