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AFFIDAVIT BY FORMER INSURER PURSUANT TO N.C. GEN. STAT. 5871141TO:NCDOI/PEARSON VUE Proposed appointing insurer Surety Bondsman applying for appointmentThe following Affidavit is given under oath.
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How to fill out affidavit by former insurer

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How to fill out affidavit by former insurer

01
Obtain the affidavit form from your former insurer.
02
Fill in your personal details such as name, address, and policy number.
03
Provide details about the incident or claim for which the affidavit is being filled out.
04
Sign and date the affidavit in the presence of a notary public or other authorized witness.
05
Submit the completed affidavit to the appropriate party as instructed by your former insurer.

Who needs affidavit by former insurer?

01
Individuals who are involved in a legal dispute or insurance claim and require a sworn statement from their former insurer to support their case.
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An affidavit by former insurer is a legal document provided by an insurance company that has previously issued a policy, affirming certain facts about that policy or the insured.
The former insurer who issued the insurance policy is generally required to file the affidavit.
To fill out an affidavit by a former insurer, you must provide relevant details such as the policy number, dates of coverage, and any claims made, along with a notarized signature.
The purpose of the affidavit by former insurer is to verify and document the terms and status of a former insurance policy, often required for legal or claims purposes.
Important information to report includes the policyholder's name, policy number, coverage dates, types of coverage, and any claims history.
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