Get Affidavit Of Lost Bcertificateb Of Authority - National Bb - Naic

Filling out the affidavit of lost certificate of authority is an essential process for individuals and organizations that have misplaced an important document. This guide will walk you through each step to ensure that you can complete the form correctly and efficiently online.

Follow the steps to fill out the affidavit of lost certificate of authority online.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin filling in your name in the 'Applicant Name' field, ensuring it accurately reflects the individual or entity filing the affidavit.
3. Enter the NAIC number in the designated field. This unique identifier is crucial for identifying your company.
4. Fill in the FEIN (Federal Employer Identification Number). This number is essential for tax identification purposes.
5. In the ‘STATE OF’ section, provide the state where the affidavit is being executed.
6. For ‘COUNTY OF’, enter the county where you are filing the affidavit.
7. In the section beginning with 'who after being by me duly sworn upon oath', enter the name of the person appearing before the authority.
8. Fill in the title or position of the person in the company in the corresponding section.
9. Insert the name of the company in the provided field.
10. Specify the city and state of domicile for the company.
11. Indicate the name of the state department of insurance that issued the certificate.
12. In the year section, provide the year when the certificate was initially issued.
13. Confirm that the certificate is considered lost, misplaced, or destroyed.
14. State the intention to return the certificate to the state department of insurance if it is found.
15. Date the affidavit by filling in the day and month on the 'DATED this' line.
16. Sign the affidavit in the designated area at the bottom of the document.
17. Complete the notary section, including the notary’s signature and seal.
18. Review all fields for accuracy before saving your changes.
19. Once everything is completed, you can download, print, or share the form as necessary.

Start filling out your affidavit of lost certificate of authority online today to ensure you meet your legal obligations.