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Bldg. 69-2 Cranston Rhode Island 02920 www. dbr. ri. gov Insurance Regulation 11 Annual Surplus Lines Report Due April 1 Calendar Year 2 Name of Surplus Line Broker Address of Surplus Line Broker Total Surplus Lines Insurance Policies Written in 2 Risk Line of Amount of Name of Business Insurance Surplus Lines Policy Number Term and Expiration Date commercial automobile medical malpractice workers compensation other personal or other commercial l...
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How to fill out affidavit by broker form:

01
Start by reading the instructions provided with the form carefully. Make sure you understand all the requirements and information needed.
02
Begin by entering your personal details at the top of the form. This may include your name, address, contact information, and any other required identification.
03
Next, provide the necessary information about the broker. Include their name, contact information, and any relevant licensing or registration details.
04
Depending on the purpose of the affidavit, you may be asked to provide specific information about a transaction or a particular aspect of the broker's services. Fill out these sections accurately and completely.
05
If required, provide any supporting documentation or evidence to accompany the affidavit. This may include contracts, agreements, or any other relevant paperwork.
06
Double-check all the information you have provided to ensure accuracy and completeness. Any mistakes or omissions could invalidate the affidavit.
07
Sign and date the affidavit, if necessary. Some forms may require notarization, so be sure to follow any additional instructions provided.
08
Keep a copy of the completed affidavit for your records.

Who needs affidavit by broker form:

01
Individuals or organizations involved in real estate transactions may need an affidavit by broker form. This could include buyers, sellers, lenders, or other parties.
02
In some cases, brokers themselves may need to fill out this form to provide information or confirm specific details related to their services.
03
Legal professionals or regulatory authorities may require affidavit by broker forms as part of their documentation or investigation processes.
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The affidavit by broker form is a legal document that brokers are required to file with the appropriate regulatory authority. It is used to certify the accuracy of the information provided by brokers regarding their business transactions.
All brokers, whether they are individuals or part of a brokerage firm, are required to file the affidavit by broker form.
To fill out the affidavit by broker form, brokers need to provide their personal and professional information, details of the transactions executed, and any other information as required by the regulatory authority. The form can usually be downloaded from the regulatory authority's website or obtained directly from them.
The purpose of the affidavit by broker form is to ensure transparency and accountability in the brokerage industry. It helps regulators monitor and regulate brokers to protect investors and maintain the integrity of the financial markets.
The specific information required on the affidavit by broker form may vary depending on the regulatory authority. However, commonly required information includes the broker's name, contact information, license number, details of business transactions conducted, and any disciplinary actions or violations.
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