Get Pa Dl-9106 2021

Completing the PA DL-9106, also known as the Affidavit of Intended Use, is a vital step for agencies and firms in the insurance business. This guide will provide users with a comprehensive and clear process for filling out this form online.

Follow the steps to efficiently complete the PA DL-9106 online.

1. Click the ‘Get Form’ button to obtain the PA DL-9106 and access it in your selected editing platform.
2. Enter the legal business name and any 'Doing Business As' (D/B/A) name, if applicable. Ensure all fields are filled completely to prevent processing delays.
3. Identify the person responsible for the affidavit by providing their name, title, and contact details, including physical address, phone number, and email address.
4. Fill in the federal employer identification number and other licensing information, including certificate numbers, expiration dates, and any relevant insurance licenses. Attach required copies.
5. Review the ownership section, listing each individual involved in the management of the business. If there are many individuals, consider attaching a separate list.
6. Carefully read, initial each of the eight declaration statements indicating your commitment to using the information responsibly. Sign and date the form in front of a notary.
7. After completing and notarizing the affidavit, save your changes, and then prepare to send it to the designated address for processing.

Ensure your business documentation is complete and file your PA DL-9106 online today.