Sample FSLSO Insurer Export File

[FSLSO]
Version=3.10
Type=Insurer
Quarter=3
Year=2006

[Insurer]
FEIN=123123123
Name=AAA Fire and Casualty, Inc.
Address1=5825 Elsewhere Rd.
Address2=Suite 1100
City=Elsewhere
State=OR
ZIP=90210
Phone=5555555555
Fax=5555555555
Email=info@mydomain.com

[Contact]
First Name=John
Last Name=Doe
Suffix=Jr
Address1=984 S. Main St.
City=Elsewhere
State=OR
ZIP=90210
Phone=8008675309
Ext=233
Fax=9847949399
Email=me@mydomain.com

[Agency]
FEIN=444444444
License=P654654
Name=Joe's Insurance
Address1=2525 Main St.
City=Anywhere
State=FL
ZIP=32333
Fax=5555555555
Email=joe@mydomain.com

[Policy]
Policy Number=H9487HNI
Effective Date=07/04/2005
Expiration Date=07/04/2007
Company=Bob's Haircuttery

[Transaction]
Effective Date=07/04/2006
Premium=15000.00

[Transaction]
Effective Date=07/05/2006
Premium=-200.00

[Policy]
Policy Number=L1234567AB45672
Effective Date=02/25/2006
Expiration Date=02/25/2007
First Name=Robert
Last Name=Barbarino

[Transaction]
Effective Date=08/25/2006
Premium=500.00

[Agent]
License=A555555
First Name=Bill
Last Name=Smith
Suffix=Jr.
Address1=1616 His Drive
City=Somewhere Else
State=FL
ZIP=33312
Mail Address1=PO Box 11111
Mail Address City=Somewhere Else
Mail Address State=FL
Mail Address Zip=33333
Phone=8005555555
Fax=8005555556
Email=bill@smithinsurancecompany.com

[Policy]
Policy Number=J987FL123
Effective Date=08/01/2006
Expiration Date=08/01/2007
Company=Jim's Shoe Store

[Transaction]
Effective Date=08/02/2006
Premium=-5000.00

[Policy]
Policy Number=L524FL684
Effective Date=09/20/2006
Expiration Date=09/20/2007
First Name=Larry
Last Name=Smith

[Transaction]
Effective Date=09/20/2006
Premium=500.00

[Transaction]
Effective Date=09/21/2006
Premium=-500.00

[Broker]
Name=Steven Kobalt
Phone=8005555558
Ext=2
Address1=313 Admiral Rd
Address2=Ste 301
City=Millington
State=TN
Zip=88888
Fax=8005556667
Email=steve@mydomain.com

[Policy]
Policy Number=HO774632
Effective Date=09/28/2006
Expiration Date=09/28/2007
First Name=Robert
Last Name=Johnson

[Transaction]
Effective Date=09/28/2006
Premium=1252.00