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Exhibit A STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS AFFIDAVIT BY BROKER Diane G Lesser I swear under penalty of perjury as follows. I am a Surplus Line Broker licensed pursuant to R.I. Gen.
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How to fill out affidavit by broker

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How to Fill Out Affidavit by Broker:

01
Obtain the necessary form: Begin by acquiring the appropriate affidavit form from the relevant authority or organization. This form can usually be found online or by contacting the governing body overseeing the broker's licensing or registration.
02
Read the instructions: Carefully review the instructions provided with the affidavit form. These instructions will outline the specific requirements and information needed to complete the document accurately.
03
Gather the required information: Collect all the necessary information needed to complete the affidavit. This may include the broker's personal details, such as their full name, address, contact information, and any relevant identification numbers (such as a license or registration number).
04
Provide specific details: Fill in any specific details required by the affidavit, such as the purpose of the document, the specific transactions or activities being attested to, and any additional supporting information.
05
Attach supporting documents if required: If the affidavit by the broker requires any supporting documents, such as financial statements, records, or contracts, ensure that they are properly attached to the affidavit.
06
Sign and date the affidavit: Once all the required information has been provided, carefully review the document for accuracy and completeness. Then, sign and date the affidavit in the designated spaces provided.
07
Notarize the affidavit if necessary: Depending on the jurisdiction and specific requirements, the affidavit by the broker may need to be notarized. If this is the case, bring the completed and signed affidavit to a notary public who will authenticate the document with their official seal or stamp.

Who Needs Affidavit by Broker:

01
Real estate transactions: Affidavits by brokers are often required in real estate transactions to provide sworn statements of the broker's involvement in the sale, purchase, or lease of properties.
02
Licensing and registration: Brokers may need to submit an affidavit as a part of the application process for obtaining or renewing their professional license or registration. This affidavit typically attests to their compliance with relevant laws, regulations, and ethical standards.
03
Legal proceedings: In certain legal proceedings, affidavits by brokers may be required to provide expert opinions, testimonies, or factual information related to a specific case.
04
Insurance claims: In cases where insurance claims are involved, such as property damage or liability claims, brokers may be required to submit an affidavit outlining the details of their involvement in the claim process.
05
Compliance with regulatory bodies: Some regulatory bodies overseeing the brokerage industry may require brokers to submit regular or ad-hoc affidavits to demonstrate compliance with specific rules, regulations, or codes of conduct.
Remember to consult with the appropriate authorities or legal professionals to ensure that you accurately complete the affidavit and fulfill any specific requirements for your particular situation.
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Affidavit by broker is a legal document signed by a broker in which they confirm the accuracy of information related to a transaction.
Brokers are required to file the affidavit by broker.
To fill out the affidavit by broker, brokers must provide accurate information regarding the transaction and sign the document.
The purpose of affidavit by broker is to ensure that brokers are providing truthful and accurate information related to transactions.
Information such as details of the transaction, parties involved, and any relevant financial information must be reported on the affidavit by broker.
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