Common Contracts
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COMMERCIAL PREMIUM FINANCE AGREEMENT AND DISCLOSURE STATEMENTMarch 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
