Qualified assets on deposit.1

Column A – Name of depositary²	Column B – Cash	Column C – Investments in securities	Column D – First mortgages and other first liens on real estate	Column E – Other	Column F – Total³3

1 All money columns shall be totaled.

2 Classify names of individual depositaries under group headings, such as banks and states.

3 Total of column F shall agree with note required by Section 210.6-06(4) as to total amount of qualified Assets on Deposit.

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SEC Rules

Regulation S-X

Form and Content of and Requirements for Financial Statements

FORM AND CONTENT OF SCHEDULES, FOR FACE AMOUNT CERTIFICATE INVESTMENT COMPANIES

Section 12-27

Qualified assets on deposit.1