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Captive Documents

Documents Word/Excel links PDF links
Annual Statement Form Annual Statement n/a
Compliance/Renewal Certificate n/a Certificate
License Application Form Form Form
License Application Form - Instructions Form - Instructions Form - Instructions
Sample Letter of Credit Letter Letter
Sample Biographical Affidavit Affidavit Affidavit
Sample Power of Attorney Power of Attorney Power of Attorney
Sample Certificate of Designation Certificate Certificate
Sample Resolution of the Board of Directors Resolution Resolution

Updated 03/22/2018

Department of Financial Services

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