CAP. 36]
Life Insurance Companies.
THIRD SCHEDULE.
[s. 11.]
REVENUE ACCOUNTS of the
for the year ending 19
(No. 1) LIFE ASSURANCE ACCOUNT.
(Date.) Amount of life assurance fund at the beginning of
the year
Premiums received on new
policies, assuring on
$
,
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 & dividends
Other receipts
(accounts specified)
$ c.
$ c.
(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
Commission on renewal premiums
Agents' travelling expenses & salaries
Medical fees
Salaries of other officers and employees
Advertising
Other expenses of management (accounts to be specified)
Dividends & bonuses to shareholders
Other payments (accounts to be specified)
Amount of life assurance fund at the end of the year, as per Fourth Schedule....
Note.-Companies having separate accounts for annuities to return the particulars of their annuity business in a separate statement. "Premiums received on new policies" means premiums of the first year actually received or falling due within the year of account.
300