NEW MEXICO TITLE INSURER STATISTICAL REPORT FORM 1 - STATEMENT OF INCOME AND EXPENSES For the Calendar Year Ending December 31, 20___ NEW MEXICO EXPERIENCE ONLY | |||||||
Insurer | |||||||
NAIC Code | |||||||
Direct Operations | Non-Affiliated Agency Operations | Affiliated Agency Operations | Total | NAIC Annual Statement Schedule T | Difference | ||
Part A - Revenue | |||||||
1 | Direct written premiums | 0 | 0 | ||||
2 | Direct written premiums retained by agency | 0 | |||||
3 | Direct written premiums remitted to insurer | 0 | 0 | 0 | 0 | ||
4 | Escrow and settlement service charges | 0 | |||||
5 | Other title fees and service charges | 0 | |||||
6 | Total other income | 0 | 0 | 0 | 0 | 0 | |
7 | Total revenue | 0 | 0 | 0 | 0 | ||
For an insurer that charges rates below the promulgated rates: | From Form 3 | Difference | |||||
8 | Direct premiums as if they had been written at promulgated rates | 0 | 0 | 0 | |||
Part B - Expenses Line 1 as defined per NAIC annual statement, STATEMENT OF INCOME exhibit. Lines 2 through 22 as defined per NAIC annual statement, EXPENSES exhibit. All entries should show NEW MEXICO expenses only and should NOT include direct charges from direct operations. | |||||||
1 | Losses and loss adjustment expenses incurred | 0 | |||||
2 | Total personnel costs | 0 | |||||
3 | Total production services purchased outside | 0 | |||||
4 | Advertising | 0 | |||||
5 | Boards, bureaus, and associations | 0 | |||||
6 | Title plant rent and maintenance | 0 | |||||
7 | Claim adjustment services | 0 | |||||
8 | Amounts charged off, net of recoveries | 0 | |||||
9 | Marketing and promotional expenses | 0 | |||||
10 | Insurance | 0 | |||||
11 | Directors' fees | 0 | |||||
12 | Travel and travel items | 0 | |||||
13 | Rent and rent items | 0 | |||||
14 | Equipment | 0 | |||||
15 | Cost or depreciation of EDP equipment and software | 0 | |||||
16 | Printing, stationery, books, and periodicals | 0 | |||||
17 | Postage, telephone, messenger, and express delivery | 0 | |||||
18 | Legal and auditing | 0 | |||||
19 | Total taxes, licenses, and fees | 0 | |||||
20 | Real estate expenses | 0 | |||||
21 | Real estate taxes | 0 | |||||
22 | Aggregate write-ins for miscellaneous expenses | 0 | |||||
23 | Total Expenses | 0 | 0 | 0 | 0 | ||
Part C - Net Income | |||||||
1 | Income (Loss) | 0 | 0 | 0 | 0 |
N.M. Admin. Code § 13.14.17.9