Get Az Form E126xs 2018

This guide provides a clear and supportive approach to filling out the AZ Form E126XS online. Follow the steps to ensure a complete and accurate submission for the release of excess deposit funds with the Arizona Department of Insurance.

Follow the steps to fill out the AZ Form E126XS correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the name of the company in the designated section labeled 'Name of Company.' Make sure to print the name exactly as registered.
3. Input the NAIC number in the corresponding field. This number is essential for identifying your corporation within the insurance industry.
4. In the section for funds deposited, fill in the total amount, ensuring it reflects the face value of the funds to be released.
5. Complete the next field by entering the required deposit amount. If applicable, state the amounts in the placeholders provided.
6. Certify the information by signing your name in the ‘Signed’ field and noting the date in the ‘Dated’ section.
7. Indicate your capacity within the organization in the 'In my capacity as:' field.
8. If relevant, attach the properly completed and signed Release Form E126CD for each Certificate of Deposit to be released.
9. Specify the mailing address where a copy of this Order should be sent in the section labeled 'Please mail our copy of this Order to:.'
10. Review all information entered for accuracy. Save the form, and then choose to download, print, or share as needed for your records.

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