AMERICAN   SURETY   COMPANY   OF  NEW   YORK
 

GENERAL   INTERROGATORIES
otiLC was received at the home office on or
 

Have all the transactions of the companj of which

and accurately entered on its books?   Aniuer     "•■
Except as shown in the next succeeding question di

home office at the close of business December 31'Answer     ^"j
Have thsre hsea induled in this statement proper reserves to cover liab hti(,s ivhi h

no notice was received at the homeoffice until subsequently '    Answer     ^-^^
Gross premiums (less reinsurance and return premiums) received from orgamzitu
Total losses (less reinsurance) p^d from organization of company    *     i? ^ i ii

6.    Total dividends declared from organization of Company   viz     cash   $  s 5   sul

7.    Total  amount of  the company's stock owned by the directors at par \alue  $
S.    What interest, direct or indirect, has this companj in the capital stock of an\ other

U.    Is a
 

e close of business December 31, been truthfully
 

show the condition of the company as shown by the books, records and data at the
I litiLS ivhi h mav hive been a tu'illj incurred on or before December 31 butof which
 

iwnod or controlled directly or indirectly bj a
 

Total amount loaned to the directors or other officers,  S
Does any officer,  director or trustee receive
Give the largest GROSS Amount insured in any 1

Accident, 5                           ; Health.

Fidelity,    $       3 ;.-.f.w«.      ; Siiretj
 

each of the following c

; Liability,
<™"°       Plate glass
Spnnkler
 

each of the following
Liability

"   '         Plate glass

Spnnkler
 

Flywheels                            ; Pmp'irDiomt    S

Give the lai^est net Amount insured in am on
Accident,  S                            ; Health         J

Fidelity,    S      j.t^.^^.oo      ; Suretj          S

"'^'S"'   $                            ; Credit         S

Fly wheel, J                           ;   fHji, oiaiii S

Has this company reinsured any risk with any other companj and agreed
occur on the risk, or portion thereof, reinsured?   Answer     "o
If so. give full information     i" »""« "!■"'"" sariiic^ arc rojund atui «c 1ibv=
 

23.    Has this company guaranteed policies issued fay any other

If so, give full information     .....................

-21   What provision has this company made to protect itself fr
pensation contract issued without limit or loss ?   Answi
 

. ...; Loaned to stockholders not officers,  $
5 of the company'    Ansiver
asses (without deduction for reinsurance) :
$ ..                          Workmen s compensation

$..............                   Steam boiler

t                              Title

$                           , Liie Stock,
 

; Workmen's compensation
; Steam boiler.
; Title,
(MiKliTt'                                       '• Live Stock,

release such company from liability, in v
 

it of a catastrophe under a
 

part, from any loss that may
 

ntheaitualposseasianoftheconipanyongaid date, except as shown by the schedules
 

e full and complete information relating thereto...
 

igtj, pnTchHMd from Bi
 

27,    What officials and heads of departmi
 

rvised the making of this report?
 

BUSINESS IN THE STATE OF.
 

B C01IPTROI.I.KB AKD TBS

DURING 1914
 

Accident......

Health,.....

Liability......

Workmen's compensation,
Fidelity,.....

Plate glass,          ....

Steam boiler,       ....
Burglary and theft,

Credit......

Sprinkler,.....

Title.......

Fly wheel......

Auto, and teams property Damage,
Workmen's Collective,
Live Stock,          ....

Totals,       ....
 


 

State of
County of
 

)
 

being duly sworn, each for himself deposes and says that they are the above-described officers of the said company, and that on the thirty-first day of December
last, all of the above-described assets were the absolute property of the said company, free and clear from any liens or claims thereon, except as above
stated, and that the foregoing statements, with the schedules and explanations therein contained, annexed or referred to, are a full and correct exhibit of all the
assets, liabilities, income and disbursements and of the condition and affairs of the said company on the said thirty-first day of December last and for the year
ending on that date, according to the best of their information, knowledge and belief respectively.
 

Subscribed and s'
 

M before m