REPORT OF THE COMMISSIONER OF INSJRANCE.                  XXxi
RISKS
No.    Amount
1.  In force on the 31st day of December of the preced-
ing year ..........
2. Written and renewed during the year..
3. Total.....
3.Toal. .;................................. .......  ........   ......  
. ....... ..  .  .
4. Deduct those expired and cancelled.      ................     ............
5.           In force at the end of the year ....... ........ ............
LOSSES AND CLAIMS
No.    Amount
6.  Losses and claims unpaid Dec. 31 of previous year ..................
7. Losses and claims incurred during the year ........................
8.      Total ............................ .........        . ............
Deduct:
9.  Losses and claims paid during year ...............................
10.  Losses and claims scaled down and compromised
during year ...................
11.           Total deductions ...........
12.  Losses and claims remaining unpaid Dec. 31, end
of year ............
13.  A mount of losses paid since organization.
14.  Average insurance in force per policy ...............................
MUTUAL HAIL COMPANIES.
BALANCE SHEET.
Amount of ledger assets (as per balance) December 31 of previous year
INCOME
1.  G ross premiums on all business written during the year ..........
2. Assessments actually received on current year's assessments ....
8. Assessments actually received on previous years' assessments.
4.  *Policy fees: .... New, No .......  ; fee, $ .......  amount $ .
5.  Renewels: ........... No .......  ; fee, $ ....... ; amount,. $ .
6. Additions: .......... No .......    ; fee, $ .......  amount $ .
7.           Total policy fees .
8.          Total collections.
Deduct:
9.  Paid for reinsurance ...............................................
10.  Returned on cancellations ................................-...-..
II.  Returned in dividends.       ......................................
12.           Total deductions ...................................
13.  Total premiums and assessments, less deductions ....................
14.  Cash received as interest ..................
15.  Casli received as borrowed money (date borrowed,.      ).
16. Cash received from all other sources, viz.: (Itemize)
,17  ..   . ... ............. ............ .. ............ ........ .. ......
.....
18.     ........... . .............. ....... .......
19.         , Total income during year ...............   ....... ............
20.  Total assets of previous year and income .............................
DISBURSEMENTS
1.  Paid for losses including $ ........ for losses occurring in previous
years.
2. Agents' balances charged off............--
3.  Paid for corporation tax.    ......................................
4. Borrowed money (date repaid     .   )............ .................
5 . Interest on borrowed money .
6.  Salaries, $ ....... and fees, $......... paid officials .
7.  Agents' compensation:
8.    Cbommissions  ...........                      .
9. Sles......