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  • Fl Oir-a3-1209 2006

Get Fl Oir-a3-1209 2006-2026

Donor Annuity Issuer's Contact Person: Donor Annuity Issuer's FEIN: STATE OF: COUNTY OF: , (both printed please), of the above named issuer, being duly sworn, each deposes and says that they are the above described officers of the said issuer, and that on , which is the fiscal year-end, the issuer has met all of the requirements of Section 627.481, FS., and Chapter 69O-202, Florida Administrative Code. (Typed Name) (Typed Name) (Signature) (Signature) (Title) (Title) Subscribed an.

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How to fill out the FL OIR-A3-1209 online

Filling out the FL OIR-A3-1209 form online is a straightforward process that allows you to submit important information related to donor annuity agreements. This guide will provide you with a clear, step-by-step approach to ensure that you complete the form accurately and efficiently.

Follow the steps to complete the form online:

  1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editor.
  2. Enter the donor annuity issuer's name in the designated field at the top of the form. Make sure to provide the full and correct name to avoid any processing delays.
  3. Fill in the address details, including the street, city, state or province, and zip or postal code. Accurate information here is crucial for correspondence.
  4. Provide a contact phone number and extension, if necessary, for any follow-up communications regarding the form.
  5. If you wish to receive clarifications and communications via email, check the corresponding box and input your email address in the provided field.
  6. Enter the name of your contact person within the organization, followed by the Federal Employer Identification Number (FEIN) assigned to the donor annuity issuer.
  7. State the county and state where the donor annuity issuer is located by filling in the respective fields.
  8. Below the declaration section, enter the names and titles of the officers from the issuer who are completing and signing the statement.
  9. Each officer must sign and date the document. It is essential that these signatures be legible and match the printed names provided.
  10. Complete the notary section, which includes the notary's commission number and expiration date, as well as details about the identification produced. Ensure that this section is finalized according to your state's requirements.
  11. Once you have filled out all necessary fields, you can utilize the 'Save' button to store your progress periodically or 'Submit Final' once all data is complete. Remember that submission is final and cannot be edited afterward.
  12. After selecting 'Submit Final', finalize the submission process by clicking on 'Begin Submission Process' to ensure your filing is successfully sent to the Office of Insurance Regulation.

Start completing your FL OIR-A3-1209 form online today to ensure timely submission and compliance.

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The California Department of Insurance conducts examinations of licensed insurance companies to evaluate insurers' compliance with the California Insurance Code (CIC) and the California Code of Regulations (CCR) with respect to rating, underwriting, and claim practices.

The Florida Office of Insurance Regulation (OIR) is responsible for all activities concerning insurers and other risk bearing entities, including licensing, rates, policy forms, market conduct, claims, issuance of certificates of authority, solvency, viatical settlements, premium financing, and administrative ...

The Office of Insurance Regulation (OIR) ensures that insurance companies licensed to do business in Florida are financially viable, operating within the laws and regulations governing the industry, and offering insurance policy products at fair and adequate rates that do not unfairly discriminate against the public.

A market conduct examination means the examination of health insurance operations of an issuer, or the operation of a non-Federal governmental plan, involving the review of one or more (or a combination) of a responsible entity's business or operational affairs, or both, to verify compliance with PHS Act requirements.

The focus of market conduct regulation is on a local, geographically defined area and deals with subjective data and company performance. This regulatory oversight is primarily on regulated entities' compliance with laws and regulations other than those related to financial solvency.

Today, the Financial Services Commission appointed Michael Yaworsky as the Insurance Commissioner for the Florida Office of Insurance Regulation (OIR). Michael Yaworsky has served as Interim Insurance Commissioner since being nominated by Governor DeSantis in February 2023.

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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