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Information and Resources for Premium Finance Agencies

Annual Report

2013 Premium Finance Agency Annual Report Notification (PDF)

2013 Premium Finance Agency Annual Report Form (Word)

2013 Premium Finance Agency Annual Report Form (PDF)

Applications

Application Type Application & Instructions Individual Forms
Note: all references below to Banking Law and Superintendent's Regulations refer to New York State Laws and Regulations

Premium Finance Agency

A premium finance agency is an individual or entity engaged, in whole or in part, in the business of entering into premium finance agreements with insured, including a bank if so engaged. No person except a lending institution or an authorized insurer shall engage in the business of a premium finance agency without first obtaining a license from the Superintendent.

For licensing requirements see Article 12-B of the Banking Law, sections 554 to 578 and Superintendent's Regulation Parts 405 and 300.

Authority to Release Information
Background Report Certification
Certificate of Fair Lending Compliance
Compliance Affidavit
Financial Statement
Litigation Affidavit-Individual
Litigation Affidavit-Licensee/Applicant
Privacy Affidavit
Questionnaire
Statement of Ownership
Taxpayer ID
Zoning Affidavit

Fingerprinting Resources

Examination and Annual Assessment Information

Additional Resources

License Surrender

Lost License Affidavit

Institutions We Supervise

Premium Finance Agency | Premium Finance Agency locations*

* These pages contain large files that may take some time to download. To open and view these lists you must be using Internet Explorer version 5.1 or later and have Microsoft Office or Office Web Components installed on your computer. To use these lists interactively you must have Microsoft Excel installed on your computer.