SECURITY AGREEMENTPremium Finance Agreement • May 4th, 2021 • Florida
IMPORTANT: THE BORROWER’S ATTENTION IS DRAWN IN PARTICULAR TO THE PROVISIONS OF CLAUSES 11, 12 AND 13 OF THIS INSURANCE PREMIUM FINANCE AGREEMENT.Premium Finance Agreement • July 7th, 2021
In consideration of Momentum Credit Limited (hereafter referred to as “MCL”) paying the premium amount to the Insurer (as defined in the schedule hereto) on behalf of the Borrower being the amount payable by the Borrower to the Insurer under the policy (as defined in the schedule hereto in respect to motor vehicles (hereafter referred to as “vehicle”):
Refer to this agreement numberPremium Finance Agreement • March 21st, 2022 • Quebec
COMMERCIAL PREMIUM FINANCE AGREEMENTPremium 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) %
SCHEDULE OF POLICIESPremium Finance Agreement • February 1st, 2008
SECURITY: You are giving a security interest in unearned premiums and loss payments on the insurance policy being purchased.
COMMERCIAL PREMIUM FINANCE AGREEMENTPremium 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
PREMIUM FINANCE AGREEMENT DISCLOSURE STATEMENT AND SECURITY AGREEMENT (CA License # 9739145 (AICCO, Inc.)) (CA License # 9739865 (Imperial Premium Finance, Inc.)) AICCO, Inc.Premium Finance Agreement • November 15th, 2007 • IPC the Hospitalist Company, Inc. • Services-misc health & allied services, nec • Idaho
Agent (Name and Address) 10054613 AON Risk Services Inc. of PA One Liberty PlacePremium Finance Agreement • March 16th, 2007 • Neose Technologies Inc • Medicinal chemicals & botanical products • New York
ContractPremium Finance Agreement • October 31st, 2002
INSURANCE PREMIUM FINANCE AGREEMENT ACCOUNT NUMBER P.O. Box 105611 • Atlanta, GA 30348-5611(678) 498-4700 • (800) 925-2546 • FAX (678) 498-4747 • www.siuprem.com ❒ PERSONAL❒ COMMERCIAL ❒ NEW ❒ RENEWAL❒ ENDORSEMENT INSURED SSN# AGENT AGENT # MAILING ADDRESS TAX ID# ADDRESS RISK LOCATION CITY - STATE - ZIP CITY - STATE - ZIP PHONE PHONE PREFIX AND POLICY NO. EFFECTIVE DATE EXPIRATION DATE TERM FULL NAME OF INSURANCE CO / BRANCH OFFICE ADDRESS NAME AND ADDRESS OF GENERAL AGENT IF ANY COVERAGE TYPE POLICY PREMIUM FEE TAX FEE TAX In consideration of the payment by SIUPREM, INC. (hereinafter referred to as SIUPREM) of the A MOUNT FINANCED of the premium described above for my account and on my behalf, I hereby accept the following terms and conditions:1. I agree to repay to SIUPREM the TOTAL OF PAYMENTS (The amount paid after making the scheduled payments) in accordance with the payment schedule shown below. I agree to make the FIRST PAYMENT DUE on tim
PREMIUM FINANCE AGREEMENT Florida ***A939343*** Tallahassee, FL 32315 Phone 850-907-5610Premium Finance Agreement • May 10th, 2011 • Oragenics Inc • Pharmaceutical preparations
hereinafter called the Borrower , and Premium Assignment Corporation, a Florida Corporation hereinafter called Lender, for the purpose of financing the purchase of insurance policies described in the scheduled Policies of Insurance listed in page 3 to this Agreement.
PREMIUM FINANCE AGREEMENT ***A719799*** Louisiana P.O. Box 3066 - 3522 Thomasville Rd. Tallahassee, FL 32315 Phone 850-907-5610 ¨PERSONAL xCOMMERCIAL ¨NEW xAGENCY RENEWAL ¨ADD’L PREMIUM THIS AGREEMENT, made effective the 1 day of May 2010 , between...Premium Finance Agreement • March 17th, 2011 • Windstar Energy, LLC • Florida
hereinafter called the Borrower, and Premium Assignment Corporation, a Florida Corporation hereinafter called Lender, for the purpose of financing the purchase of insurance policies described in the Scheduled Policies of Insurance listed in page 3 to this Agreement.
Commercial Premium Finance Agreement - Promissory NotePremium Finance Agreement • November 19th, 2005 • New York
EXHIBIT APremium Finance Agreement • May 23rd, 2014 • Colorado
