6723-1907-Bills-read-a-first-time--Fire-and-Life-Insurance-Companies — Page 12

902

THE HONGKONG GOVERNMENT GAZETTE, JULY 19, 1907.

FOURTH SCHEDULE.

BALANCE SHEET of the

:

on the

19

LIABILTIES.

Shareholders' capital

General Reserve Fund (if any) Life Assurance Fund*. Annuity Fund (if any)*. Fire Find

Marine Fund,

Profit and loss (if any)

Other funds (if any) to be

specified.

Claims under life policies admitted but not yet paid.......

Claims in process of ad- justment, or adjusted and not due... Claims resisted by the

Company

Annuities due and unpaid Outstanding fire losses...

Do. marine do. Other sums owing by the Company (accounts to be specified)

ረ.

ASSETS.

Mortgages on property within

the United Kingdom Mortgages on property out of

the United Kingdom..... Loans on the Company's policies. Investments-

In Hongkong Government

securities

In British Government secu-

rities

In Indian & Colonial Govern-'

ment securities

In foreign Government secu-

rities..

In railway and other deben- tures 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 po- licies in force on the above date

Outstanding interest

Cash-

On deposit

$

In hand and ou current

account

Other assets (to be specified)...

$ 2.

*If the Life Assurance Fund is, in accordance with section 6 of this Ordin- ance, a separate trust fund for the sole security of the Life-policy holders, a separate sheet for the Life branch may be given in the form contained in Schedule 2. In other respects the Company is to observe the above form. (See also note To Second Schedule.)

FIFTH SCHEDULE.

STATEMENT RESPECTING THE VALUATION OF THE LIABILITIES USDER LIFE

POLICIES AND ANNUITIES OF THE

TO BE MADE BY THE ACTUARY,

?

(The answers should be numbered to accord with the numbers of the corresponil- ing questions.)

1. The date up to which the valuation is made.

2. The principies upon which the valuation and distribution of profits among the policy bolders are made, and whether these principles were determined by the instrument constituting the Company, or by its regulations or by-laws, or otherwise.

3. The table or tables of mortality used in the valuation.

4. The rate or rates of interest assumed in the enleulations.

5. The proportion of the annual premium income (if any) reserved as a pro- vision for future expenses and profits. (If none, state how this provision is made.)

6. The consolidated revenue account since the last valuation, or, in case of a Company which has made no valuation, since the commencement of the business (This return should be made in the form annexed.)

7. The liabilities of the Company under life policies and annuities at the date of the valuation, showing the number of policies, the amount assured, and the amount of premiums payable annually under each class of policies, both with and without participation in profits, and also the net liabilities and assets of the Com- pany, with the amount of surplus or deficiency. (These returns should be made

the forms annexed.)

8. The time during which a policy must be in force in order to entitle it to share in the profits.

9. The results of the valuation, showing-

(1.) The total amount of profit made by the Company.

(2.) The amount of profit divided among the policy holders, and the un-

ber and amount of the policies which participated,

(3) Specimens of bonuses allotted to policies for one thousand dollars effected at the respective ages of twenty, thirty, forty, and fifty, and having been respectively in force for five years, ten years, and upwards, at intervals of five years respectively, together with the amounts ap- portioned under the various modes in which the bonus might be received.