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Vendors Single Interest Quote









Portfolio Information

 Current Portfolio As Of
   Number of Loans Dollars Outstanding
 Additional Vehicles 
 Boats, Motors, Trailers 
 Recreational Land Vehicles 
 Mobile Homes 


 Portfolio YTD Last Year Prior Year
 Avg. Over 30 Day Delinq. Ratio
 Number of Repos
 Avg. Deficiency Loss Per Repo
 Avg. Over 30 Day Delinq. Ratio

Other Carrier Experience

Has single interest insurance been carried previously?

What optional coverages have been carried previously?


Current Carrier Experience

   YTD Last Year Prior Year
 Premiums Paid
 Losses Incurred
 Single Interest
 Repossessed Property


Does the loan agreement require physical damage naming you as loss payee?

Do you verify insurance coverage before loan agreement is signed?

Do you make at least one follow-up for an insurance policy?

Do you follow-up with the customer in the event of cancellation or expiration of his policy?

Will you continue these procedures if you purchase this coverage?

Do you record your lien on the certificate of title?

Do you hold titles?

Procedures for non-titled collateral?

Projected Growth - Number of New Loans

   YTD Last Year Next Year
 Boats, Motors, Trailers
 Recreational Land Vehicles
 Mobile Homes
 Additional Vehicles


Will the existing portfolio be covered?

Will more than one state be involved? If yes, list states below.

Has any application for single interest coverage ever been declined, canceled or renewal refused?

Coverage Desired

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