Get the free 375-0702 (10-19) SURPLUS LINES TAX REMITTANCE. MISSOURI DEPARTMENT OF REVENUE - insu...
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MISSOURI DEPARTMENT OF REVENUE
POST OFFICE BOX 898
JEFFERSON CITY MO, 651050898SavePrintResetSURPLUS LINES TAX REMITTANCEFORM SEND THIS FORM AND CHECK TO Missouri Department of Revenue at the above
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How to fill out 375-0702 10-19 surplus lines
How to fill out 375-0702 10-19 surplus lines
01
To fill out form 375-0702 10-19 surplus lines, follow the steps below:
02
Begin by entering the policyholder's name in the designated field.
03
Provide the contact information of the person responsible for handling the policy.
04
Specify the policy number and effective date of the surplus lines policy.
05
Indicate the type of surplus lines transaction (new, renewal, or endorsement).
06
Enter the name and address of the producing broker or agent involved.
07
Provide details regarding the risk insured, including its location and description.
08
Fill out the premium breakdown, itemizing the various coverage types and their corresponding amounts.
09
If applicable, include any applicable endorsements or additional remarks regarding the policy.
10
Ensure all the required fields are completed accurately and legibly.
11
Review the filled form for any errors or omissions before submitting it.
Who needs 375-0702 10-19 surplus lines?
01
0702 10-19 surplus lines are needed by individuals or businesses seeking to obtain coverage through surplus lines insurers.
02
These surplus lines policies provide insurance options beyond what traditional admitted carriers offer.
03
Typically, individuals or businesses that have unique or high-risk exposures requiring specialized insurance coverage turn to surplus lines insurers.
04
Examples of those who may need surplus lines coverage include high-risk contractors, non-standard property owners, or certain industries with hard-to-insure risks.
05
It is important to consult with a licensed insurance broker or agent to determine if surplus lines coverage is suitable for specific insurance needs.
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What is 375-0702 10-19 surplus lines?
375-0702 10-19 surplus lines refers to a specific form used to report surplus lines insurance transactions in compliance with state regulatory requirements.
Who is required to file 375-0702 10-19 surplus lines?
Insurance producers or brokers who place surplus lines insurance coverage must file the 375-0702 10-19 form.
How to fill out 375-0702 10-19 surplus lines?
To fill out the form, include details such as the insured's name, coverage type, premium amounts, and the surplus lines insurer's information, following the provided instructions.
What is the purpose of 375-0702 10-19 surplus lines?
The purpose is to ensure proper reporting and taxation of surplus lines insurance transactions to maintain regulatory compliance.
What information must be reported on 375-0702 10-19 surplus lines?
The form requires information including the insured's name, risk location, type of coverage, policy number, premiums, and the name of the surplus lines insurer.
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