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UNITED STATES SECURITIES OMB APPROVAL
AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549 OMB Number: 3235-0456
Expires: August 31, 2000
FORM 24F-2 Estimated average burden
ANNUAL NOTICE OF SECURITIES SOLD hours per response.........1
PURSUANT TO RULE 24f-2
READ INSTRUCTIONS AT END OF FORM BEFORE PREPARING FORM.
1. Name and address of issuer:
Hartford Life Insurance Company Separate Account Five
P.O. Box 2999
Hartford, CT 06104-2199
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): / /
3. Investment Company Act File Number: 811-8772
Securities Act File Number:33-83654
*4(a). Last day of fiscal year for which this Form is filed:
December 31, 1999
4(b). / / Check box if this Form is being filed late (I.E., more than
90 calendar days after the end of the 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.
* Amended filing. Original filed on March 13, 2000. Accession
number 0000912057-00-011256.
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A 5. Calculation of registration fee:
(i) Aggregate sale price of securities sold during
the fiscal year pursuant to section 24(f): $ 174,549,485
(ii) Aggregate price of securities redeemed or
repurchased during the fiscal year: $ 158,224,481
(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 $ 0
(iv) Total available redemption
credits [add Items 5(ii) and 5(iii)]: $ 158,224,481
(v) Net sales -- if Item 5(i) is greater than
Item 5(iv) [subtract Item 5(iv) from
Item 5(i)]: $ 16,325,004
(vi) 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 fee .000264
(See Instruction C.9): X
B(viii) Registration fee due [multiply Item 5(v) by
Item 5(vii)] (enter "0" if no fee is due): = $ 4,310
6. Prepaid Shares
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 as 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):
+ $
B 8. Total of the amount of the registration fee due plus any
interest due [line 5(viii) plus line 7]:
= $ 4,310
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9. Date the registration fee and any interest payment was sent to the
Commission's lockbox depository: March 7, 2000
Method of Delivery:
/X/ Wire Transfer
/ / Mail or other means
Footnote
A. Original filing (3/13/2000, CIK #0000929631, Accession
#0000912057-00-011256) was filed with incorrect data. This amended return
reflects the proper data. The original filing incorrectly included capital
gains and dividends.
B. On 3/7/2000, we paid via wire $12,068. This was overpaid by $7,758.
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SIGNATURES
This report has been signed below by the following persons on behalf of
the issuer and in the capacities and on the dates indicated.
By (Signature and Title)* /s/
Cynthia J. McNickle.
Assistant Director
Date May 16, 2000
*Please print the name and title of the signing officer below the signature.
