Form PF6 "Appointment of Statutory Agent and Consent to Service - Premium Finance Applicant" - Texas

What Is Form PF6?

This is a legal form that was released by the Texas Department of Insurance - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2016;
  • The latest edition provided by the Texas Department of Insurance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PF6 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.

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Download Form PF6 "Appointment of Statutory Agent and Consent to Service - Premium Finance Applicant" - Texas

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FIN168 | 1016
Appointment of Statutory Agent and Consent to Service – Premium Finance Applicant
(FORM PF6)
(Name of Applicant or Licensee)
an applicant for an Insurance Premium Finance license under the provisions of Chapter 651 Texas Insurance
Code, does hereby appoint:
(Name in Full)
Of
(Street Address)
(City/State)
(Zip)
(Telephone)
a resident of the state of Texas and county of
, as agent upon whom may be
served all judicial and other process or legal notice directed to this applicant; and in the case of death, removal from
the State, or any legal disability or disqualification of such agent, service of all judicial and other processes of legal
notice may be made upon the Texas Department of Insurance.
IN WITNESS WHEREOF, the above named applicant has caused this instrument to be signed at
(City and State)
on the
day of
, 20
.
(Corporate Seal)
(Full Name)
Officer☐
Partner☐
Sole Proprietor☐
(Signature)
Texas Department of Insurance | www.tdi.texas.gov
1/1
FIN168 | 1016
Appointment of Statutory Agent and Consent to Service – Premium Finance Applicant
(FORM PF6)
(Name of Applicant or Licensee)
an applicant for an Insurance Premium Finance license under the provisions of Chapter 651 Texas Insurance
Code, does hereby appoint:
(Name in Full)
Of
(Street Address)
(City/State)
(Zip)
(Telephone)
a resident of the state of Texas and county of
, as agent upon whom may be
served all judicial and other process or legal notice directed to this applicant; and in the case of death, removal from
the State, or any legal disability or disqualification of such agent, service of all judicial and other processes of legal
notice may be made upon the Texas Department of Insurance.
IN WITNESS WHEREOF, the above named applicant has caused this instrument to be signed at
(City and State)
on the
day of
, 20
.
(Corporate Seal)
(Full Name)
Officer☐
Partner☐
Sole Proprietor☐
(Signature)
Texas Department of Insurance | www.tdi.texas.gov
1/1