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FIN161 | 1016Premium Finance Supplemental Application (FORM PF1A) SECTION I DEMOGRAPHIC INFORMATION 1. Applicant Name (indicate name of sole proprietor, partners or corporation):2. Name under which

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How to fill out premium finance supplemental application

01

Gather all necessary information such as the policy number, insured name, and premium amount.

02

Complete all required sections of the supplemental application form accurately.

03

Provide any requested supporting documentation, such as bank statements or financial statements.

04

Review the completed form to ensure all information is correct before submitting it.

Who needs premium finance supplemental application?

01

Insurance agents or brokers who are arranging premium financing for their clients.

02

Individuals or businesses looking to finance their insurance premiums.

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What is premium finance supplemental application?

The premium finance supplemental application is a form that allows individuals or companies to finance their insurance premiums through a third-party lender.

Who is required to file premium finance supplemental application?

Anyone looking to finance their insurance premiums through a third-party lender is required to file a premium finance supplemental application.

How to fill out premium finance supplemental application?

To fill out the premium finance supplemental application, individuals or companies must provide information about the insurance policy, the amount to be financed, and their financial information.

What is the purpose of premium finance supplemental application?

The purpose of the premium finance supplemental application is to allow individuals or companies to spread out the cost of their insurance premiums over time by financing them.

What information must be reported on premium finance supplemental application?

The information required on the premium finance supplemental application includes details about the insurance policy, the financing amount, and the applicant's financial information.

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