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Amount of all other assets and property owned by the company and not included in any of the preceding items at the actual cash value thereof, viz:

[4 blank lines.]

The gross amount of all the admissible assets of the company.

Amount which should be deducted from the above assets on account of bad and doubtful debts and securities consists of the following deductions from the above items, viz:

Item No.

Item No.

Item No.

Item No.

Item No.

Total deductions (carried out).

Aggregate amount of all the admissible assets of the company at their actual value (carried out).

[Inquiries numbered 79 and 81 to 94, under "Assets," in special schedule "Fire and Marine Insurance-Stock," for year ending December 31, 1879, are common to this schedule and are not here reproduced.]

STATEMENT OF THE LIABILITIES OF THE COMPANY DECEMBER 31, 1879.

[Inquiries numbered 1 to 7, 24, and 25, under “Liabilities," in special schedule "Fire and Marine Insurance Stock," for year ending December 31, 1879, are common to this schedule and are not here reproduced.]

Amount of interest due to scrip holders remaining unpaid, including interest declared but not yet due.

Amount of unpaid scrip ordered to be redeemed.

Amount reclaimable by the insured on perpetual insurance policies, being

per

cent of the premium or deposit thereon.

Gross Reinsurpremiums. ance fund.

Gross amount of premiums (including both cash and notes) received and receivable upon fire risks running one year or less from date of policy. Unearned premiums, being ...... per cent of same (a)..

Gross amount of premiums (including both cash and notes) received and receivable upon fire risks running more than one year from date of policy. Unearned premiums pro rata on the same..

Gross amount of premiums (including both cash and notes) received and receivable upon all unexpired inland risks..

Unearned premiums, being

per cent of same.

Gross amount of premiums (including both cash and notes) received and receivable upon all unexpired marine risks

Unearned premiums, being ...... per cent of same........

a If any proportion of the interest premiums on perpetual deposits is included, state amount.

Total amount of unearned premiums, as computed above (carried out).

Amount due or to become due to other companies for premiums on reinsurance poli

cies or contracts.

Amount of return premiums due or to become due on canceled or surrendered policies.

Amount due or to become due for cash premiums returnable as profits or surplus on terminated policies.

Amount of rents due and accrued.

Amount due for salaries.

Amount due for commissions and brokerage, and other charges due or to become due to agents and brokers on premiums paid or in course of collection.

[Inquiries numbered 30 to 35, under "Liabilities," in special schedule "Fire and Marine InsuranceStock," for year ending December 31, 1879, are common to this schedule and are not here reproduced.]

Amount of borrowed money not included in "Amount due and to become due for borrowed money, including interest."

Amount of all other existing claims, debts, and demands against the company, whether absolute or contingent, due or to become due, viz:

[4 blank lines.]

Aggregate of all liabilities of the company, not including guaranty fund and scrip.

STATEMENT OF INCOME FOR THE YEAR 1879.

[Inquiries numbeered 1 to 5, under "Income," in special schedule "Fire and Marine InsuranceStock," for year ending December 31, 1879, are common to this schedule and are not here reproduced]. Cash premiums on risks written during the year, not actually paid during the year (carried inside).

Amount of premium deposit, less

perpetual fire risks (carried inside).

per cent, received during the year, for

Amount of premium notes liable to assessment actually received during the year (carried inside).

Amount of cash actually received during the year for assessments or calls on premium notes.

[Inquiries numbered 7 to 14, under "Income," in special schedule "Fire and Marine InsuranceStock," for year ending December 31, 1879, are common to this schedule and are not here reproduced.] Amount of cash received from all other sources, viz: Policy fees.

[4 blank lines.]

Aggregate amount of cash actually received during the year.

STATEMENT OF THE EXPENDITURES OF THE COMPANY FOR THE YEAR 1879.

[Inquiries numbered 1 to 5, under "Expenditures," in special schedule "Fire and Marine Insur ance-Stock," for year ending December 31, 1879, are common to this schedule and are not here reproduced.]

Amount of cash paid or returned during the year to members who have discontinued their policies.

Amount of premium notes returned during the year to members who have discontinued their policies (carried inside).

Amount of cash premiums returned during the year as profits or surplus on terminated policies.

Amount of scrip redeemed in cash during the year.

Amount of interest paid to scripholders during the year.

Amount of interest paid to members on amounts deposited in banks as security for payment of losses, expenses, and membership fees.

[Inquiries numbered 10 to 12 and 14 to 21, under "Expenditures," in special schedule "Fire and Marine Insurance-Stock," for year ending December 31, 1879, are common to this schedule and are not here reproduced.]

Amount paid during the year for commissions and brokerage, including agencies.

[Inquiries numbered 22 to 29, under "Expenditures," in special schedule "Fire and Marine Insurance Stock," for year ending December 31, 1879, are common to this schedule and are not here reproduced.]

Recapitulation of fire risks and premiums.

[The inquiries under this head in special schedule "Fire and Marine Insurance Stock," for year ending December 31, 1879, are common to this schedule and are not here reproduced.]

REPORT OF THE (INSURANCE COMPANY OR ASSOCIATION) OF State of to the Superintendent of the Tenth Census.-Ten years' business from January 1, 1870 (or date of organization, if later), to December 31, 1879. Proper address of the company or association. (Give corporate name and place of its principal office.)

Number of members.

[Inquiries 1 to 7 (preliminary inquiries) in special schedule "Fire and Marine Insurance-Stock, Ten Years' Business," are common to this schedule and are not here reproduced.] Amount of loans secured by bond and mortgage:

Par value, 1869,

Market value, 1869,

; 1879.

; 1879,

Amount loaned each year, carried out.

Amount of loans secured by stocks and otherwise than by bond and mortgage:

Par value, 1869,

Market value, 1869,

; 1879,
; 1879,

Amount loaned each year, carried out

Amount of cash on hand and in bank

Amount of notes on hand received for premiums and in advance for premiums (bills receivable)..

Amount of assessments on premium notes and policies outstanding and collectible.

Amount of premium notes held by the company which are liable to assessment, less.amount of assessment made thereon from date.. Number of premium notes held by the company.

Amount of insurance in force subject to assessment where no premium notes were given..

[Inquiries 12 to 20 and 22 to 25 (preliminary inquiries) in special schedule "Fire and Marine Insurance, Stock-Ten Years' Business," are common to this schedule and are not here reproduced.]

Net amount of fire risks in force:

Amount of cash premiums thereon. Amount of premium notes thereon. Net amount of marine risks in force:

Amount of cash premiums thereon..
Amount of premium notes thereon..
Net amount of inland risks in force:

Amount of cash premiums thereon..
Amount of premium notes thereon.

Dec. 31, 1869. Dec. 31, 1879.

STATEMENT OF THE ASSETS OF THE COMPANY ON DECEMBER 31 OF EACH YEAR FOR

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STATEMENT OF THE LIABILITIES OF THE COMPANY DECEMBER 31 IN EACH YEAR FOR TEN YEARS.

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1870.

1871.

quired to safely reinsure all outstanding in

land risks, being 100 per cent of all premiums (cash and notes) on same.

a If any proportion of the interest premiums on perpetual deposits is included, state amount.

STATEMENT OF THE LIABILITIES, ETC.-Continued.

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1872..

1873.

1874.

1875.

1876.

1877.

1878.

1879.

Total

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