THE HONGKONG GOVERNMENT GAZETTE, AUGUST 2, 1907.
SECOND SCHEDULE.
BALANCE SHEET of the
on the
19
LIABILITIES.
Shareholders' capital paid
up (if any). Assurance Fund.
Annuity Fand (if any)
Other funds (if any) to be
specified.
Total funds, as per First Sche-
dule.
$
Claims admitted but not paid*, Claims in process of adjust- ment. or adjusted and not due.
Claims resisted by the Com-
patry.
Annuities due and unpaid. Other suns owing by the Coni- pany* (accounts to be speci- fied).
$ c.
ASSETS.
Morigages on property within
the United Kingdom,
Mortgages on property out of
the United Kingdom,
Loans on the Company's poli-
cies,
Investments :-
In Hongkong Government
securities.
In British Government secu-
riries.....
In Indian and Colonial Go-
vernment securities,
In foreign Government seen-
rities.
In railway and other deben- tures and debenture stocks. Ia railway shares (prefer-
once and ordinary). In house property,
In other investments (to be
specified).
Loans apon 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),
$
$ c.
* These items are included in the corresponding items in the First Schedule.
THIRD SCHEDULE.
REVENUE ACCOUNTS of the
for the Year ending
19
(No. 1) LIFE ASSURANCE ACCOUNT.
$ c.
(Fate.). Amount of Life As-
surance Fund at the beginning of
the year.
Premiums received
new policies,
assuring $
during the year, after deduction of reassurance pre- inimas,
Renewal premiums i received during the Yea! on policies, assuring $
after deduction of reassurance pre- miums. Consideration re- ceived for anuities granted during the year All other premiums received during the year, after dedue- tion of reassurance premiums, Interest and divi-
dends. Other receipts (accounts to be specified),
(Date.) | Claims under life
$ e.
policies, and addi- tions thereto, after
deduction of sums
reassured, Surrenders, Annuities..... Dividends to policy
holders,
Other payments to policy holders (i- tems to be given), - Commission on first
premiums, Commission on re!
newal premiums. Agents' travelling expenses & salaries, Medient fecs and
salaries,
Salaries of other officers & employés, Advertising, Other expenses of management (accounts to bo specified), Dividends & bonuses
to shareholders (if any),
Other payments (accounts to be specified),
Amount of Life As- surance Fund at the end of the year, as per Fourth Schedule,
$
Note Companies having separate accounts for Annuities to return the parti-
calars of their Annuity business in a separate statement.
979
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