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Are any of the outstanding risks of the company re-insured in any other companies? No.

Are the officers of the company required to furnish bonds for the faithful performance of their duties? Yes. Secretary, $500.00; treasurer, $5,000.00.

Is any portion of the assessments used for any other purpose than the payment of losses? No.

Are the members required to make advance payments of assessments? Pay a cash premium of 2%.

Does the constitution or by-laws provide for the levying on all members of additional assessments if the funds of the company are not sufficient to pay losses? Yes.

Are such assessments limited? No.

What property is insured other than that mentioned in section 1931, as amended? None other.

Are agents employed to solicit insurance? Yes.

Are the answers to the foregoing questions true and complete to the best of your knowledge and belief? Yes.

FARMERS' HOME MUTUAL INSURANCE COMPANY

LITTLE CHUTE, OUTAGAMIE COUNTY.

[Organized or incorporated July 8th, 1881; commenced business July 8th, 1881.]

President, JACOB JANSEN, Little Chute, Wis.

Secretary, WM. GEENEN, Kimberly, Wis.

Treasurer, ALBERT HIETPAS, Little Chute, Wis.

ASSETS.

Cash belonging to company in hands of treasurer.

$274 35

RECEIPTS.

Income received from all other sources, viz.: From pre

mium on policies issued

Money on hand December 31, 1896

Total receipts

DISBURSEMENTS.

Paid as salaries and fees to president, $3.00; secretary,

$25.00; treasurer, $5.00; directors, $2.00; total Advance payments returned on cancelled policies All other disbursements, viz.: Agents' fees

Office rent

Total disbursements

$280 30

73 30

$353 60

$35 00

50

36 00

775

$79 25

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In force on the 31st day of December of the

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Average amount of insurance in force per policy
Amount of losses paid since organization
Number and amount of policies issued since or-

$1,047 30

......

1,976 55

ganization

501

442,830 00

MISCELLANEOUS QUESTIONS. (None.)

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ALBANY, LIMA, DURAND, WAUBECK, WATERVILLE AND FRANKFORT, PEPIN COUNTY.

[Organized or incorporated March 4th, 1876; commenced business May 26th, 1876.]

President, P. J. RYAN, Durand.
Secretary, C. K. AVERILL, Durand.

Treasurer, C. K. AVERILL, Durand.

ASSETS.

Cash belonging to company in hands of treasurer

LIABILITIES.

Borrowed money to pay losses as provided by section 1935, as amended

RECEIPTS.

Cash received as membership fees

Money borrowed to pay losses

Income received from all other sources, viz.: Assessment

not wholly collected in 1896

Total receipts

$2.40

$75 00

$21 86

75 00

25 45

$122 31

DISBURSEMENTS.

Amount paid for losses

$87 11

Paid as salaries and fees to secretary

25.00

All other disbursements, viz.: Stationery and deficit in

treasury December 31, 1896

7 80

Total disbursements

$119 91

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In force on the 31st day of December of the pre

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Average amount of insurance in force per policy
Amount of losses paid since organization ....
Number and amount of policies issued since or-
ganization

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MISCELLANEOUS QUESTIONS.

In what counties does the company transact business? Pepin. Are the constitution and by-laws printed in full on the back of policy? On the face of policy.

Is the assessment liability of the members clearly defined and embodied in or printed on the back of the policy? Yes.

What is the maximum amount and the longest period for which a risk is written? $1,500.00. Years, five.

Are any of the outstanding risks of the company re-insured in any other companies? No.

Are the officers of the company required to furnish bonds for the faithful performance of their duties? No.

What is the amount of membership fees charged? $1.00.

Is any portion of the assessments used for any other purpose than the payment of losses? No.

Are accounts kept with the members individually, crediting them with all payments made to the company and charging them with their individual proportions of all losses and expenses? Yes.

Are the members required to make advance payments of assessments? No.

Does the constitution or by-laws provide for the levying on all members of additional assessments if the funds of the company are not sufficient to pay losses? Yes.

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