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FARMERS' MUTUAL FIRE INSURANCE COMPANY,

CLARNO, GREEN COUNTY.

[Organized or incorporated February 16, 1874; commenced business March 24th, 1874.]

President, JACOB HUFFMAN, Monroe.

Secretary, FRANK SMOCK, Monroe.

Treasurer, W. B. HAROLTROAN, Monroe.

ASSETS.

Cash belonging to company deposited in bank, (Citizens')

$66 53

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Amount of losses due and unpaid

Amount of losses reported, not adjusted

Borrowed money to pay losses as provided by section

1933, as amended

Interest due on borrowed money

Total liabilities

$30 00

60 00

150 00

2.50

$242 00

RECEIPTS.

Cash received from assessments

$70 83

Money borrowed to pay losses

150 00

Income received from all other sources, viz.: Money on

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DISBURSEMENTS.

Amount paid for losses

$584 28

Paid as salaries and fees to president, $10.00; secretary, $25.00; treasurer, $3.00; directors, $6.00; total

44 00

All other disbursements, viz.: Expense of secretary's office, postage, stationery, blanks, printing, etc......

12 75

Total disbursements

$641 03

RISKS.

No.

Amount.

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

$1,572 62

......

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MISCELLANEOUS QUESTIONS.

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

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

What is the maximum amount and the longest period for which a risk is written? $2,000.00 within radius 100 feet. Years, five.

Are any of the outstanding risks of the company re-insured in any other companies? If so, give name of the re-insuring companies and amount re-insured in each? None so far as I know.

Are the officers of the company required to furnish bonds for the faithful performance of their duties? Treasurer, $3,000.00.

What is the amount of membership fees charged? 1-5 of 1% on amount contingent and 50 cents policy fee.

What is the amount of annual dues charged? None.

Is any portion of the assessments used for any other purpose than the payment of losses? None.

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? No.

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.

Are such assessments limited? No.

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

Does the constitution or by-laws provide for the insuring of such other property? No.

Are agents employed to solicit insurance? President and secretary do nearly all the soliciting; agents but little.

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

FARMERS' MUTUAL FIRE INSURANCE COMPANY,

DOVER AND NORWAY, RACINE COUNTY.

[Organized or incorporated March, 1874; commenced business March, 1874.]

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Paid as salaries and fees to president, $15.00; secretary, $50.00; directors, $28.00; total

93 00

Advances or dividends returned to members on policies still in force

14 00

All other disbursements

145 89

Total disbursements

$1,126 89

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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

$1,643 00

......

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MISCELLANEOUS QUESTIONS.

In what counties does the company transact business? Racine. Are the constitution and by-laws printed in full on the back of policy? They are.

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

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

Are any of the outstanding risks of the company re-insured in any other companies? If so, give name of the re-insuring companies and amount re-insured in each? None.

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

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? No.

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

Does the constitution or by-laws provide for the levying on all

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