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Kingston Insurance Company 15 Joys Lane Kingston, New York 124013705 Tel: 845.331.3288 / Fax: 845.340.8393 www.kingstoneinsurance.com STATEMENT OF NO LOSS Producer: Insured Name: Insured Location:

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How to fill out statement of no loss

How to fill out a statement of no loss:

01

Begin by providing your full name and contact information at the top of the form.

02

Indicate the date on which the statement is being filled out.

03

Provide a detailed description of the situation for which the statement of no loss is needed. This may include an incident, accident, or claim that you are asserting did not result in any financial loss.

04

Include any relevant documentation or evidence that supports your claim of no loss. This could include photographs, invoices, receipts, or witness statements.

05

If applicable, provide contact information for any individuals or entities that could verify the validity of your statement.

06

Sign and date the statement at the bottom to attest to its accuracy.

Who needs a statement of no loss:

01

Insurance companies may require a statement of no loss when processing claims. This helps them assess the validity of the claim and determine if any financial compensation is necessary.

02

Individuals or businesses involved in legal proceedings may need a statement of no loss to provide evidence or bolster their case.

03

In some cases, lenders or financial institutions may request a statement of no loss as part of their due diligence process when considering granting a loan or extending credit.

Note: The specific requirements for a statement of no loss may vary depending on the purpose and the entity requesting it. It is important to carefully review any instructions provided and ensure that all necessary information is included in the statement.

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What is statement of no loss?

Statement of no loss is a form used to declare that there have been no losses or damages in a specific time period.

Who is required to file statement of no loss?

All insured individuals or entities are required to file statement of no loss.

How to fill out statement of no loss?

You can fill out statement of no loss by providing information about the insured property and confirming that there have been no losses or damages.

What is the purpose of statement of no loss?

The purpose of statement of no loss is to update the insurance company about the status of the insured property.

What information must be reported on statement of no loss?

The statement of no loss must include details about the insured property, policyholder information, and a declaration of no losses or damages.

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