The Tipton advertiser. [volume] (Tipton, Cedar Co., Iowa) 1856-1962, 1868-11-12

, been complied with, and setting forth
the name Of the attorney for company,
= certified copy Of which certificate shall
be filed In the county recorders Office Of
the county where the agency Is to be es-
tablished and shall be the authority Of
such company and agent to commence
business In this State, and such COM
pany, or its agents or attorneys shall,
annually, in the month Of January, or
within thirty days thereafter, file with
the Auditor Of this State n statement Of
its affairs for the preceding year, In the
same manner and form provided for
similar companies In this State.
a.. 1t shall be the duty Of the presi.
dent or vice president, aud secretary or
actuary or majority Of the trustees or
directors, of each company organized
under this act, or doing business In this
State, annually on the first day Of jan
uary, or within thirty days thereafter,
to prepare under oath, aud deposit in
the Office Of the Auditor Of State, a state
| s"SoSS
FlRsT-NAME AND CAPITAL.
lst. The name Of the company and
where located.
I'd. The name Of the officers.
Sd. The amount Of capital stock.
Ath. The amount Of capital stock paid
up.
| sECOND-ASSETS.
1st. The value of the real estate own.
ed BY said company.
I'd. The amount Of cash on hand.
81. The amount of cash deposited in
bank, giving name Of bank or banks.
4tll. The amount Of cash In the hands
Of agents, and ia the course Of transmits
sion.
5th. The amount of bank stocks, with
the name Of each bank, giving par aud
market value Of the same.
9th. The amount Of stocks and bonds
Of the United States, aud all other bonds,
giving names aud amounts, with the
par and market value Of each kind.
7th. The amount Of loans secured by
first mortgage on real estate.
Sth. The amount Of all other bonds
and loans, and how secured, with the
rate of interest.
9th. The amount Of premium note.
on policies in force.
10th. The amount Of notes given 10,
unpaid stock, and how secured.
llth. The amount Of assessments un'
paid on stock or premium notes.
18th. The amount Of interest due and
unpaid.
18th. All other securities.
| THIRD-LIABILITIES.
| lst. The amount of losses due and un
paid.
I'll. The amount of losses adjusted, bu1
not due.
81. The amount of losses unadjusted
4th. The amount Of claims for losses
resisted.
5th. The amount of money or cviden.
ces Of investment borrowed.
9th. The amount of dividends unpaid
insure all sat:tanasn ssnAliIRsA lllRs to safely re-
Sth. All other claims against the com
pany.
| FOURTH INCOME DURING THE YEAR.
lst The amount Of net cash premi.
ums received.
I'd. The amount Of premium notes re-
ceived.
Sd. The amount Of interest received
| from all sources.
4th. The amount received from all
other sources.
FIFTH-EXpENDITUR DURING THE
YEAR.
LIST. The amount paid for losses.
I'd. The amount Of dividends paid To
policy holders, aud amount to stock.
holders.
Sd. The amount of commissions aud
salaries paid to agents.
4th. The amount paid to officers for
salaries and other perquisites.
5tlI. The amount paid for taxes.
9th. The amount Of all other pay-
ments and expenditures.
H-MIsCELLANEoUs.
lst. The greatest amount insured OIL
any one life.
"a. The amount deposited in other
States or territories rs security for policy
holders therein, stating the amount In
each State or Territory.
3D.. The amount of premiums received
in this State during the year.
4th. The amount paid for losses In
this State during the year.
5th. The whole Eumber Of policies
issued during the year, with the amount
of insurance effected thereby, and total
amount Of risk.
9th. oil other items of information
necessary to enable the Auditor to cor
rectly estimate the cash value Of poll
cies, or to judge 1T the correctness OF the
valuation thereof.
IS. The Auditor Of State Is hcreb.
authorized to amend the form Of annua
statement, and to propose such addition
al inquiries as he may think necessar.
tn elicit full exhibit Of the standing O
companies doing busines in tn
State.
80. As soon as practicable after til
filing Of said statement Of any compan
, organized or doing business under tn
laws of this State, in the office Of tn
Auditor Of State, he shall proceed t
, ascertain the net cash value of eac
. policy in force, upon the basis Of til
New York standard Of valuation Of lii
policies, it being DIR. Farr's Englis
, Life table number three, for males, wit
. interest at Ave per cent, or Actuary'
Combined Experience Table Of Mortal
ty. with interest at four per cent; bu
, in case such valuation has been mad
, in New York, or any other State, upo'
the basis above specified, ccrtificat