7
Form 1120-L (2015)
Page
Schedule L
Part I—Total Assets (section 806(a)(3)(C)) (see instructions)
(a) Beginning of tax year
(b) End of tax year
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1
Real property .
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Stocks .
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2
3
Proportionate share of partnership and trust assets .
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3
4
Other assets (attach statement) .
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4
5
Total assets of controlled groups
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5
6
Total assets. Add lines 1 through 5
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Part II—Total Assets and Total Insurance Liabilities (section 842(b)(2)(B)(i)) (see instructions)
The information provided in Part II should conform with the “Assets” and “Liabilities, Surplus, and Other Funds” sections of the NAIC Annual Statement.
(a) Beginning of tax year
(b) End of tax year
1
Subtotals for assets .
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1
2
Total assets
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2
3
3
Reserve for life policies and contracts .
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4
Reserve for accident and health policies .
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4
5
Liability for deposit-type contracts .
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5
6
Life policy and contract claims .
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6
7
Accident and health policy and contract claims .
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7
8
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Policyholder’s dividend and coupon accumulations .
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9
Premiums and annuity considerations received in advance less discount
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9
10
Surrender values on canceled policies
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10
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11
Part of other amounts payable on reinsurance assumed
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12
Part of aggregate write-ins for liabilities. (Only include items or amounts includible in
“total insurance liabilities on U.S. business” as defined in section 842(b)(2)(B)(i))
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13
13
Separate accounts statement
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14
Total insurance liabilities. Add lines 3 through 13 .
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14
1120-L
Form
(2015)