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  • Br7 Mass Affidavit Fillable Form

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Form BR7 20 AFFIDAVIT BY ASSURED Affidavit # I/We of do hereby state that in , 20 , I/We directed my/our Insurance Broker to obtain insurance against certain risks as described herein. My/Our Insurance.

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Related content

Affidavit by Assured/Special Broker (Form BR-7)...
My/Our Insurance Broker informed us that the required insurance could not be obtained...
Learn more
http://researchscan04.cs.brown.edu/2E7C05D/pdf-manual-2007...
... 0.7 http://researchscan04.cs.brown.edu/8DFD91C/ksou-1-st-year-ma-in-hindi.html...
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Surplus lines insurance is specialized coverage written by unlicensed, nonadmitted insurance companies to cover specific extraordinary items and uncommon or high risks that are generally not covered by traditional insurance companies under standard policies.

The Surplus Lines Deduction allows taxpayers to deduct from their premiums “sums collected to cover federal and other state taxes and examination fees” when calculating the premium amount subject to the tax.

The Surplus Lines Affidavit serves two main purposes: Confirms the agent and insured are aware that the market with which the coverage was placed is not part of that state's insurance guarantee fund. Provides a record of the collection of surplus lines taxes and state fees.

The licensed surplus lines broker is responsible for ensuring the surplus lines insurer meets eligibility criteria to write policies in the state and remits payment of the surplus lines premium tax to the “home state.” Surplus lines brokers and producers must be licensed to sell surplus lines insurance.

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.

What to Include in an Affidavit The name, address, and occupation of the affiant. A statement of facts that the affiant swears are true, to the best of their knowledge. The date and location of the affidavit. The signature of the affiant. The signature of the notary public witnessing the affidavit.

Are any surplus lines premiums exempt from the 4% surplus lines tax? Yes, premium tax shall not apply to any surplus lines policy issued to the Massachusetts Bay Transportation Authority, Federal Credit Unions when they are the purchaser and tribal lands on reservations.

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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