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Agency Profile
Premco Financial
Agency Information
Agency Name: 
Physical Address:  Zip: 
City:  State: 
Mailing Address (if different):  Zip: 
City:  State: 
Telephone:   Fax: 
Agency Email:  Web Site: 
Additional Information
Agency License #:  Agency Tax ID #:  Year Established: 
Satellite Offices: 
Association Memberships:  States Licensed: 
E&O Carrier Limits:  Bond Carrier Limits: 
Amount Financed:  Avg. Account Size: 
Commercial% / Personal Lines%:  Annual P&C Volume: 
Financing Contact(s):  # of Employees: 
Agency Principals
Name Email License# DOB
        
Carrier, GAs, Brokers, and Finance Company Information
Name  Years  Contact  Email  Zip  Contract 
              
Miscellaneous / Technology
Finance integration?  Agency Management System: 
Technology Contact:  Phone:  Email: 
How do You Choose a Financing Partner? - Please Rank 1-4 (1 = high, 4 = low)
Ease of Use / Technology:  Service / Relationship:  Interest Rates:  Term Flexibility: 
Agent or Industry References
Name Contact Phone
I UNDERSTAND THAT, AS A PART OF PREMCO FINANCIAL CORPORATION'S PROCEDURE, A ROUTINE INQUIRY MAY BE MADE WHICH WILL PROVIDE APPLICABLE INFORMATION CONCERNING CHARACTER, GENERAL REPUTATION & PERSONAL CHARACTERISTICS. UPON WRITTEN REQUEST ADDITIONAL INFORMATION AS TO THE NATURE AND SCOPE OF THE REPORT, IF ONE IS MADE, WILL BE PROVIDED.
__________________________________ __________________________________
Date Agency Principal
 
178835   What is the first character in the code?

    
I agree the information is accurate and complete.              
Premco Financial © 2009
Kalamazoo, Michigan HDQTR
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