Assurance Companies Act, 1909

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SCHEDULES.

FIRST SCHEDULE.

Section 4 .

N.B.—Where marine insurance business or sinking fund or capital redemption insurance business is carried on, the income and expenditure thereof to be stated in like manner in separate accounts. Any additional businesses (including employers’ liability insurance business transacted out of the United Kingdom) to be shown in a separate inclusive general account.

(A.)—Form applicable to Life Assurance Business.

Revenue Account of the __________ for the Year ending __________ in respect of Life Assurance Business.

Note 1.—Companies having separate accounts for annuities to return the particulars of their annuity business in a separate statement.

Note 2.—Companies having both Ordinary and Industrial branches to return the particulars of the business in each department separately.

Note 3.—Items in this Account to be net amounts after deduction of the amounts paid and received in respect of re-assurances of the Company’s risks.

Note 4.—If any sum has been deducted from the expenses of management account, and taken credit for in the Balance Sheet as an asset, the sum so deducted to be separately shown in the above Account.

Note 5.—Particulars of the new life assurances effected during the year of account to be appended to the above Account showing separately, as respects business within and business out of the United Kingdom, the number of policies, the total sums assured, the amount received by way of single premiums, and the amount of the yearly renewal premium income, the items to be net amounts after deduction of the amounts paid and received in respect of re-assurances of the company’s risks. The particulars as to yearly renewal premium income need not be furnished in respect of Industrial business.

Note 6.—The columns headed “Business out of the United Kingdom,” in the case of companies having their head office in the United Kingdom, apply only to business secured through Branch Offices or Agencies out of the United Kingdom.

(B.)—Form applicable to Fire Insurance Business.

Revenue Account of the_____for the Year ending_____19_____in respect of Fire Insurance Business.

Note 1.—Items in this Account to be the net amounts after deduction of the amounts paid and received in respect of re-insurances of the Company’s risks.

Note 2.—If any sum has been deducted from the Expenses of management account, and taken credit for in the Balance Sheet as an asset, the sum so deducted to be separately shown in the above Account.

(C.)—Form applicable to Accident Insurance Business.

Revenue Account of the_____for the Year ending_____19_____in respect of Accident Insurance Business.

Note 1.—Items in this Account to be the net amounts after deduction of the amounts paid and received in respect of re-insurances of the Company’s risks.

Note 2.—If any sum has been deducted from the expenses of management account, and taken credit for in the Balance Sheet as an asset, the sum so deducted to be separately shown in the above Account.

(D.)—Form applicable to Employers’ Liability Insurance Business.

Revenue Account of the_____for the Year ending_____19_____in respect of Employers’ Liability Insurance Business transacted within the United Kingdom.

Note 1.—Items in this Account to be the net amounts after deduction of the amounts paid and received in respect of re-insurances of the Company’s risks.

Note 2.—If any sum has been deducted from the Expenses of management account, and taken credit for in the Balance Sheet as an asset, the sum so deducted to be separately shown in the above Account.

(E.)—Form applicable to Bond Investment Business.

Revenue Account of the_____for the Year ending_____19_____in respect of Bond Investment and Endowment Certificate Business.

Note 1.—Items in this Account to be the net amounts after deduction of the amounts paid and received in respect of re-insurances of the Company’s risks.

Note 2.—If any sum has been deducted from the Expenses of management account, and taken credit for in the Balance Sheet as an asset, the sum so deducted to be separately shown in the above Account.