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STATE OF NORTH CAROLINA Department of the Secretary of State AGENT S STATEMENT OF CHANGE OF REGISTERED OFFICE ADDRESS Pursuant to 55D-31 of the General Statutes of North Carolina, the undersigned
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How to fill out North Carolina Agents Statement:

01
Obtain the North Carolina Agents Statement form: The form can be found on the North Carolina Department of Insurance website or can be requested from your insurance agency.
02
Gather the necessary information: The form will require you to provide personal details such as your name, address, and contact information. Have this information readily available before starting to fill out the form.
03
Identify the purpose: Determine why you are filling out the North Carolina Agents Statement. This form is typically used for insurance licensing purposes, so make sure you understand the specific requirements for your situation.
04
Complete the sections: The form may have different sections that require various information. Read the instructions carefully and provide the requested details accurately. Some sections may ask for your professional experience, qualifications, and any criminal or disciplinary history.
05
Review and double-check: Before submitting the form, review all the information you have provided to ensure its accuracy and completeness. Pay attention to details such as spelling and dates.
06
Date and sign: Once you are satisfied with the information provided, date and sign the form to certify its authenticity.
07
Submit the form: Follow the instructions on where and how to submit the completed North Carolina Agents Statement. This may include mailing it to the designated address or submitting it online through the North Carolina Department of Insurance portal.

Who needs North Carolina Agents Statement?

01
Insurance agents and brokers: Individuals who want to become licensed insurance agents or brokers in North Carolina are typically required to submit a North Carolina Agents Statement as part of the licensing process.
02
Renewing license holders: Insurance professionals who need to renew their licenses may also be required to submit an updated North Carolina Agents Statement as part of the renewal process.
03
Applicants for professional designations: Some professional designations in the insurance industry may require applicants to provide a North Carolina Agents Statement as part of the certification process.
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The North Carolina agent's statement is a form filed by insurance agents in North Carolina to disclose their business activities.
All licensed insurance agents operating in the state of North Carolina are required to file the agent's statement.
The North Carolina agent's statement can be filled out online on the North Carolina Department of Insurance website or submitted by mail.
The purpose of the North Carolina agent's statement is to provide transparency and accountability of insurance agents' business activities.
Information such as the agent's contact details, licensing information, business activities, and any disciplinary actions must be reported on the agent's statement.
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