H.—l2

30

3. Have the tables used in the valuation, or the results of a valuation by such tables, been in any way altered to suit special circumstances? If they have, state clearly and fully the nature and purpose of such alterations, and their effect on the results shown by the valuation. 4. Explain how the valuation ages (i.e., the ages at which members were assumed to be at the date of valuation) have been computed ; whether by assuming each member to be at the age he would attain at his next birthday, or otherwi-e. 5. "What average rate of interest* has accrued to the sick and funeral fund of ths lodge during each of the five years preceding the date of valuation ? _, ~ Rate of Interest Yearemlm S accrued, per cent. 31st Dec, 18 31st Doc., 18 31st Dec, 18 31st Dec, 18 ... 31st Dec, 18 6. To what causes may be attributed the surplus or deficiency shown by the valuation ? Signature of Valuer: Address: Calling or Profession: Date: Note.—This form, when properly filled up, must be returned with the valuer's report, duly signed by him. " Friendly Societies Act Amendment Act, 1878." independent order of odd fellows (manchester unity) friendly society. Valuation of the Assets and Liabilities of tho Lodge, No. , held at , as at the of ,18 . —[Return to be made by the Secretary of the Lodge] Eegister No. of the Lodge (as a Society or Branch) 1. (a) In what occupations are the members mostly engaged ? (_•) In what localities do they chiefly reside ? (c) Aro benefits assured to females ? If so, state what kind of benefits are assured to them : 2. Fill in for each of the five years preceding the date of valuation the following particulars, omitting shillings and pence :

* The rate of interest for each year is to be calculated by dividing double the amount of in!crest by the sum of the amounts of the fund at the beginning and cud of the year, less the amount of interest; according to the formula — r = _ (A + A'—l) "Where r is the rate of interest required, I the amount of interest accrued during the year, and A, A' are the amounts standing to the credit of the fund at the beginning and end of tho year respectively.

.movn receive.i n accoun, Amount received as Interest, (including Rent). Sums al Death. Widows a: id Orphans. Year ending. Total Funds at end of Year. Sickness Benefits. -p. I1 rom Members. Other Receipts. From District. From Members. From District. £ £ £ 'ec. 31,18 iec. 31, 18 'ec. 31, 18 'ec. 31, 18 'ec. 31, 18 Total Tola Amount paid on account of Year ending I Sickness Benefits. Sums at Death. Widows and Orphans. Other Payments. To Members. To District. To Members. To District. .comber 31, 18 'eceinber 81, IS 'ecember 31, IS 'ecember 31, 18 'ecember 31, 18 .'.. £ £ £ Total ...