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
EXHIBIT 10.5 COMMERCIAL PREMIUM FINANCE AGREEMENT AFCO PREMIUM CREDIT LLC A Joint Venture of AFCO Credit Corporation and Marsh USA Inc. 2951 FLOWERS ROAD SOUTH, SUITE #132, ATLANTA, GA 30341 TEL. NOS. (770) 455-4850 (800) 288-5410 Page 1 of 2Commercial Premium Finance Agreement • August 6th, 2004 • Cryolife Inc • Services-misc health & allied services, nec
COMMERCIAL PREMIUM FINANCE AGREEMENTCommercial Premium Finance Agreement • August 25th, 2020
Total Premiums, Taxes and Fees Cash Down Payment Unpaid Premium Balance Documentary Stamp Tax(only applicable in Florida) Amount Financed (amount of creditprovided on your behalf) FINANCE CHARGE(dollar amount the credit will cost you) Total of Payments (amount paid aftermaking all scheduled payments) ANNUAL PERCENTAGE RATE(cost of credit as ayearly rate) %
AFCO Premium Financing AgreementCommercial Premium Finance Agreement • April 1st, 2019 • New York
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 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
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
Agent (Name and Address) 10054613 AON Risk Services Inc. of PA One Liberty PlaceCommercial Premium Finance Agreement • March 16th, 2007 • Neose Technologies Inc • Medicinal chemicals & botanical products • New York
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 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 1. The Insured may prepay the full amount due and receive a refund of the unearned interest as provided on page 2 of this agreement.2. As security for the payments to be made, the insured assigns FIRST INSURANCE FUNDING CORP. (herein referred to as"FIRST") a sec
