Form 63-29a - Ocean Marine Profits Tax Return

Section 29A United States Marine Insurance Net Losses Incurred in Taxable Year

The standard cut-off date for lines 1 to 9 is December 31, 1944.

01 Payments during the taxable year on marine losses (salvage deducted) incurred since December 31, 1944, less recoveries

on reinsurance on losses incurred since December 31, 1944 (from Supplementary Schedule, line 10, col. d less col. h) . . . . . . 1

02 Add reinsurance recoverable December 31 of the previous year on paid marine losses incurred since December 31, 1944 . . . 2

03 Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

04 Deduct reinsurance recoverable December 31 of the taxable year on paid marine losses incurred since December 31, 1944. . . 4

05 Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

06 Add net amount unpaid December 31 of the taxable year on marine losses incurred since December 31, 1944

(net as to recoveries on reinsurance ceded) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Amount excluded on losses incurred prior to January 1, 1945. . . . . . . . . . . . . . . . . . . . . . . . . . . . . *$___________________

07 Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

08 Deduct net amount unpaid December 31 of the previous year on marine losses incurred since December 31, 1944

(net as to recoveries on reinsurance ceded) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Amount excluded on losses incurred prior to January 1, 1945. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $___________________

09 Net losses incurred during the taxable year of 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Ratios

In the following, net premiums means direct premiums plus reinsurance assumed, both net of returned premiums,

and less net reinsurance premiums ceded.

01 Net premiums on 29A Marine business written in United States in 2006 (from Supplementary Schedule, line 5, col. d) . . . . . . . 1

02 The same written in 2005 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

03 The same written in 2004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

04 Total for three-year period. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

05 Average. Divide line 4 by 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

06 Net premiums on 29A Marine business written in Massachusetts in 2006 (from Supplementary Schedule, line 5, col. g) . . . . . . 6

07 The same written in 2005 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

08 The same written in 2004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

09 Total for 3-year period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Average. Divide line 9 by 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Average Massachusetts Marine Premiums (line 10) $

(carry decimal to six places) . . . . . . . . . . . . . 11

Average United States Marine Premiums (line 5)

*Amount of actual United States unpaid losses is required.