CAP. 36]

Life Insurance Companies.

FIRST SCHEDULE.

[s. 10.]

REVENUE ACCOUNT of the

for the year ending 19

$ c.

19 (Date.)

Amount of funds at the beginning of the year

Premiums on new policies, assuring $ during the year after deduction of reassurance premiums

Renewal premiums received during the year on policies assuring $ after deduction of reassurance premiums

...

Consideration received for annuities granted during the year

All other premiums received during the year, after deduction of reassurance premiums

Interest and dividends

Other receipts (accounts to be specified)

$ c.

19 (Date.)

Claims under 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

Commission on renewal premiums

Agents' travelling expenses, salaries

Medical fees and salaries

Salaries of other officers and employees

Advertising

Other expenses of management (accounts to be specified)

Dividends and bonuses to shareholders

Other payments (accounts to be specified)

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

co

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.

Note 3.-"Premiums received on new policies" means premiums of the first year actually received or falling due within the year of account.

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