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| Form Number: Citizenship Affidavit GID-276-EN |  | | Title: Citizenship Affidavit | Published: 2013 | | Description: Effective 1-1-2012, this form is required of persons making application for all licenses, permits, registrations and certifications in order to comply with the Georgia Illegal Immigration Reform And Enforcement Act. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. |
| Form Number: GID-021-EN JAN2012 |  | | Title: Application For A License As An Insurance Premium Finance Company | Published: 2012 | | Description: This application form is required for Insurance Premium Finance Companies requesting approval for a license to operate in the State of Georgia. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. Effective 1-1-2012, this form is required of persons making application for all licenses, permits, registrations and certifications in order to comply with the Georgia Illegal Immigration Reform And Enforcement Act. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. |
| Form Number: GID-022-EN JAN2012 | | | Title: Application For Renewal License As An Insurance Premium Finance Company | Published: 2012 | | Description: Annual Renewal Licensing form used by Premium Finance Companies. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. Effective 1-1-2012, this form is required of persons making application for all licenses, permits, registrations and certifications in order to comply with the Georgia Illegal Immigration Reform And Enforcement Act. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. |
| Form Number: GID-023-EN DEC09 | | | Title: Biographical Questionnaire For Premium Finance Companies | Published: 2011 | | Description: The Biographical Questionnaire must be completed by Affiants of Premium Finance Companies. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. |
| Form Number: GID-024-EN DEC09 | | | Title: Annual Report Of Insurance Premium Finance Companies | Published: 2011 | | Description: Insurance Premium Finance Companies are required to file this form with the department annually. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. |
| Form Number: GID-028-EN DEC09 | | | Title: Insurance Premium Finance Company Bond | Published: 2011 | | Description: This bond is required of Insurance Premium Finance Companies to operate within the state. Instructions are included with the form. This bond form requires the Licensee's and Surety's seals to be affixed. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. |
| Form Number: GID-040-EN DEC09 | | | Title: Insurance Premium Finance Company Convenience And Advantage Form | Published: 2011 | | Description: This form is submitted by companies to request approval for operating as an Insurance Premium Finance Company within the state. Instructions are included with the form. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. |
| Form Number: GID-053-NT (same as GID-053-EN) | | | Title: Authority For Release Of Information | Published: 2011 | | Description: This form is submitted to authorized the Office of Commissioner of Insurance to conduct a background investigation. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. |
| Form Number: GID-361-NT JAN2013 | | | Title: Premium Finance Renewal Instructions And Check Sheet Letter | Published: 2013 | | Description: Annual Statement Filing Instructions for Premium Finance Companies Renewal and Check Sheet. This Check Sheet is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. |
| Form Number: OCGA 120-2-21 Premium Finance Licensing Instructions | | | Title: Premium Finance Licensing Instructions | Published: 2009 | | Description: These instructions provide the statue and regulation framework required for licensing as a Premium Finance Company within the state. It includes a Synopsis Of Requirements. |
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