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Offices of the West Virginia Insurance Commissioner Due Diligence Form Form DDF Revised 8/09 New Renewal Rewrite Customer ID This form must be forwarded to the licensed surplus lines licensee placing the risk in the surplus lines market and must be retained in his or her office and may be examined at any time by the commissioner pursuant to W.Va. C. S* R* 114-20-4. 2 a and 114-20-4. 5. hereby submits that he/she is a duly licensed individual insurance producer under West Producer Name Type or Print Virginia Offices of the Insurance Commissioner license number Risk Description A Insured Name Type or Print B Address of Insured C Description of Risk D Location of Risk E Type of Coverage Street and Number City State Zip e*g* Laundromat Liquor Store. Do Not List Type of Coverage Is the type of coverage described on lines 2 C and 2 E on the current West Virginia Export List for both the type of insurance and the location in the State YES NO If you answered NO continue to Number 4 below. I de....

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Surplus lines tax: 4.55%, collected and remitted to Commissioner by surplus lines licensee. The surplus lines tax is imposed on gross fees charged to the policyholder in addition to net premiums.

West Virginia imposes insurance taxes at the rate of: 3% (2% plus 1%) for the base tax on all insurance premiums, except annuities; ( W.Va. Code Sec. 33-3-14(a); W.Va.

Surplus lines insurance protects against a financial risk that a regular insurance company will not take on. Surplus lines insurance policies are available in a variety of types for both individuals and businesses. Surplus lines insurance is generally more expensive than regular insurance because the risks are higher.

A: Every surplus line broker must make an annual state tax filing. The amount of state tax is 3% of the California taxable surplus line premium transacted by the broker, for California home state insureds, from January 1st to December 31st of the previous year.

Surplus lines tax: 2.25%, (except workers' compensation) payable by broker.

Surplus lines tax: 4.55%, collected and remitted to Commissioner by surplus lines licensee. The surplus lines tax is imposed on gross fees charged to the policyholder in addition to net premiums.

West Virginia imposes insurance taxes at the rate of: 3% (2% plus 1%) for the base tax on all insurance premiums, except annuities; ( W.Va. Code Sec. 33-3-14(a); W.Va.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232