MANUFACTURERS LIFE INSURANCE CO OF NEW YORK
15-15D, 1999-12-09
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<PAGE>   1


                                 UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549


                                    FORM 15

 CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER SECTION 12(g) OF
THE SECURITIES EXCHANGE ACT OF 1934 OR SUSPENSION OF DUTY TO FILE REPORTS UNDER
       SECTIONS 13 AND 15(d) OF THE SECURITIES AND EXCHANGE ACT OF 1934.

                                           Commission File Number   333-31491
                                                                  -------------

              The Manufacturers Life Insurance Company of New York
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             (Exact name of registrant as specified in its charter)

                100 Summit Lake Drive, Valhalla, New York 10595
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  (Address, including zip code, and telephone number, including area code, of
                   registrant's principal executive offices)

           Deferred Fixed Annuity Contracts     Non-Participating
 ------------------------------------------------------------------------------
            (Title of each class of securities covered by this Form)

                                      none
 ------------------------------------------------------------------------------
  (Titles of all other classes of securities for which a duty to file reports
                     under section 13(a) or 15(d) remains)

         Please place an X in the box(es) to designate the appropriate rule
provision(s) relied upon to terminate or suspend the duty to file reports:

Rule 12g-4(a)(1)(i)  [ ]                Rule 12h-3(b)(1)(i)  [ ]
Rule 12g-4(a)(1)(ii) [ ]                Rule 12h-3(b)(1)(ii) [ ]
Rule 12g-4(a)(2)(i)  [ ]                Rule 12h-3(b)(2)(i)  [ ]
Rule 12g-4(a)(2)(ii) [ ]                Rule 12h-3(b)(2)(ii) [ ]
                                        Rule 15d-6           [X]

         Approximate number of holders of record as of the certification or
notice date: 0 as of 1/1/99
             ----------------

         Pursuant to the requirements of the Securities Exchange Act of 1934
(Name of registrant as specified in charter) has caused this
certification/notice to be signed on its behalf by the undersigned duly
authorized person.

Date:   December 9, 1999        By: /s/ James D. Gallagher
      --------------------          -----------------------------------------
                                        James D. Gallagher, President




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