Common Contracts
8 similar Commercial Premium Finance Agreement contracts
COMMERCIAL PREMIUM FINANCE AGREEMENT AND DISCLOSURE STATEMENTCommercial Premium Finance Agreement • March 16th, 2011
INSURED/BORROWER (Name and address as shown on Policy)Strategic Forecasting, Inc. 221 West 6th Street, Suite 400 Austin TX 78701 Telephone Number: (512) 744-4327Direct Correspondence to: Don Kuykendall A Total Premium $ 12,060.00 B Cash Down Payment Required $ 2,446.50 C Unpaid Premium Balance $ 9,613.50 D Documentary Stamp Tax(only applicable in Florida) $ 0.00 E Amount Financed (The amount of credit provided on your behalf) $ 9,613.50 AGENT or BROKER (Name and Business Address) 08928-0001CIA Ins. Agency/Wortham Ins & Risk Mgmt. 221 West 6th Street Suite 1400Austin TX 78701Telephone Number: (512) 453-0031F/D: 000 F FINANCE CHARGE(Dollar amount credit will cost you) $ 210.50 G Total of Payments (Amount you will have paid after making all scheduled payments) $ 9,824.00 ANNUAL PERCENTAGE RATE(Cost of your credit figured as a yearly rate) 4.750 % PAYMENT SCHEDULE BELOW, or See Schedule Attached LENDER FIRST INSURANCE FUNDING CORP.450 Skokie Blvd, Suite 1000P.O. Box 3306 Northbrook, IL
COMMERCIAL PREMIUM FINANCE AGREEMENT AND DISCLOSURE STATEMENTCommercial Premium Finance Agreement • July 21st, 2009
INSURED/BORROWER (Name and address as shown on Policy) A Total Premium $ B Cash Down Payment Required $ C Unpaid Premium Balance $ Telephone Number: D Documentary Stamp Tax(only applicable in Florida) $ Direct Correspondence to: E Amount Financed (The amount of credit provided on your behalf) $ AGENT or BROKER (Name and Business Address) F FINANCE CHARGE(Dollar amount credit will cost you) $ G Total of Payments (Amount you will have paid after making all scheduled payments) $ Telephone Number: ANNUAL PERCENTAGE RATE(Cost of your credit figured as a yearly rate) % PAYMENT SCHEDULE BELOW, or See Schedule Attached LENDER FIRST INSURANCE FUNDING CORP.450 Skokie Blvd, Suite 1000P.O. Box 3306 Northbrook, IL 60065-3306Telephone: (800) 837-3707Fax: (800) 837-3709 Number ofPayments Payments are due Amount of EachPayment Prepayment The Insured may prepay the full amount due and receive a refund of the unearned interest as provided on page 2 of this agreement.Security As security
COMMERCIAL PREMIUM FINANCE AGREEMENT AND DISCLOSURE STATEMENTCommercial Premium Finance Agreement • March 22nd, 2006 • North Carolina
INSURED/BORROWER (Name and address as shown on Policy) A Total Premium $ Telephone Number: Direct Correspondence to: B Cash Down Payment Required $ C Unpaid Premium Balance $ D Documentary Stamp Tax(only applicable in Florida) $ E Amount Financed (The amount of credit provided on your behalf) $ AGENT or BROKER (Name and Business Address) Telephone Number: F FINANCE CHARGE(Dollar amount credit will cost you) $ G Total of Payments (Amount you will have paid after making all scheduled payments) $ ANNUAL PERCENTAGE RATE(Cost of your credit figured as a yearly rate) % PAYMENT SCHEDULE BELOW, or See Schedule Attached LENDER FIRST INSURANCE FUNDING CORP.450 Skokie Blvd, Suite 1000P.O. Box 3306 Northbrook, IL 60065-3306Telephone: (800) 837-3707Fax: (800) 837-3709 Number ofPayments Payments are due Amount of EachPayment Prepayment The Insured may prepay the full amount due and Late A late charge will be imposed on any payment which is not receive a refund of the unearned interest as p
COMMERCIAL PREMIUM FINANCE AGREEMENT AND DISCLOSURE STATEMENTCommercial Premium Finance Agreement • February 20th, 2006 • Kentucky
INSURED/BORROWER (Name and address as shown on Policy) A Total Premium $ Telephone Number: Direct Correspondence to: B Cash Down Payment Required $ C Unpaid Premium Balance $ D Documentary Stamp Tax(only applicable in Florida) $ E Amount Financed (The amount of credit provided on your behalf) $ AGENT or BROKER (Name and Business Address) Telephone Number: F FINANCE CHARGE(Dollar amount credit will cost you) $ G Total of Payments (Amount you will have paid after making all scheduled payments) $ ANNUAL PERCENTAGE RATE(Cost of your credit figured as a yearly rate) % PAYMENT SCHEDULE BELOW, or See Schedule Attached LENDER FIRST INSURANCE FUNDING CORP.450 Skokie Blvd, Suite 1000P.O. Box 3306 Northbrook, IL 60065-3306Telephone: (800) 837-3707Fax: (800) 837-3709 Number ofPayments Payments are due Amount of EachPayment Prepayment The Insured may prepay the full amount due and Late A late charge will be imposed on any payment which is not receive a refund of the unearned interest as
COMMERCIAL PREMIUM FINANCE AGREEMENT AND DISCLOSURE STATEMENTCommercial Premium Finance Agreement • August 5th, 2005
INSURED/BORROWER (Name and address as shown on Policy) A Total Premium $ Telephone Number: Direct Correspondence to: B Cash Down Payment Required $ C Unpaid Premium Balance $ D Documentary Stamp Tax(only applicable in Florida) $ E Amount Financed (The amount of credit provided on your behalf) $ AGENT or BROKER (Name and Business Address) F FINANCE CHARGE(Dollar amount credit will cost you) $ G Total of Payments (Amount you will have paid after making all scheduled payments) $ ANNUAL PERCENTAGE RATE(Cost of your credit figured as a yearly rate) % PAYMENT SCHEDULE BELOW, or See Schedule Attached LENDER FIRST INSURANCE FUNDING CORP.450 Skokie Blvd, Suite 1000P.O. Box 3306 Northbrook, IL 60065-3306Telephone: (800) 837-3707Fax: (800) 837-3709 Number ofPayments Payments are due Amount of EachPayment Prepayment The Insured may prepay the full amount due and Late A late charge will be imposed on any payment which is not receive a refund of the unearned interest as provided Payment r
COMMERCIAL PREMIUM FINANCE AGREEMENT AND DISCLOSURE STATEMENTCommercial Premium Finance Agreement • August 5th, 2005 • California
INSURED/BORROWER (Name and address as shown on Policy) A Total Premium $ Telephone Number: Direct Correspondence to: B Cash Down Payment Required $ C Unpaid Premium Balance $ D Documentary Stamp Tax(only applicable in Florida) $ E Amount Financed (The amount of credit provided on your behalf) $ AGENT or BROKER (Name and Business Address) F FINANCE CHARGE(Dollar amount credit will cost you) $ G Total of Payments (Amount you will have paid after making all scheduled payments) $ ANNUAL PERCENTAGE RATE(Cost of your credit figured as a yearly rate) % PAYMENT SCHEDULE BELOW, or See Schedule Attached LENDER FIRST INSURANCE FUNDING CORP.OF CALIFORNIA450 Skokie Blvd, Suite 1000P.O. Box 3306 Northbrook, IL 60065-3306Telephone: (800) 837-3707Fax: (800) 837-3709 Number ofPayments Payments are due Amount of EachPayment Prepayment The Insured may prepay the full amount due and Late A late charge will be imposed on any payment which is not receive a refund of the unearned interest as provid
COMMERCIAL PREMIUM FINANCE AGREEMENT AND DISCLOSURE STATEMENTCommercial Premium Finance Agreement • August 5th, 2005 • North Carolina
INSURED/BORROWER (Name and address as shown on Policy) A Total Premium $ B Cash Down Payment Required $ C Unpaid Premium Balance $ Telephone Number: D Documentary Stamp Tax(only applicable in Florida) $ Direct Correspondence to: E Amount Financed (The amount of credit provided on your behalf) $ AGENT or BROKER (Name and Business Address) F FINANCE CHARGE(Dollar amount credit will cost you) $ G Total of Payments (Amount you will have paid after making all scheduled payments) $ ANNUAL PERCENTAGE RATE(Cost of your credit figured as a yearly rate) % PAYMENT SCHEDULE BELOW, or See Schedule Attached LENDER FIFCO, INC.450 Skokie Blvd, Suite 1000P.O. Box 3306 Northbrook, IL 60065-3306 Number ofPayments Payments are due Amount of EachPayment Telephone: (800) 837-3707 Fax: (800) 837-3709 Prepayment The Insured may prepay the full amount due and receive a refund of the unearned interest as providedon page 2 of this agreement. Late A late charge will be imposed on any payment
COMMERCIAL PREMIUM FINANCE AGREEMENT AND DISCLOSURE STATEMENTCommercial Premium Finance Agreement • August 5th, 2005
INSURED/BORROWER (Name and address as shown on Policy) A Total Premium $ Telephone Number: Direct Correspondence to: B Cash Down Payment Required $ C Unpaid Premium Balance $ D Documentary Stamp Tax(only applicable in Florida) $ E Amount Financed (The amount of credit provided on your behalf) $ AGENT or BROKER (Name and Business Address) F FINANCE CHARGE(Dollar amount credit will cost you) $ G Total of Payments (Amount you will have paid after making all scheduled payments) $ ANNUAL PERCENTAGE RATE(Cost of your credit figured as a yearly rate) % PAYMENT SCHEDULE BELOW, or See Schedule Attached LENDER FIRST INSURANCE FUNDING CORP.450 Skokie Blvd, Suite 1000P.O. Box 3306 Northbrook, IL 60065-3306Telephone: (800) 837-3707Fax: (800) 837-3709 Number ofPayments Payments are due Amount of EachPayment Prepayment The Insured may prepay the full amount due and Late A late charge will be imposed on any payment which is not receive a refund of the unearned interest as provided Payment r
