1923_LIFE_INSURANCE_COMPANIES_ORDINANCE__1907 — Page 15

1702

[Third Schedule contd.]

C.

No. 11 of 1907. LIFE INSURANCE COMPANIES.

(Date.) Brought forward,... $

Renewal premiums

received during the

year on

assuring $

policies,

after deduction of reassurance pre- miums. Consideration

re-

ceived for annuities granted during the your......

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).......

e. Date.) Brought forward,... $

Commission on

re-

newal premiums...... Agents' travelling

expenses & salaries.. Medical fees and sal-

aries.....

Salaries of other of-

ficers & employés ... Advertising

(uc-

Other expenses of

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 Fourth Schedule...

€

手

Note.-Companies having separate accounts for annuities to return the particulars of their annuity business in a separate statement. "Premiums received on new policies" means premiums 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

c.|(Date.) Dividends

bonuses

and $ to share-

('.

Interests and divi-

dends not carried to other accounts.................... Profit realised

to be

(accounts specified) Other receipts.

holders........ Expenses not charged to other accounts ... Loss realised

(accounts specified)......

to

be

Other payments..

Balance as

per

Fourth Schedule....

*

$

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

the other accounts of this Schedule.

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