Form 480.40f - Foreign Life Insurance Company Income Tax Return Page 2
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3Foreign Life Insurance Company - Page 2
Form 480.40F
Rev. 09.99
Part III
Comparative Balance Sheet
Beginning of Taxable Year
Ending of Taxable Year
Total
Assets
Total
00
0 0
1.
Cash on hand and in banks ................
(1)
(1)
00
00
2.
Accounts receivable ..........................
(2)
(2)
(
00
)
00
00
)
00
(
3.
Less: Reserve for bad debts ...............
(3)
(3)
00
00
4.
Notes receivable .................................
(4)
(4)
00
00
5.
Inventories ..........................................
(5)
(5)
00
00
6.
Investments ........................................
(6)
(6)
00
00
7.
Depreciable assets .............................
(7)
(7)
00
00
(
00
)
00
(
)
8.
Less: Reserve for depreciation ...........
(8)
(8)
00
00
9.
Land ....................................................
(9)
(9)
00
00
10.
Other assets.......................................
(10)
(10)
00
00
11.
Total Assets......................................
(11)
(11)
Liabilities and Stokholder's Equity
Liabilities
00
00
12.
Accounts payable .............................
(12)
(12)
00
00
13.
Notes payable
......................................
(13)
(13)
00
00
14.
Accrued expenses ............................
(14)
(14)
00
00
15.
Other liabilities ..................................
(15)
(15)
00
00
16.
Total Liabilities.................................
(16)
(16)
Stockholder's Equity
17.
Capital stock:
00
00
(a) Preferred stock .......................
(17a)
(17a)
00
00
(b) Common stock .......................
(17b)
(17b)
00
00
18.
Additional paid in capital ...................
(18)
(18)
00
00
19.
Home office account ............................
(19)
(19)
00
00
20.
Reserve .............................................
(20)
(20)
00
00
21.
Total Stockholder's Equity .................
(21)
(21)
22.
Total Liabilities and Stockholder's Equity
(22)
00
(22)
00
Part IV
Reconciliation of Net Income (or Loss) per Books with Net Taxable Income (or Loss) per Return
00
1.
Net income (or loss) per books ............
7.
Income recorded on books this year not
(1)
00
2.
Income tax ............................................
included on this return (Itemize, use schedule
(2)
3.
Excess of capital losses over
if necessary)
00
capital gains .........................................
(a) Exempt interest
(3)
4.
Taxable income not recorded on
(b)
books this year (Itemize)
(c)
____________________________
(a)
(d)
____________________________
00
(b)
Total ...........................................................
(7)
____________________________
(c)
8.
Deductions on this tax return not charged
____________________________
(d)
against book income this year (Itemize, use
00
Total .....................................................
schedule if necessary)
(4)
5.
Expenses recorded on books this
(a) Depreciation
year not claimed on this return
(b)
(Itemize, use schedule if necessary)
(c)
(a) Meals and entertainment (amount
(d)
00
not claimed)
Total ............................................................
(8)
00
(b) Depreciation
9.
Total (Add lines 7 and 8) ............................
(9)
(c)
10 .
Net taxable income (or loss) per return
00
(d)
(Subtract line 9 from line 6).........................
(10)
00
Total .....................................................
(5)
00
6.
Total (Add lines 1 through 5)................
(6)
Part V
Analysis of Home Office Account per Books
00
00
1.
Balance at the beginning of the year
5.
Distributions:
(a)
Cash .............................
(1)
(5a)
00
00
2.
Net income per books ..........................
(b)
Property ........................
(2)
(5b)
00
3.
Other increases (Itemize, use
(c)
Stock .............................
(5c)
00
6.
schedule if necessary)
Other decreases (Use schedule if necessary) ...
(6)
00
00
7.
Total (Add lines 5 and 6) ..............................
(7)
(3)
00
8.
Balance at end of year (Subtract line 7 from line 4)
(8)
4.
Total (Add lines 1, 2 and 3) ..................
(4)
00
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