N.M. Admin. Code § 13.14.16.9 - SCHEDULE A - STATEMENT OF INCOME AND EXPENSES
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NEW MEXICO TITLE INSURANCE AGENCY STATISTICAL REPORT SCHEDULE A - STATEMENT OF INCOME AND EXPENSES For the Calendar Year Ending December 31, 20___. |
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AGENCY NAME |
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LICENSE NUMBER |
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ADDRESS |
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CONTACT NAME |
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Check one: |
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INDEPENDENT (NON-AFFILIATED) |
Title insurance agencies that are independently owned and write title insurance business for one or more title insurers. |
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AFFILIATED |
Title insurance agencies with 10% or greater ownership by a title insurer, including wholly-owned agencies. |
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DIRECT |
Agency-type operations performed by the home or branch office of a title insurer. This does NOT include wholly-owned agencies. |
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Part A: Revenue |
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1. |
Title insurance written premiums (from Schedule B) |
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2. |
Less: Remitted title insurance premiums (from Schedule B) |
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3. |
Retained title insurance premiums (from Schedule B) |
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4. |
Other income (from Schedule C) |
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5. |
Total Revenue |
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Part B: Expenses |
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1. |
Employees' salaries and wages |
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2. |
Owners' and partners' salaries and wages |
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3. |
Employee benefits |
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4. |
Rent |
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5. |
Insurance |
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6. |
Legal expense |
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7. |
Licenses, taxes and fees |
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8. |
Title plant expense and maintenance |
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9. |
Office supplies |
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10. |
Depreciation |
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11. |
Automobile expense |
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12. |
Communication expense |
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13. |
Education expense |
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14. |
Bad debts |
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15. |
Interest expense |
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16. |
Employee travel and lodging |
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17. |
Loss and loss adjustment expense (from Schedule D) |
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18. |
Accounting and auditing expense |
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19. |
Public relations expense |
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20. |
Other expenses (from Schedule E) |
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21. |
Total Expenses |
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Part C: Net Income for Ratemaking Purposes |
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1. |
Income (Loss) from Operations |
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Part D: Excluded Expenses |
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1. |
NMLTA lobbying expense |
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2. |
Direct lobbying expense |
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3. |
Political contributions |
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4. |
State and federal income tax expense |
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5. |
1/2 of meals and entertainment expense |
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6. |
Penalties |
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7. |
Country club dues |
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8. |
Salaries in excess of salary cap |
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9. |
Other excluded expenses (from Schedule E) |
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10. |
Total Excluded Expenses |
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Part E: Net Income |
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1. |
Net income as reported on the books of the agency |
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Part F: Equity |
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1. |
Total equity as reported on balance sheet of the agency |
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Part G: Number of Employees |
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1. |
Total number of employees |
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Notes
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