2011 ANNUAL STATEMENT
Title Insurer - General Filing Instructions

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IMPORTANT FILING REMINDER:

Mail to:
Mr. Niranjan Robert
Property Bureau - 4th Floor
New York State Department of Financial Services
25 Beaver Street
New York, NY 10004        Do NOT mail to Albany.

We are providing for your use the Title Annual Statement Checklist & Instructions. This checklist provides filing requirements for submission to the NAIC and the New York Department of Financial Services. This Web site also provides specific instructions for filing the New York Supplement and supplemental forms with our Department. Copies of the New York Supplement and supplemental forms are available in the Download section of this Web site.

Insurers subject to these filing requirements are strongly encouraged to submit copies of all annual and quarterly statement filings electronically with the NAIC. The following electronic submissions to the NAIC will fulfill the electronic filing requirements of New York:

• National Form Annual Statement via the internet or diskette.
• National Form Quarterly Statement via the internet only.

Any statements not filed as above will require the filing of a diskette with New York.

Title Insurer - Specific Filing Information

The Title Insurer Filing INSTRUCTIONS AND FORMS PACKET is a self-extracting zipped file; after downloading file, run EXE to obtain the following PDF (Acrobat) files. Please note that you will need the Adobe Acrobat Reader to view or print PDF files. When printing the blanks, be sure to use legal size paper (8 1/2"X14").

FORMS included for Download and/or Print:

• NAIC Title Annual Checklist & Instructions 2011
• BAR CODE INSTRUCTIONS
• Annual Electronic Filing Requirement Letter
  Contains the electronic certification form that MUST be submitted with the hard copy Annual Statement sent to the New York State Department of Financial Services

To view full instructions for unzipping compressed files, please select this link.

DUE DATE & MAILING INSTRUCTIONS:
Please refer to the Title Annual Statement Checklist & Instructions.

For NAIC Numbers and Company Names:
To view the company listing for this blank type, select Title Companies List.

PROBLEMS AND QUESTIONS:
If you need help filling out your forms, call: Property Bureau, New York City (212) 480-5187. For diskette related questions, contact Information Systems & Technology Bureau, Albany (518) 473-3775.