Standard Security Life Insurance Company of New York

Inforce Business
sslicny.com | Sample Agent Services

The annualized premium on this report is estimated based on the last premium payment received. The premium for new accounts, where no history is yet available, is based on application information and estimated covered payroll, where applicable.

SAMPLE INFORCE BUSINESS REPORT

Policy Number	Annualized Premium	Name
12345-000	$2,585,050.25	Joe's Hospitality Services
12345-001	$123,456.00	Joe's Subsidiary
87654-000	$125.65	JWB and Company
010101-000	$512,000.00	Data Technologies Inc
Total In-Force Premium =	$3,220,631.90

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