Conditions of Life Assurance under which this Policy is granted.

I. The [* instalments of the] premium under this policy must be paid within [† fifteen] days of the same becoming due.

II. All such payments must be made at the office of the society where the assurance was effected, unless altered by agreement, and then at the office of the society substituted for it.

III. This policy will be absolutely forfeited, unless [* all instalments of] the premium in arrear be paid within [† fifteen] days after the day on which the [* first of such instalments of the] premium in arrear became due, together with a fine, equal to the amount of one tenth of such arrears; or unless after the expiration of those fifteen days, it be revived, with the consent of the directors, to be given by them if they think proper, within, and not after, twelve weeks from the day whereon the [* first instalment of the] premium in arrear became due, and upon their being satisfied by a medical reëxamination as to the health of the party or parties whose life or lives hath or have been assured, and on payment of [* all the instalments of] the premium in arrear, and of a further fine thereon, to be fixed by the board of directors, of not less than five shillings per cent. on the sum assured.

IV. If the person whose life is assured under this policy shall, without the permission of the directors, go out of Europe, or die upon the high seas, except in passing from one part of the United Kingdom to another; or in passing from one part of Europe to another part of Europe; or if he shall enter into any police force, or the preventive service; or if he shall be engaged or employed in actual warfare in any military or naval capacity; or being or becoming a seafaring person, shall go upon the seas in pursuance of his occupation, then the benefit of this policy shall be forfeited.

V. If the person whose life is assured by this policy shall die by duelling, or by his or her own act, whether sane or insane, or by the hands of justice, the benefit of this policy shall be forfeited, except to the extent of the interest which any person may have previously acquired therein by assignment for valuable consideration, duly notified in writing to the society previously to the death of the person whose life is assured, or by legal lien, and upon such interest being proved to the satisfaction of the directors: but if this policy be in the possession of the person whose life is assured at the time of such

death, the directors may, if they think fit, pay for the benefit of his family, any sum of money not exceeding the amount the society would have paid to such deceased person for the purchase of his interest in this policy, on the day previous to his death.

VI. All such proof of the death of the person or persons whose life or lives is or are assured under this policy, and of the cause thereof, and all such information respecting the claim made in consequence thereof, must be given to the directors as they shall require.

VII. In case of this policy becoming void under these conditions or the provisions within contained, the society shall not be bound to refund any moneys which shall have been received by them in respect of this policy, and all claims against the society in respect of this policy shall be extinguished.

VIII. In case of this policy, or of the moneys hereby assured to be paid, becoming the subject of any trust whatsoever, the receipt of the trustee thereof for the time being 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 the application of such moneys, or being answerable or accountable for the misapplication or non-application thereof.

NOTE. If the premium be paid annually, the words between [brackets, and marked *] must be omitted. The number of days usually allowed for payment of renewal premiums are for yearly, thirty days; half yearly or quarterly, fifteen days; for monthly, eight days; and for weekly, four days. According, therefore, as the premiums are agreed to be paid, the words within [brackets, and marked †] must be varied.

FORM No. 15.

ENDOWMENT ASSURANCE POLICY.

[By which a Sum is Payable to the Person Assured in the event of his Surviving a Particular Age, or Previously Dying.

Substitute the following clauses for those similarly numbered in Form 14.

of

1. WHEREAS,

the hereinafter designated assured,

hath agreed with the [Sceptre] Assurance Society, for an Assurance

upon [his] own life on

of the sum of either of the following events, whichever may first happen, namely, such assurance to be paid to [the assured] or [his] assigns, upon [his] surviving the

day of

18-, or to the executors, administrators, or assigns, of the assured, should [he] die before the said

day of

18-, and hath delivered, &c., (here take the remaining portion of clause 1, in Form 11.)

3. NOW THIS POLICY WITNESSETH, that in case the said assured shall survive the said day of 185-, or in case he shall die before or upon the day mentioned in the last preceding clause, or in case [he] shall survive that day, and [he] or [his] assigns shall, on or before that day, and on or before the same day of the month lastly hereinbefore referred to, namely, the

day of the month of

day of

18,-,

in each and in every succeeding year during which [he] shall be living, up to the said first within named, pay unto the said society the sum 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 according to the provisions of the Deed of Settlement of the said society, previously payable, and all other prior charges on such capital stock, funds, and property, shall be subject and liable within [three] calendar months next after proof shall have been given to the satisfaction of the directors of the said society of the assured having survived the said day of -, 18-, or of his death happening prior thereto, and of the cause thereof, to pay to [himself,] [his] assigns, executors, or administrators, as the case may be, the full sum of sterling, and all such further sum or sums, if any, as may under the provisions of the rules of the said society be added by way of Bonus to the sum hereby assured, [or so much thereof as shall remain after deducting therefrom the amount of such annual premium for the year in which either of the events assured against shall happen, such year commencing on the day of the month of in one year, and

ending on the

day of the same month in the next,

and each succeeding year, if the sum shall not have been paid, or a due proportionate part of such premium for the time which shall remain between the happening of either of the events herein assured against, and the end of the year in which it shall happen, computed as aforesaid.]

[Take the Conditions under Form 14.]

FORM No. 16.

POLICY ON TWO JOINT LIVES.

Substitute the following clauses for those similarly marked in Form No. 14.

of

1. WHEREAS,

of

and

the hereinafter designated

assured, alleging themselves to be interested in the lives of each other, have agreed with the [Sceptre] Society, for an assurance of to be paid on the

the sum of

death of [1 such of them as shall first die], and have caused to be delivered to the office of the said society, the declarations or statements in writing, dated on or about the

day of

-, one thousand eight hundred and fifty thereby declaring amongst other things, that the age of the said will not on [his] next birthday exceed

years, and that the age of the said

[his] next birthday exceed

will not on

years, the said declara

tions or statements also containing the several other particulars requisite for such assurance, and the said

and have agreed that such assurance when effected shall be [2 on their joint account, and for their joint benefit], so that in case of there being no disposition thereof to the contrary, by both of them, [3 the survivor of them] may also be entitled to the benefit of such assurance.

NOW THIS POLICY WITNESSETH, that in case [*either] of the said assured shall die before or upon the last mentioned day, or in case

E*

9

both of them shall survive that day, and they or their assigns shall on or before that day, and on or before the same day of the last mentioned month in each and in every succeeding year, during which both of them shall be living, pay unto the said society the sum of then so much of the Capital Stock, Funds, and Property of the Life Department of the society, as by the provisions of the Deed of Settlement thereof is 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 [ to their assigns or the survivor of them, or [his] executors, administrators or assigns], within [three] calendar months next after the proof shall have been given to the directors of the said society of the death of such one of them as shall first die, and of the cause thereof, the full sum of sterling, and also such, &c. [here take to the end of Clause 3, from Form No. 14.] [Take Conditions as in Form No. 14.]

FORM No. 17.

POLICY ON THE SURVIVOR OF TWO LIVES.

A very slight alteration of Clauses 1 and 3 of Form No. 16, will render it applicable to an assurance payable on the last of two lives, for instance

The substitution of the words "both of them," in Clause 1, for the words within the brackets [1]. And the words "for the benefit of the survivor of them," instead of the words within the brackets [2]. And the words "the executors, administrators, or assigns, of the survivor of them," instead of the words within the brackets [3].

In Clause 3.

The term "both," instead of "either," within the brackets [4]. The words "to the executors, administrators, or assigns, of the survivor of them," instead of the words within the brackets [5]. [Take Conditions as in Form No. 11.]