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Part A: Affidavit by Excess Line Broker

Part A: Affidavit by Excess Line BrokerDownload Part A: Affidavit by Excess Line Broker
Part A: Tax Allocation Report (DFS Form EL-4)Download Part A: Tax Allocation Report (DFS Form EL-4)

Part C: Affidavit by Producing Broker

Part C: Affidavit by Producing BrokerDownload Part C: Affidavit by Producing Broker
Part C: Affidavit by Producing Broker (Electronic)Open Part C: Affidavit by Producing Broker (Electronic)

ELANY Broker of Record Form

ELANY Broker of Record FormDownload ELANY Broker of Record Form

Notice of Excess Line Placement/Total Cost Form

Notice of Excess Line Placement/Non Tax Allocated Total Cost FormDownload Notice of Excess Line Placement/Non Tax Allocated Total Cost Form

Direct Procurement Tax Form - CT33D

Form for Taxable Insurance Contracts effective 7/21/2011Download Form for Taxable Insurance Contracts effective 7/21/2011
InstructionsDownload Instructions

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