PREMIUM FINANCE AGREEMENTPremium Finance Agreement • March 19th, 2007 • Florida
Contract Type FiledMarch 19th, 2007 JurisdictionFEDERAL TRUTH-IN-LENDING DISCLOSURE STATEMENT Cash Price Total Premium Down Payment Unpaid Balance State Required Documentary Stamps Amount Financed The amount of credit provided to you or onyour behalf Finance Charge Dollar amount the credit will cost you Total of PaymentsThe amount you will have paid after you havemade all payments as shown AnnualPercentage Rate (APR)The cost of your credit as a Yearly Rate SECURITY: You are giving a security interest in any and all unearned return premiums and dividends which may become payable under the policies.LATE CHARGE: If a payment is 5 days late you will be charged a $10 per delinquent payment for personal policies or 5% of the scheduled payment for commercial policies with a minimum of $10.00 PREPAYMENT If you pay off early, you will not have to pay a penalty and you may be entitled to a refund of part of the finance charge. YOUR PAYMENT SCHEDULE WILL BE Amount of each