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STATE OF NEW YORK INSURANCE DEPARTMENT 25 BEAVER STREET NEW YORK, NEW YORK 10004 David A. Paterson GovernorKermitt J. Brooks Acting SuperintendentCircular Letter No. 19 (2009) August 3, 2009, TO:All

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Kermitt J is a specific form used for reporting and filing certain information to the relevant authority.

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The individuals or entities, as specified by the authority, that meet certain criteria are required to file Kermitt J.

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The purpose of Kermitt J is to report specific information to the relevant authority for compliance and regulatory purposes.

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