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AGENCY AGREEMENT LOSS HISTORY DESIGNATED AGENT: Dean & Draper Insurance Agency, LP. 3131 West Alabama 4th Floor Houston, TX 77098 7135270444 Phone 7135270457 Fax Statement of No Known Losses This
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How to fill out a statement of no known:

01
Begin by providing your personal information at the top of the form, including your full name, address, and contact details.
02
Next, indicate the purpose of the statement and the date it is being filled out.
03
In the main body of the statement, clearly state that you have no knowledge or information regarding a particular matter or situation. Be concise and specific in your statement.
04
Sign and date the document at the bottom, confirming the accuracy and truthfulness of the statement.
05
Make a copy of the completed statement for your records, if necessary.

Who needs a statement of no known:

01
Individuals involved in legal proceedings who genuinely have no knowledge about a specific matter may need to fill out a statement of no known. This statement is used to confirm their lack of information or involvement.
02
Authorities, such as law enforcement agencies or government bodies, may request a statement of no known from individuals who may have information relevant to an investigation or inquiry but genuinely have no knowledge about it.
03
Employers or organizations may require employees or members to fill out a statement of no known to establish transparency and compliance with certain regulations or policies.
In summary, anyone who genuinely lacks knowledge about a specific matter or situation in a legal, investigative, or organizational context may need to fill out a statement of no known.
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