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Financial Analysis Forms Listing in Numeric Order

Financial Analysis Forms Listing in Numeric Order
TDI Form Number Description File FormatLanguage
FIN111
Health Entities
PDF English
FIN116
HMO Supplement - Annual Information
PDF English
FIN117
TDI Instructions for Filing CPA Audited Financial Reports
PDF English
FIN119
Life, Accident and Health Insurers
PDF English
FIN122
Property & Casualty Insurers
PDF English
FIN123
TDI Supplement Form for County Mutuals
PDF English
FIN126
Fraternal Societies
PDF English
FIN127
Title Companies
PDF English
FIN128
Annual Statement Blank - Farm Mutual Companies
EXCEL English
FIN128
Annual Statement Blank - Farm Mutual Companies
PDF English
FIN129
Prepaid Legal Services Corporation Annual Statement
Annual Statement Blank - Prepaid Legal Companies
EXCEL English
FIN129
Prepaid Legal Services Corporation Annual Statement Blank
Annual Statement Blank - Prepaid Legal Companies
PDF English
FIN138
Texas Supplemental A for County Mutuals Form
Texas Supplemental "A" for County Mutuals Form
PDF English
FIN145
Guidelines and Application for Approval to Maintain Books and Records Outside of Texas
PDF English
FIN150
Texas Negotiated Deductible Workers' Compensation Form
PDF English
FIN202
Texas Policyholder Dividend Disbursement Notification/Application
FIN 202 Texas Policyholder Dividend Disbursement Notification Application
PDF English
FIN244
CPA Audited Financial Report - Intent Form
Register a CPA to file an audited financial report
PDF English
FIN246
Affidavit for Exemption from Filing CPA Audited Financial Report
CPA Exemption Form
PDF English
FIN251
Annual Statement Blank - Mutual Assessments, LMA's, Burials
EXCEL English
FIN251
Annual Statement Blank - Mutual Assessments, Burials, LMAs
PDF English
FIN252
HMO Quarterly Supplement
PDF English
FIN387
CCRC 5 - Acknowledgement of Delivery of Disclosure Statement
Continuing Care Retirement Community (CCRC) resident's acknowledgement of delivery of Disclosure Statement, CCRC Form #5
PDF English
FIN388
CCRC 6 - Format for Disclosure Statement
Continuing Care Retirement Community (CCRC) detailed instructions and format for submitting Disclosure Statement, CCRC Form #6
PDF English
FIN389
CCRC Form #6A - CCRC Instructions for Preparation of Disclosure Statement
Continuing Care Retirement Community (CCRC) instructions for preparing Disclosure Statement filing, CCRC Form #6a
PDF English
FIN391
CCRC 8 - Certification of Changes to Disclosure Statement
Continuing Care Retirement Community (CCRC) certification of changes made to the Disclosure Statement, CCRC Form #8
PDF English
FIN392
CCRC 9 - Notice of Request to Release Entrance Fee Escrow Funds
Continuing Care Retirement Community (CCRC) written notice of request to release entrance fee escrow funds, CCRC Form #9
PDF English
FIN393
CCRC 10 - Notice of Request to Release Funds from the Reserve Fund Escrow Account
Continuing Care Retirement Community (CCRC) written notice of request to release funds from the reserve funds escrow account, CCRC Form #10
PDF English
FIN483
Transactions Cash Receipts Transmittal Form
PDF English
FIN483
Transactions Cash Receipts Transmittal Form
WORD English
FIN584
Form D Application Prior Notice of Transaction
PDF English
FIN585
Service Agreement Checklist
Management, Service, Cost Sharing, Tax Allocation, Rental, Lease Agreement Checklist
PDF English
FIN586
MGA Contract Review Checklist
Managing General Agency Contract Review Checklist
PDF English
FIN587
TPA Contract Review Checklist
Third Party Administrator Contract Review Checklist
PDF English
FIN588
Custodial Agreement Review Checklist
PDF English
FIN590
Financial Analysis Fee Transmittal Form
for MEWAs and CCRCs
PDF English
FIN599
Cybersecurity Checklist
PDF English

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