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Texas Department of Insurance
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Reciprocals - Company License

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TDI Form Number Description File Format Language
FIN300 Company Name Application
Application to reserve a company name
PDF English
FIN321 Company Licensing Fee Transmittal Form
Company Licensing and Registration Fee Transmittal Form to be submitted with filings.
PDF English
FIN356 Biographical Affidavit and Fingerprint Requirements for Texas Lloyds and Reciprocal Insurers
Instructions and requirements for submitting biographical affidavit and fingerprints for Texas Lloyds and Reciprocal insurers
PDF English
FIN367 Application for Reciprocal or Inter-Insurance Exchanges
Application to transact business as a reciprocal or inter-insurance exchange
PDF English
FIN371 Checklist for Change in Attorney in Fact for Reciprocals
Attorney-in-fact Change Checklist for Reciprocals (only)
PDF English
FIN407 Statutory Deposit Transaction Form
Statutory Deposit Transaction Form is submitted when a securities is deposited or withdrawn.
PDF English
FIN453 Declaration of Trust
Form to be executed for securities held on deposit.
PDF English

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