Common Contracts
1 similar Commercial Premium Finance Agreement contracts
COMMERCIAL PREMIUM FINANCE AGREEMENTCommercial Premium Finance Agreement • November 17th, 2020
INSURED/BORROWER (Name and address as shown on Policy) A Total Premium $ B Cash Down $ PaymentRequired C Unpaid Premium $ Balance Telephone Number: Direct Correspondence to: D Amount Financed (Amount of credit provided on yourbehalf) $ AGENT or BROKER (Name and Business Address) Value Insurance Agency Inc.300 N Washington St. #104 Alexandria, VA 22314 E Finance Charge $ F Total of Payments $ ANNUAL PERCENTAGE RATE (Cost of credit figured as a % yearly rate) LENDERValue Insurance Agency Inc.300 N Washington St. #104 Alexandria, VA 22314Tel: (703) 351-7878Fax: (703) 527-5102 PAYMENT SCHEDULE or See Schedule BELOW, Attached Number ofPayments Payments are due Amount of EachPayment Prepayment The insured may prepay the full amount due Late A late charge will be imposed on any payment and receive a refund of the unearned interest Payment which is not received by VALUE within five (5)as provided on page 3 of this agreement. days of its due date. This late charge
