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AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS) BUSINESS AUTHORIZED TO DEBIT/CREDIT ACCOUNT Authorized Business Name gotoPremiumFinance.com (hereinafter called COMPANY) Authorized Business

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How to fill out premium finance agreement and

01

Obtain a copy of the premium finance agreement form.

02

Fill in the required personal and financial information, such as name, address, phone number, and payment details.

03

Review the terms and conditions of the agreement carefully before signing.

04

Sign and date the agreement where indicated.

05

Keep a copy of the completed agreement for your records.

Who needs premium finance agreement and?

01

Individuals or businesses who are looking to finance their insurance premiums.

02

Insurance agents or brokers who want to offer their clients the option to pay premiums in installments.

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What is premium finance agreement?

A premium finance agreement is a contract between a borrower and a lender to finance insurance premiums.

Who is required to file premium finance agreement?

Insurance companies or agents are required to file premium finance agreements.

How to fill out premium finance agreement?

Premium finance agreements can be filled out by providing the necessary details of the borrower, lender, insurance policy, and payment terms.

What is the purpose of premium finance agreement?

The purpose of a premium finance agreement is to allow a borrower to pay insurance premiums over time with the help of a lender.

What information must be reported on premium finance agreement?

Information such as borrower's details, lender's details, insurance policy information, and payment terms must be reported on premium finance agreement.

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