Finance Agreement RequestFinance Agreement • March 18th, 2010
Contract Type FiledMarch 18th, 2010Please complete Policy 1 Policy 2 Policy 3 Policy number Effective date of endorsement Insurance Company General Agent Additional Premium Down payment (a)- 25% of total AP for end effective within 30 days- 40% of total AP for end effective over 30 days- 50% of total AP for end effective over 60 days Amount Financed Surplus Line Tax (4.85% of a) Stamping Fees (0.06% of a) Total downpayment to pay