Sample FSLSO Agent Export File

[FSLSO]
Version=6.00
Type=Agent
CSV=Y
Multi State=Y

[Agency]
FEIN=123123123
License=P888888
Name=AAA Insurance
Address1=5825 Fletcher Rd.
Address2=Suite 1100
City=Elsewhere
State=OR
ZIP=90210

[Contact]
First Name=John
Last Name=Doe
Suffix=Jr
Address1=984 S. Main St.
City=Elsewhere
State=OR
ZIP=90210
Phone=8008675309
Fax=9847949399
Email=jdoe@aaainsurance.com

[Billing Contact]
First Name=John
Last Name=Doe
Suffix=Jr
Address1=984 S. Main St.
City=Elsewhere
State=OR
ZIP=90210
Phone=8008675309
Fax=9847949399
Email=jdoe@aaainsurance.com

[Surplus Lines Agent]
License=A000000
First Name=Suzie
MI=Q
Last Name=Bert
Address1=342 N. Main St.
Address2=Building A
City=Elsewhere
State=OR
ZIP=90211
Mailing Address1=P.O. Box 3423
Mailing City=Elsewhere
Mailing State=OR
Mailing ZIP=90210-3423
Phone=9594983846
Fax=9589858463
Email=SuzieQ@aol.com

[Policy]
Policy Number=H9487HNI
Expiration=03/25/2011
ZIP=32303
Home State=FL
County=Leon
Insured Name=Bob's Appliances

[Transaction]
Coverage Code=1001
Tax Status=0
NAIC=99999
Transaction Type=1
Effective Date=03/25/2010
Issue Date=03/25/2010
Net Premium=15000.00
Policy Fees=500.00
Late Exempt=N

[ALLOCATION]
State=FL
Premium=5000.00
Policy Fees=200.00

[ALLOCATION]
State=TX
Premium=10000.00
Policy Fees=300.00

[Transaction]
Coverage Code=1001
Tax Status=0
NAIC=99999
Transaction Type=2
Effective Date=04/25/2010
Issue Date=04/25/2010
Net Premium=2000.00
Policy Fees=0.00

[ALLOCATION]
State=FL
Premium=600.00
Policy Fees=0.00

[ALLOCATION]
State=TX
Premium=1400.00
Policy Fees=0.00

[Policy]
Policy Number=LL43398-1124
Expiration=2/20/2011
ZIP=32034
Home State=FL
County=Brevard
Insured Name=Samuel Douglas

[Transaction]
Coverage Code=1001
Tax Status=0
NAIC=99999
Transaction Type=1
Effective Date=02/20/2011
Issue Date=02/20/2011
Net Premium=2000.00
Policy Fees=0.00
Late Exempt=Y
Late Reason=B

[ALLOCATION]
State=AR
Premium=500.00
Policy Fees=0.00

[ALLOCATION]
State=FL
Premium=800.00
Policy Fees=0.00

[ALLOCATION]
State=GA
Premium=700.00
Policy Fees=0.00

[Policy]
Policy Number=L1234567AB45672
Expiration=12/30/2011
ZIP=32303
Home State=FL
County=Leon
Insured Name=Robert Barbarino

[Transaction]
Coverage Code=2001
Tax Status=0
NAIC=11111
Transaction Type=12
Effective Date=04/08/2010
Issue Date=04/08/2010
Net Premium=-50000.00
Policy Fees=-250.00
Primary Amount=150000.00
AOP Deduction=500.00
WSP Eligible=N
WS Coverage=Y
Hurricane Deductible=3000.00

[ALLOCATION]
State=FL
Premium=-30000.00
Policy Fees=-250.00

[ALLOCATION]
State=NV
Premium=-20000.00
Policy Fees=0.00

[Transaction]
Coverage Code=2001
Tax Status=0
NAIC=11111
Transaction Type=2
Effective Date=04/08/2010
Issue Date=04/08/2010
Net Premium=5000.00
Policy Fees=250.00
Primary Amount=150000.00
AOP Deduction=500.00
WSP Eligible=N
WS Coverage=Y
Hurricane Deductible=3000.00
Late Exempt=Y
Late Reason=C

[ALLOCATION]
State=FL
Premium=3000.00
Policy Fees=250.00

[ALLOCATION]
State=NV
Premium=2000.00
Policy Fees=0.00

[Policy]
Policy Number=ZZ-9855T67
Expiration=09/20/2011
ZIP=32803
Home State=FL
County=Brevard
Insured Name=Alex Laurienzo

[Transaction]
Coverage Code=1001
Tax Status=0
NAIC=AA1122000
UMR=B0123F566E345001
Transaction Type=01
Effective Date=09/20/2010
Issue Date=09/20/2010
Net Premium=65000
Policy Fees=0.00
Late Exempt=N

[ALLOCATION]
State=CA
Premium=30000.00
Policy Fees=0.00

[ALLOCATION]
State=FL
Premium=35000.00
Policy Fees=0.00

[Transaction]
Coverage Code=1001
Tax Status=0
NAIC=AA1122000
UMR=B0987DD34S22W
Transaction Type=01
Effective Date=09/20/2010
Issue Date=09/20/2010
Net Premium=25000
Policy Fees=0.00
Late Exempt=N

[ALLOCATION]
State=FL
Premium=25000
Policy Fees=0.00