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Office of Insurance Regulation

Company Admissions

Acquisition of Controlling Interest of a Florida Domestic Insurer

NOTICE: This package also requires a Pro forma Statement

ALL FORMS

Acquisition of Controlling Interest of a Florida Domestic Insurer

OIR-C1-918

Acquisition of Controlling Interest of a Domestic Insurer

OIR-C1-841

Request for Payment of Application Fees Acquisition of Controlling Interest of a Domestic Insurer

OIR-C1-903

Request for Payment of Fingerprint Charges

OIR-C1-922

Waiver of Hearing From Seller

DI4-144

Service of Process Consent & Agreement

OIR-D0-516

Insurance Holding Company System Registration Statement

OIR-C1-905

Instructions for Furnishing Background Investigative Reports

OIR-C1-901

Life, Accident and Health Insurers Lines of Business by Company Code

OIR-C1-877

Property and Casualty Insurers Lines of Business by Company Code

OIR-C1-921

Management Information Complete Listing of Acquiring Entity officers, Directors, and Shareholders (5% or more)

OIR-C1-422

Biographical Statement and Affidavit

OIR-C1-450

Authority for Release of Information

OIR-C1-938

Fingerprint Card Instructions

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