ALLIED LIFE FINANCIAL CORP
15-12G, 1998-10-13
LIFE INSURANCE
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<PAGE>   1
                      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 Exchange Act of 1934.


                     Commission File No. 0-22404
                                         -------

                       ALLIED Life Financial Corporation
             ------------------------------------------------------
             (Exact name of registrant as specified in its charter)
                                        
                                        
         701 Fifth Avenue, Des Moines, Iowa, 50391-2003, (515) 280-4211
         --------------------------------------------------------------
          (Address, including zip code and telephone number, including
            area code, of registrant's principal executive offices)
                                        
                           Common Stock, no par value
            --------------------------------------------------------
            (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)    /X/        Rule 12h-3(b)(1)(ii)     / /
     Rule 12g-4(a)(1)(ii)   / /        Rule 12h-3(b)(2)(i)      / /
     Rule 12g-4(a)(2)(i)    / /        Rule 12h-3(b)(2)(ii)     / /
     Rule 12g-4(a)(2)(ii)   / /        Rule 15d-6               / /
     Rule 12h-3(b)(1)(i)    /X/        
                               
        Approximate number of holders of record as of the certification or
notice date:            44
              --------------------------

        Pursuant to the requirements of the Securities Exchange Act of 1934
ALLIED Life Financial Corporation has caused this certification/notice to be
signed on its behalf by the undersigned duly authorized person.
                                  

Date:   October 13, 1998               By:  /s/ Samuel J. Wells
        -----------------                 -------------------------------
                                           Samuel J. Wells 
                                           President


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