Insurance Form 513 Texas
1 in texas the state insurance department has reported.
Insurance form 513 texas. To help ease the burden for taxpayers struggling during this time the texas comptroller of public accounts will grant upon request a 60 day extension to july 15 to file and pay this tax. Form r 3 certificate of assuming insurer form r 3 notarized form designates commissioner of insurance as attorney for service. 1 texas certificate of insurance. 129833 safe auto insurance company.
Begin main content area form 509 and form 513. Standard time the information above is required only when this endorsement is issued subsequent to preparation of the policy the following are not a covered person under liability coverage of the policy. If you answer yes to questions 1 3 you must provide full information with dates and complete details on a separate sheet of paper. Application for executive officer s declaration ocr.
Application processing will be suspended until the details are received and a review is completed. The texas department of insurance said fee will support a. Box 149104 austin tx 78714 512 676 6000 800 578 4677. 129703 medmal direct insurance company.
Advance directives health and human services forms. Submits to the coi to examine its books and records. Dli businesses state workers insurance fund swif underwriting forms 509 and 513. Texas department of insurance 333 guadalupe austin tx 78701 p o.
Name of insurance company 12 01 a m. Executive officer s declaration ocr. Extension information for 2019 independently procured insurance tax. Evidence of liability insurance texas tenant policy form b.
There will be an additional 20 50 fee on insurance form filings beginning sept. Submits to the jurisdiction of any court of competent jurisdiction in texas for adjudication of any issues. The annual independently procured insurance tax report for 2019 is due may 15 2020.