Recoverable Gross from Amount Reinsurers Net Amount
FORM LI
REVENUE ACCOUNT OF (name of insurer) in respect of class(es)* for the period commencing and ending
Amount of Funds on the beginning of the period
Commissions Payable
(i) Direct Underwriting Business
(ii) Reinsurance Contracts Accepted
Premiums Receivable
Reinsurance Net of Claims Payable Gross Premiums Premiums Coded Reinsurance Premiums
(1) Direct Underwriting Business: Single Premiums Regular Premiums
(ii) Reinsurance Contracts Accepted: Single Premiums Regular Premiums
Interest or Income from Long Term Business Assets
Commissions Receivable
Other Receipts (accounts to be specified)
(i) Direct Underwriting Business: On Death On Surrender By Way of Lump Sums on Maturity By Way of Periodic Payments
(ii) Reinsurance Contracts Accepted: On Death On Surrender By Way of Lump Sums on Maturity By Way of Periodic Payments
Dividends to Policy holders
Other Payments (accounts to be specified) Amount of Funds on the end of the period
Transfer to Profit and Loss Account
* The classes referred to correspond to the classes of Long Term Business set out in Part 2 of the First Schedule.
Transfer from Profit and Loss Account
1988 Ed.] Insurance Companies [CAP. 41 63