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Forms. In the event of insolvency of the unauthorized insurers, losses will not be covered by any New York State Insolvency Fund. TOTAL COST FORM .

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How to fill out the Cost Of Fillable Form online

The Cost Of Fillable Form is essential for documenting the total costs associated with your insurance policy, including premiums and additional fees. This guide will assist you in accurately completing each section of the form to ensure transparency and compliance.

Follow the steps to fill out the Cost Of Fillable Form online

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the broker's name and their street address, city, NY, and zip code in the designated fields at the top of the form.
  3. Fill in the date of the form using the format MM/DD/YYYY.
  4. In the policy number section, write the policy number that pertains to the insurance you are discussing.
  5. Indicate the name of the insurance company providing your policy in the insurer section.
  6. Break down the total costs by filling in the premium or allocated premium, excess line tax (3.6%), stamping fee (0.4%), broker fee, inspection fee, and any applicable NY City Fire Patrol tax in their respective fields.
  7. Calculate the gross premium by summing the values of the above fees and enter this total in the gross premium section.
  8. Finally, calculate the total policy cost by ensuring all costs are included, and enter this amount in the total policy cost field.
  9. Once all fields are complete, add your signature and date to the designated area to finalize your submission.

Complete your documents online to ensure efficient processing and management.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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