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Texas Department of Insurance
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Bond/Securities Forms - Company Licensing and Registration

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TDI Form Number Description File Format Language
FIN321

Company Licensing Fee Transmittal Form

Company Licensing and Registration Fee Transmittal Form to be submitted with filings.

PDF English
FIN407

Statutory Deposit Transaction Form

Statutory Deposit Transaction Form is submitted when a securities is deposited or withdrawn.

PDF English
FIN435

Checklist for Placing an Initial Statutory Deposit

Checklist for an insurance company to initially place security funds on deposit.

PDF English
FIN436

Checklist for a Name Change or Merger of Securities on Deposit

Checklist outlining documents required for an insurance company to change the name for which securities are held.

PDF English
FIN437

Checklist for Substituting Securities on Deposit

Checklist outlining documents required for an insurance company to substitute securities held on deposit.

PDF English
FIN438

Checklist for Withdrawal of Statutory Deposit

Instructions outlining documents required for an insurance company to withdraw securities on deposit, due to a reduction, dissolution, merger, or cancellation of company's Certificate of Authority.

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
FIN454

Checklist for Custodian Change for Securities on Deposit

PDF English
FIN455

Checklist for Renewing a Certificate of Deposit

PDF English

For more information, contact: CompanyLicense@tdi.texas.gov