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5. The amount of loans on which interest has not been paid within one year previous to such statement;

6. The amount due the company on which judgments have been obtained;

7. The amount of stocks of this state, of the United States, or any incorporated city of this state, and of any other stocks owned by the company, specifying the amount, number of shares, and par and market value of each kind of stocks.

8. The amount of stocks held as collateral security for loans, with the amount loaned on each kind of stock, its par value and market value.

9. The amount of interest due and unpaid.

10. The amount of all other loans made by the company, specifying the same.

11. The amount of premium notes on hand on which policies. are issued.

12. All other property belonging to the company, specifying

the same.

Third-The liabilities of such company, specifying:

1. The amount of losses due and unpaid.

2. The amount of claims for losses resisted by the company. 3. The amount of losses in process of adjustment or in suspense, including all reported or supposed losses.

4. The amount of dividends declared, due and remaining unpaid.

5. The amount of dividends declared but not due.

6. The amount of money borrowed and security given for the payment thereof.

7. Gross premium (without any deductions) received and receivable upon all unexpired fire risks, running one year or less from date of policy, reinsurance thereon at fifty per cent.

8. Gross premiums (without any deductions) received and receivable upon all unexpired fire risks running more than one year from the date of policy, reinsurance thereon pro rata.

9. Gross premiums (without any deductions) received and receivable upon all unexpired marine and inland navigation risks, except time risks, reinsurance thereon, at one hundred per cent.

10. Gross premiums (without any deductions) received and

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receivable on marine time risks, reinsurance thereon at fifty per cent.

11. Amount reclaimable by the insured on perpetual fire insurance policies, being ninety-five per cent of the premiums or deposit received;

12. Reinsurance fund and all other liabilities, except capital. under the life insurance or any other special department;

13. Unused balances of bills and notes taken in advance for premiums on open marine and inland policies, or otherwise, returnable on settlement;

14. Principal unpaid on scrip or certificates of profits, which have been authorized or ordered to be redeemed;

15. Amount of all other liabilities of the company, specifying the same.

Fourth-The income of the company during the preceding year, specifying:

1. The amount of cash premiums received;

2. The amount of notes received for premiums;

3. The amount of interest money received, specifying the same;

4. The amount of income received from all other sources, specifying the same.

Fifth-The expenditures of the preceding year, specifying: 1. The amount of losses paid;

2. The amount of dividends paid;

3. The amount of expenses paid, including commissions and fees to agents and officers of the company;

4. The amount paid for taxes;

5. The amount of all other payments and expenditures. Sixth-1. The amount of risks written during the year;

2. The amount of risks expired during the year;

3. The amount of risks written during the year in the state of California;

4. The amount of premiums thereon.

Provided, that any foreign fire, marine, or inland insurance company, incorporated or not incorporated, doing business within this state, having on deposit at any place within the United States, assets to the amount of two hundred thousand dollars over and above its liabilities in the United States, as security

for the policy holders therein, may, at its option, make a separate statement to the insurance commissioner of its foreign business and assets, but shall be required to return only the business done in the United States, and the assets held by or for it within the United States for the protection of policy holders therein. En. March 12, 1872. Amd. 1877-78, 15; 1887, 9.

Legislative History.

See sec. 611, Pol. C., supra.

STATEMENT BY LIFE, HEALTH AND ACCIDENT COMPANIES. Sec. 613, Pol. C. Such statement, if made by life, health, and accident companies, must show:

First-The amount of the capital stock of the company. Second-The property or assets held by the company, specifying:

1. The value of the real estate held by the company.

2. The amount of cash on hand and deposited in banks to the credit of the company, specifying the same.

3. The amount of loans secured by bond and mortgage on real estate, specifying the same.

4. Amount of loans secured by pledge of bonds, stocks, or other marketable securities as collateral, specifying the same.

5. Cash market value of all stocks and bonds owned by the company, specifying the same.

6. Interest due the company and unpaid.

7. Interest accrued, but not due.

8. Premium notes and loans in any form taken in payment of premiums on policies now in force.

9. Gross amount of premiums in process of collection and transmission on policies in force.

10. Gross amount of deferred premiums.

11. All other assets, specifying the same. Third--Liabilities.

1. Claims for death losses and matured endowments, due and unpaid.

2. Claims for death losses and matured endowments in process of adjustment, or adjusted and not due.

3. Claims resisted by the company.

4. Amounts due and unpaid on annuity claims.

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5. Trust fund, on deposit, or net present value of all the outstanding policies, computed according to the American Experience Tables of Mortality, with four and one-half per cent interest.

6. Additional trust fund on deposit, or net present value of extra and special risks, including those on impaired lives.

7. Amount of all unpaid dividends of surplus percentages, bonuses, and other description of profits to policy holders, and interest thereon.

8. Amount of any other liability to policy holders or annuitants not included above.

9. Amount of dividends unpaid to stockholders.

10. Amount of national, state, and other taxes due.

11. All other liabilities, specifying the same.

Fourth-1. Cash received for premiums on new policies during the year.

2. Cash received for renewal of premiums during the year. 3. Cash received for the purchase of annuities.

4. Cash received for all other premiums.

5. Cash received for interest on loans, specifying the same. 6. Rents received.

7. Cash received from all other sources, specifying the same. 8. Gross amount of notes taken on account of new premiums. 9. Gross amount of notes taken on account of renewal premiums.

EXPENDITURES.

Fifth--1. Cash paid for losses.

2. Cash paid to annuitants.

3. Cash paid for lapsed, surrendered, and purchased policies.

4. Cash for dividends to policy holders.

5. Cash paid for dividends to stockholders.

6. Cash paid for reinsurances.

7. Commission paid to agents.

8. Salaries and other compensation of officers and employees,

except agents and medical examiners.

9. Medical examiners' fees and salaries.

10. Cash paid for taxes.

11. Cash paid for rents.

12. Cash paid for commuting commissions.

13. All other cash payments.

Sixth--Balance sheet of premium note account. Seventh--Balance sheet of all the business of the company. Eighth-1. Total amount of insurance effected during the year on new policies.

2. Total amount of insurance effected during the year in the state of California.

3. Premiums received during the year on risks written in the state of California. En. March 12, 1872.

Legislative History.

See sec. 611, Pol. C., supra.

STOCK NOTES, HOW COMPUTED.

Sec. 614, Pol. C. Mutual companies formed, existing, and doing business under an act entitled "An Act to provide for the incorporation of mutual insurance companies," passed Apri! twenty-sixth, eighteen hundred and fifty-one, may report their approved stock notes as capital paid up, and such notes for all purposes must be deemed part of the paid-up capital stock of such corporation. En. March 12, 1872.

Legislative History.

This section is based on a provision of section 5 of the insurance act of 1868, page 325.

TO FURNISH BLANKS.

Sec. 615, Pol. C. The insurance commissioner must cause to be prepared, and furnish to each person and to each of the companies incorporated in this state, and to the attorney of each of the companies incorporated or chartered by other states and foreign governments, printed forms of the statements herein required; and he may make such changes from time to time in the form of the same as seems to him best adapted to elicit from the companies a true exhibit of their condition in respect to the several points herein before enumerated. The same forms must be addressed to all persons and companies engaged in the same kind of business. En. March 12, 1872.

Legislative History.

This section is based on section 6 of the insurance act of 1868, page 327.

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