6762-1907-Ordinance-passed-and-assented-to--Life-Insurance-Companies-No-11 — Page 10

980

THE HONGKONG GOVERNMENT GAZETTE, AUGUST 2, 1907.

(No. 2.) PROFIT AND Loss ACCOUNT.

(Date.)

$

e. (Date.)

Balance of last year's

Account

Interest and dividends

not carried to other accounts

Profit realised (accounts

to be specified) Other receipts.....

Dividends and bonuses

to shareholders Expenses not charged to other accounts... Loss realised (accounts

to be specified) Other payments... Balance as per Fourth

Schedule

Note. This account is not required if the items have been incorporated in the other accounts of this Schedule.

FOURTH SCHEDULE.

BALANCE SHEET of the

:

on the

10

LIABILTIES.

Shareholders' capital General Reserve Fund (if any) Life Assurance Fund*

Annuity Fund (if any)* Fire Fund

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)..

0.

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 seen....

rities

In Indian & Colonial Govern-

ment securities

In foreign Government seen-

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 on current

account

Other assets (to be specified)......

$

*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.)

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