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Check Number: Check Number/s: KIM HOLLAND OKLAHOMA INSURANCE COMMISSIONER 2401 NW 23rd Street Suite 28 (Zip Code 73107) P.O. Box 53408 (Zip Code 73152-3408) Oklahoma City, OK (405) 521-3916 APPLICATION FOR VIATICAL SETTLEMENT PROVIDER ATTENTION: WE COOPERATE WITH THE OKLAHOMA COUNTY DISTRICT ATTORNEY IN THE PROSECUTION OF BOGUS CHECK WRITERS. I hereby acknowledge my understanding that an intentional misstatement of fact required to be disclosed on this application constitutes a violation of.

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How to fill out the VSPRev 121008.doc - Ok online

Filling out the VSPRev 121008.doc - Ok form is crucial for those seeking to apply as a viatical settlement provider in Oklahoma. This guide provides clear, step-by-step instructions to help users navigate the form effectively.

Follow the steps to fill out the form accurately and comprehensively.

  1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
  2. Begin by providing the necessary fees. Enter the total amount enclosed for the new application. If applying as a foreign company, include the required service of process fee.
  3. In the applicant's name section, enter your full name, including last, first, and middle names, followed by your date of birth.
  4. If applicable, fill in the corporation name and indicate whether you are authorized by the Secretary of State to transact business in Oklahoma.
  5. Complete the fields for the applicant's social security number, company's federal employer identification number, and Oklahoma License number.
  6. Provide your mailing address and ensure all details, including city, state, and zip code, are accurate.
  7. Input your telephone and fax numbers in the designated fields.
  8. Designate a contact person and provide their email address for communication purposes.
  9. List the principal business address where you operate, including city, state, and zip code.
  10. Answer the compliance questions regarding any previous license issues or legal violations. Use a separate sheet for detailed responses if necessary.
  11. Complete any additional required exhibits and ensure they are attached in accordance with the requirements listed in the form.
  12. Designate the Insurance Commissioner as the agent for service of process (if applicable) and provide the date on which you are completing the application.
  13. Sign and date the application, ensuring all declarations are acknowledged by the required parties.
  14. After completing all fields, review the form for any errors before saving your changes, or downloading, printing, or sharing the completed form.

Complete the VSPRev 121008.doc - Ok online today for your viatical settlement provider application.

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Deposits may be made through JPay over the phone by calling 1-800-574-5729. Cash may be sent through MoneyGram locations, including CVS and Walmart, using the receive code 6365 in addition to the inmate's seven-digit ODOC number. A money order or cashier's check may be mailed to JPay.

Requesters can look-up inmate information by: Checking the online database provided by the agency. Sending a mail to the agency. Calling the agency. Visiting the prison or jail facility in person.

Members of the public may find arrest records for free in Oklahoma via the county sheriff's office, local enforcement agency, and the Oklahoma State Bureau of Investigation (OSBI), where the arrest record was filed.

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© Copyright 1997-2026
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
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
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
altaFlow
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 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232