Form 63-29a - Ocean Marine Profits Tax Return - 2006 Page 4
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5Supplementary Schedule
Classification of business within United States
b. Foreign —
c. Business within
g. Lines
a. Entire
all classes line 5(c)
United States
d. Marine
e. Marine, other
f. All
in col. d
business
ocean marine and 10(d)
all classes
as per
than as per
other
written in
all classes
all others
Subtract col. b from col. a
Section 29A
Section 29A
classes
Massachusetts
Premiums Written
41 Direct (net of refunded) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
42 Reinsurance assumed (net of returned). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
*a
43 Total. Add lines 1 and 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
*b
44 Deduct: Reinsurance premiums ceded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
c
**
h. Lines in col. d
45 Net premiums retained . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
d
applying to losses
incurred prior to January 1,
1945 or date applicable
Losses Paid
46 On direct writings (salvage deducted) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
47 On reinsurance assumed (salvage deducted) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
48 Total. Add lines 6 and 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
49 Deduct: recoveries on reinsurance ceded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
c
10 Net losses paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
d
**Show separation into (a) authorized and (b) unauthorized reinsurance.
Paid
Incurred
Incurred
**Reconciliation of line 5, col. g with annual statement, page 14. Show pools,
**exchange, treaties and the amounts assumed and ceded through each.
e. Lines in col. d
a. Total
b. Foreign
c. Foreign
d. Ocean marine
applying to business of
ocean marine
ocean marine
ocean marine
business within
years prior to January 1,
Ocean Marine Expenses
business
business
business
United States
1945 or date applicable
Col. a should agree with corresponding lines in Insurance Expense Exhibit.
11 Loss adjustment expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Commission and brokerage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Other acquisition, field supervision and collection expenses . . . . . . . . . . . . . . . 13
14 General expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Taxes licenses and fees excluding federal income and real estate taxes. . . . . . 15
16 Totals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Deduct: total of col. e
17 Net United States ocean marine expenses incurred Enter result here and on Profit Schedule, line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
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