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PREMIUM FINANCE AGREEMENT AND DISCLOSURE STATEMENT E.T.I.×FLORIDA DATE RECD. AMT. RECD. CK.# AMT. PLEASE CHECK APPROPRIATE BOX×ES) E.T.I. FINANCIAL CORPORATION P.O. BOX 829522 PEMBROKE PINES, FL
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How to fill out a premium finance agreement and:

01
Gather all necessary information and paperwork such as insurance policy details, premium amount, and financing company requirements.
02
Read through the premium finance agreement carefully, ensuring that you understand all terms and conditions, repayment terms, and any additional fees or charges associated with the financing.
03
Fill in the required personal information accurately, including name, address, contact details, and relevant identification numbers or references.
04
Provide the details of the insurance policy being financed, including the insurance provider's name, policy number, effective dates, and coverage details.
05
Specify the premium amount that needs to be financed and indicate the desired financing repayment term (e.g., monthly, quarterly, annually).
06
Review and confirm any additional charges, interest rates, or fees associated with the premium finance agreement and ensure they align with your understanding and expectations.
07
Sign and date the premium finance agreement, indicating your consent and agreement to the terms stated.

Who needs a premium finance agreement and:

01
Individuals or businesses who wish to finance their insurance policy premiums instead of paying the full amount upfront may require a premium finance agreement.
02
Small businesses or individuals with limited cash flow may benefit from a premium finance agreement as it allows them to spread the cost of their insurance premiums over a specified period.
03
Those who want to manage their finances more effectively by budgeting for regular, manageable premium payments rather than dealing with one large lump sum payment may find a premium finance agreement helpful.
Please note that it is advisable to consult with a financial advisor or insurance professional to understand the specific circumstances under which a premium finance agreement may be suitable for your situation.
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A premium finance agreement is a contract between an insured individual or business and a finance company to pay insurance premiums in installments.
The insured individual or business is required to file the premium finance agreement.
The premium finance agreement can be filled out by providing all necessary information about the insured individual or business, the insurance policy, and the payment terms.
The purpose of a premium finance agreement is to help individuals or businesses manage the cost of insurance premiums by spreading payments over time.
The premium finance agreement must include information about the insured individual or business, the insurance policy being financed, the payment schedule, and any applicable fees.
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