Premium Finance Company Licensing Forms
This is one of several pages linking to a central repository of forms used by TDI customers. Use the search or Forms by Type links on the Forms Home Page or scan through our form listings.
| TDI Form Number | Description | File Format | Language |
|---|---|---|---|
| FIN160, PF1 | Premium Finance License Application (for new license) Premium Finance application for license |
English | |
| FIN161, PF1A | Premium Finance Supplemental Application (for additional location, relocation, name change and ownership change) Notify TDI of any change in Premium Finance company. |
English | |
| FIN162, PF1B | Premium Finance Application for Bank or Savings and Loan Premium Finance Application for Bank or Savings and Loan |
English | |
| fin163pf1crenewal | 2011 Premium Finance Renewal Form Premium Finance Renewal Form PF1C |
English | |
| FIN164, PF2 | Premium Finance List of Principals List all officers, directors and manager of Premium Finance Company |
English | |
| FIN165, PF3 | Premium Finance Questionnaire Premium Finance Questionnaire |
English | |
| FIN166, PF4 | Premium Finance Biographical Affidavit Collects Biographical Information |
English | |
| FIN167, PF5 | Premium Finance List of other states of licensure List of other states where Premium Finance Co is licensed |
English | |
| FIN168, PF6 | Premium Finance appointment of statutory agent Appointment of Statutory Agent for service of process |
English | |
| FIN169, PF7 | Premium Finance Premium Comparison Disclosure Form Texas Automobile Insurance Plan Association (TAIPA) Disclosure Form |
English | |
| FIN170, PF Schedule A | Addtional Location Checklist Premium Finance Additional Location Checklist |
English | |
| FIN171, PF Schedule B | Premium Finance Relocation Checklist Premium Finance Relocation Checklist |
English | |
| FIN172, PF Schedule C | Premium Finance Relocation Checklist Premium Finance Name Change Checklist |
English | |
| FIN173, PF Schedule D | Premium Finance Change of Ownership Checklist Premium Finance Change of Ownership Checklist |
English |
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