1912_LIFE_INSURANCE_COMPANIES_ORDINANCE__1907 — Page 15

1716

No. 11 of 1907.

LIFE INSURANCE COMPANIES.

明

$

(Date.) Brought forward,...

Renewal premiums

year on

received during the policies,

assuring $

after deduction of

reassurance pre- miums

Consideration

re-

ceived for annuities granted during the year

All other premiums received during the year after deduc- tion of reassurance premiums

Interest and divi-

dends.

Other receipts (ac- counts to be speci- fied)

(Date.) Brought forward,.. Commission

on

re-

newal premiums Agents' travelling expenses & salaries Medical fees and sa-

laries

Salaries of other of-

ficers & employés .... Advertising

Other expenses of

(ac-

management counts to be speci- fied)

Dividends & bonuses

to shareholders Other payments (ac- counts to be speci- fied)

Amount of Life As- surance Fund at the end of the year, as per 4th schedule....

****

C.

Note. Companies having separate accounts for annuities to return the particulars of their annuity business in a separate state- ment. Premiums received on new policies mean pre- miums of the first year actually received or falling due within the year of account.

(No. 2) PROFIT AND Loss Account.

(Date.) Balance of last year's

account

Interests and divi- dends not carried to other accounts ... Profit realised (accounts to be specified) Other receipts.

C.

(Date.) Dividends

C.

and

bonuses to share- holders

Expenses not charged to other accounts... Loss realised (accounts to be specified).

Other payments Balance as per 4th

schedule....

*A

$

Note. This account is not required if items have been incorporated

in the other accounts of this schedule.

Page 15Page 16