FORM No. 18.

POLICY FOR AN ENDOWMENT.

[Payable to a person on attaining a given age, with the option in case of his death, to the person effecting the assurance, of receiving back the premiums (less twenty per cent.) previously paid thereon, or of nominating another person to receive the amount at the period of time the person (deceased) if living would have been so entitled.]

Substitute the following Clauses for those simularly numbered in Form No. 14.

1. WHEREAS,

of

has agreed with the

[Sceptre] Assurance Society to effect an Assurance, being an Endowment, for the sum of

of

hereinafter designated assured, on the

to be paid to

the

day of

185-, in case the said assured shall be then living, [1and in the event of his death before such day, then to such person or persons who shall be living on that day as shall, subject to the conditions hereupon indorsed, from time to time in that behalf be duly nominated, but subject always to such option of claiming such payment from the said society in respect of premiums, as in and by the said conditions is reserved 2], and hath delivered, &c., [here take to the end of Clause 1, in Form 14.]

3. NOW THIS POLICY WITNESSETH, that provided the said assured shall be living on the said day of

18-, [2 or in case of [his] death before that day, if any person or persons who shall, pursuant to the conditions herein indorsed, be nominated by the said to take the benefit

of this Assurance, shall be living on the said

18-2] and [he] the said

day of

or [his] assigns, executors, or administrators, shall do, and in the mean time, and until the said

day of

18, in every year, pay to the said society the premium of

-, then so much of the capital stock, funds, and property of the Life Department of the said society, as is by the provisions of the Deed of Settlement thereof made liable and applicable to pay assurances issued out of the Life Department of the said society, after satisfying all such assurances granted by the said society previously payable, and all other prior charges on such capital stock, funds, and property, shall be subject and liable according to the provisions of the Deed of Settlement of the said society, to pay within [three] calendar months from the said

day of

185—, to the said assured, if then living, [3 or to such person or persons then living, as shall be nominated by the said to the benefit of their policy, pursuant to

the conditions hereon indorsed 3], the full sum of

sterling, and also such further sum, &c. [here take remainder of Clause 3, from Form No. 14.]

Conditions of Endowment Assurance under which this Policy is

granted.

1. This policy will not become void if the premium from time to time to become due thereon, be paid within [fifteen] days of the same becoming due; and, though the premium thereon should not be paid within such extended period, this policy may be revived within three calendar months from the expiration of such extended period, upon payment to the society of a fine of five shillings on every one hundred pounds assured, together with a sum equivalent to five per cent. on the premium remaining unpaid.

2. In case of the death of the party nominated by this policy to the benefit thereof before the day fixed as within mentioned for the payment of the sum assured, the party by whom this policy is effect

ed, or his assigns, executors, or administrators, shall be entitled, upon giving three calendar months' notice in writing to the society, to determine the assurance effected by this policy, and to receive in satisfaction and extinguishment of all claims and demands thereupon, a sum equivalent to the premium or premiums which he or they shall have paid to the society in respect thereof, subject to a deduction of one tenth thereof which may be retained by the society; or

3. In case and so often as it shall happen that the party nominated by this policy to the benefit thereof as within mentioned, or any person or persons from time to time to be nominated as hereby authorized to the benefit of the said policy, in the stead or place of the party nominated to the benefit thereof as within mentioned, shall die before the day fixed as within mentioned for the payment of the said sum assured, then the person by whom this policy is effected, or his assigns, executors, or administrators, shall be entitled to nominate, as hereby prescribed, any other person or persons to take the benefit of this policy, and of the assurance hereby effected; and the person or persons so nominated shall have and take the benefit thereof accordingly, subject nevertheless to the chance of his or their being deprived of the benefit thereof by the exercise of the option mentioned in the said second condition in the same manner, and as fully, effectually, and advantageously, as if he or they had been nominated to the benefit of this policy, and of the assurance thereby effected by this instrument itself, provided nevertheless, that every such nomination, in order to be effectual, shall be in writing under the hand or hands of the parties entitled to exercise the same, and be deposited or left with the said society at their office aforesaid, within three calendar months next immediately after the exercise thereof, and that for and in respect of every such nomination, a fee after the rate of five per cent. upon the said sum assured be paid to the society within such three calendar months, and that each and every nomination shall be made in such form as may be required by the directors for the time being of the society, should they be pleased to prescribe such.

4. Any sum payable by the society under this policy shall not carry interest against the society, and the society shall cease to be liable for such sum, if the same be not claimed by or on behalf of the party or parties entitled thereto, within ten years next after that the same shall have become due.

5. That in case of this policy or of the moneys hereby assured to be paid becoming the subject of any trust whatever, the receipt of the trustees for the time being of the said policy or moneys may be accepted as an effectual discharge to the society for any moneys payable by the society under such policy, without the society being bound to see to the application of such moneys, or answerable or accountable for the misapplication or non-application thereof.

FORM No. 19.

POLICY FOR AN ENDOWMENT.

[Payable to a person on attaining a given age, without Return of Premium, or option to Nominate another person in his stead, in case of previous death.]

Take Clause 1 of Form No. 18, omitting the words between brackets [1].

Omitting the words in Clause 3, also between brackets [2].

And omitting also the words in the same clause between brackets [3].

Take clauses 2, 4, 5, 6, and 7, from No. 11.

Take Conditions 1, 4, and 5, from Form No. 18, omitting Conditions 2 and 3.

Substitute the following clauses for those similarly marked in Form

No. 11.

of

1. WHEREAS,

hath agreed with the [Sceptre] Assur

ance Society, to effect an assurance for an annuity of

pounds to be payable to [him] or [his] assigns, on [his] attaining the age of years, and thenceforth during [his] life, the

first payment to be made on the

day of

18; and hath delivered, &c. [here take remainder of Clause 1,

3. NOW THIS POLICY WITNESSETH, that if the said

and [he] or [his] assigns shall in the mean time on the day of

18-,

in each and every year, pay unto the said

then

society the premium or sum of so much of the capital stock, funds, and property, of the Life Department of the said society, as by the provisions of the deed of Settlement thereof is made liable to pay assurances issued out of the Life