American Capitol Assumption Agreement Exhibit VI.A. Accounting Form Exhibit VI.A. is attached hereto and incorporated herein by reference. Summary Each year After Closing Date Report for Calendar Year XXXX Pre-Standard Issue Age Attained Age Beginning...

             American Capitol Assumption Agreement

                         Exhibit VI.A.

                        Accounting Form

     Exhibit VI.A. is attached hereto and incorporated herein by
reference.



                Summary Each year After Closing Date
                  Report for Calendar Year XXXX


                             Pre-Standard   Issue Age      Attained Age

Beginning of Year

Unearned Premium Reserve
Advance Premium
Due and Unpaid Premium
Additional Active Life Reserve
Claim Reserve

End of Year

Unearned Premium Reserve
Advance Premium
Due and Unpaid Premium
Additional Active Life Reserve
Claim Reserve
Policies in Force

Collected Premium
Earned Premium
Interest on Reserves
Paid Claims
Increase in Claim Reserve
Increase in Additional Active Life Reserve
Earned Commissions
Accrued Premium Tax
Maintenance Expense Allowance

Statutory Gain/Loss
Policy Years of Exposure