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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 24F-2
Annual Notice of Securities Sold
Pursuant to Rule 24f-2
Read instructions at end of Form before preparing Form. Please print or type.
1. Name and address of issuer:
Chubb Separate Account A
One Granite Place
Concord, NH 03110
2. The name of each series or class of securities for which this Form is filed
(If the form is being filed for all series and classes of securities of the
issuer, check the box but do not list series or classes): [X]
3. Investment Company Act File Number: 811-4160
Securities Act File Number: 2-94478 and 33-7734
4.(a). Last day of fiscal year for which this notice is filed:
December 31, 1997
4.(b). [_] Check box if this Form is being filed late (i.e. more than 90
calendar days after the end of issuer's fiscal year).
(See Instruction A-2)
Note: If the Form is being filed late, interest must be paid on the
registration fee due.
4(c). [_] Check box if this is the last time the issuer will be filing this
Form.
5. Calculation of registration fee:
(i) Aggregate sale price of securities sold
during the fiscal year pursuant to $164,274,779
section 24(f): ------------
(ii) Aggregate price of securities redeemed or $ 66,663,795
repurchased during the fiscal year: ------------
(iii) Aggregate price of securities redeemed or $
repurchased during any PRIOR fiscal year ------------
ending no earlier than October 11, 1995
that were not previously used to reduce
registration fees payable to the
Commission:
(iv) Total available redemption credits (add
Items 5(ii) and 5(iii):
------------
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(v) Net Sales - if Item 5(I) is greater than $ 97,610,984
Item 5(iv) [subtract Item 5(iv) from Item 5(i)]: ----------
(iv) Redemption credits available for use in $ ( )
future years -- if Item 5(i) is less than ------------
Item 5(iv) [subtract Item 5(iv) from Item 5(I)]:
(vii) Multiplier for determining registration x .000295
fee (See Instruction C.9): -----------
(viii) Registration fee due (multiply Item 5(v) =$ 28,795.24
by Item 5(vii) (enter "0" if no fee is =========
due):
6. If the response to item 5(i) was determined by deducting an amount of
securities that were registered under the Securities Act of 1933 pursuant to
rule 24e-2 in effect before October 11, 1997, then report the amount of
securities (number of shares or other units) deducted here: . If
there is a number of shares or other units that were registered pursuant to
rule 24e-2 remaining unsold at the end of the fiscal year for which this form
is filed that are available for use by the issuer in future fiscal years,
then state that number here:
7. Interest due -- if this Form is being filed more than 90 days after the end
of the issuer's fiscal year (See Instruction D):
+$ N/A
----------
8. Total of the amount of the registration fee due plus any interest due
[line 5(viii) plus line 7]: =$ 28,795.24
----------
9. Date the registration fee and interest payment was sent to the Commission's
lockbox depository: On or about March 31, 1998
Method of Delivery:
[X] Wire Transfer
[_] Mail or other means
SIGNATURES
This report has been signed below by the following person on behalf of the
issuer and in the capacity and on the date indicated.
By (Signature and Title)*
/s/ Thomas Elwood, Assistant Counsel
Date: March 11, 1998
