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  • Ohio Surplus Lines Affidavit

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The surplus line broker shall collect the Ohio tax of five percent of the amount of the premium for the insurance policy at the time the insurance policy is delivered to the insured. Name of Insured Name and Title Sworn to before me and subscribed in my presence the day of. My commission expires Signature of Notary Accredited by the National Association of Insurance Commissioners NAIC INS4024 Rev. 01/2011 Page 1 of 1.

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Related content

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Surplus lines insurance is a special type of insurance that covers unique risks. It fills a gap in the standard market by covering things that most companies can't or won't insure.

Surplus lines insurance is a special type of insurance that covers unique risks. It fills a gap in the standard market by covering things that most companies can't or won't insure.

Courtesy Filing – A courtesy filing is when an agent licensed in a state other than your own submits the taxes due for a surplus lines policy on your behalf . Any agent with a resident surplus lines license can file taxes for another agent if the state allows courtesy filing.

The ODI Surplus Lines Licensing page covers this. If commissions are paid to an individual, the individual must be surplus lines licensed and must file and pay taxes.

People generally seek insurance from a surplus lines carrier when the risk is unusual and the insurance companies authorized in the state (“admitted carriers”) are unable or unwilling to cover that risk.

A courtesy filing is the reporting of a surplus lines insurance policy with SLTX and payment of premium taxes to the Comptroller by a licensed surplus lines broker who was not involved in the original transaction. Under Title 28, Sec.

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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
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 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