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Second

Fiscal

Year .........................................................................................................................................................................................

Fiscal

Third

Fiscal

Year

xxxx

Total

xxxx

Third

Fiscal

Year

Grand

Total

xxxx

Instructions.

What is required is the history of certificates sold in a particular year, i.e., for certificates sold in the first fiscal year the table shall show

the number surrendered, etc. in that year and in each subsequent year. For example, the number reported in the second block under

Column D shall represent the number of certificates sold in the first fiscal year which were terminated in the second fiscal year.

The information may be furnished by series or in the aggregate. If the latter, indicate by footnote, or otherwise, the series included.

In addition to or in substitution of the phrases “First fiscal year,” etc. in the blocks under the captions to Columns A and B the registrant

shall state the period covered, such as “January 1 to December 31, 1946” or merely “1946” if the fiscal year coinsides with the fiscal

year.

Include in Column D certificates terminated by surrender, lapse, withdrawal, cancellation, death or disability, conversion (to paid-up

certificate) and exchange for other certificates.

Include in Column F the actual dollar amount paid upon surrender, or, if the certificate was otherwise terminated, the cash surrender

value which would have been available to the certificate holder upon surrender of the certificate. Maturity values of paid-up certificates

issued in conversion or amounts credited upon certificates issued in exchange where such amounts exceed the cash surrender value of

the new certificates, are not to be included in this column. However, appropriate explanations may be furnished by footnote.

If any certificates have been terminated otherwise than pursuant to the specific terms thereof, indicate by footnote the circumstances and

the effect upon Column F.

See instruction 2 to Item 15 for definition of the term “maximum period.” The period shall be specified.

The grand totals of Columns G and H shall represent the applicable information as of the close of the entire three-year period for which

the information is furnished with respect to all certificates sold during such period.

Item 22. Distribution Spread and Yield

For each series of face-amount certificates of the installment type outstanding as of the date of the last balance sheet filed herewith, and

assuming the certificate holder is not delinquent in making installment payments, furnish the following information:

Annually

Semi-annually

Quarterly

Monthly

Installment payment

Gross payments to maturity

Gross sales load

Maturity value

Yield to maturity (interest compounded annually)

Certificate year in which cash surrender value

equals amounts paid in by certificate holder

Instructions.

The general effect of delinquency in making installment payments shall be stated in a footnote to the table.

The information shall be furnished on the basis of the smallest face-amount for which full certificates of the particular series were issued.

Indicate by footnote, or otherwise, the first month in which a cash surrender value is available under the monthly payment basis.

Form N-8b-4 - Registration Statement Of Face-Amount Certificate Companies - Securities And Exchange Commission Page 11

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