oo <r ci oi *>. cc> to
Valuation Balance Sheet—continued.
(2.) If a Table or Tables have been used which are not
published, fill in the particulars as on the other side.
Note.—Where suras payable on the death of persons
under age 20 are assured, the rate of mortality
per cent, used in the valuation must be stated helow
for every age under 20.
Valuation Age.
Rate of
Mortality
per Cent.
Valuation
Age.
Rate of
Mortality
per Cent.
Under 3 months
—
9 years
—
Exceeding 3 months
and not exceeding >
—
10 „
—
6 months - - -j
Ditto 6 ditto 9 ditto
—
11 „
—
Ditto 9 ditto 12 ditto
—
12 „
—
2 years -
—
13 „
—
3 „ - - - -
—
14 „
-—
4 „ - - - -
—
15 „
—
5 „ -
—
16 „
—
6 „ - - -
—
17 „
—
7 „ - - - -
—
18 „
—
8 „
—
19 „
—
(3.) Have the Tables used in the valuation, or the results
of a valuation by such Tables, been in any way
altered to suit special circumstances ?
Valuation
Age.
Average Sickness
per Annum in Weeks.
Rate of Mortality
per Cent.
20
—
—
25
—
—
30
—
—
35
—
—
40
—
—
45
—
—
50
—
—
55
—
60
—
—
65
—
—
70
—
—
75
—
—
80
—
—
296 VALUATION.
