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Texas Department of Insurance
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Texas Lloyds Companies Forms

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TDI form number Description Format Language
FIN300 Company Name Application
Application to reserve a company name
PDF English
FIN307 Attorney-in-Fact and Underwriters Page
Lists the Attorney-in-Fact and Underwriters of Lloyds and Reciprocals
PDF English
FIN321 Company Licensing Fee Transmittal Form
PDF English
FIN324 Biographical Affidavit Update
submitted as notification of changes to biographical affidavit
PDF English
FIN368 Instructions for the Original Incorporation of Texas Lloyds Company
Instructions for the original incorporation of a Lloyds Company
PDF English
FIN369 Application for Certificate of Authority for a Texas Lloyds
Form for Lloyds companies to complete for a new or amended Certificate of Authority
PDF English
FIN370 Checklist for Charter Amendment for Texas Lloyds
Instructions for Lloyds amendments, including Underwriter Substitution, Attorney-in-Fact Change, Name Change or Home Office Change, or Increase in Guaranty Fund or Surplus Contribution
PDF English
FIN372 Conversion of Lloyds to Stock P&C Insurer
Filing instructions for a Lloyds insurer to convert to a stock property and casualty insurer
PDF English
FIN407 Statutory Deposit Transaction Form
Statutory Deposit Transaction Form is submitted when a securities is deposited or withdrawn.
PDF English
FIN450 Joint Control Agreement for Lloyds
Form to be executed by Lloyds plan when placing required net assets as required by statute
PDF English
FIN453 Declaration of Trust
Form to be executed for securities held on deposit.
PDF English

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