17:16D-9.Ā  Form of premium finance agreement A premium finance agreement shall--

(a) Be dated, signed by or on behalf of the insured, and the printed portionĀ  thereof shall be in at least 8-point type,

(b) Contain the name and place of business of the insurance agent or insurance broker negotiating the related insurance contract, the name and residence or place of business of the insured as specified by him, the name andĀ  place of business of the premium finance company to which payments are to beĀ  made, a description of the insurance contracts involved and the amount of theĀ  premium therefor;Ā  and

(c) Set forth the following items where applicable:

(1) the total amount of the premiums,

(2) the amount of the down payment,

(3) the principal balance (the difference between items (1) and (2)),

(4) the amount of the finance charge, including the additional charge of $10.00,

(5) the balance payable by the insured (sum of items (3) and (4)), and

(6) the number of installments required, the amount of each installment expressed in dollars, and the due date or period thereof.

(d) Contain a notice reading as follows:Ā  Notice to Insured:Ā  (1) Read thisĀ  agreement before you sign, (2) Do not sign this agreement if it contains blankĀ  spaces, (3) You are entitled to a copy of this agreement at the time you sign,Ā  (4) Keep your copy of this agreement to protect your legal rights.

The items set out in subsection (c) of this section need not be stated in the sequence or order in which they appear in such clause, and additional itemsĀ  may be included to explain the computations made in determining the amount toĀ  be paid by the insured.

The licensee or the insurance agent or insurance broker shall deliver to theĀ  insured, or mail to him at his address shown in the agreement, a complete copyĀ  of the agreement.

No premium finance agreement shall be signed by an insured when it containsĀ  any blank spaces to be filled in after it has been signed except that if theĀ  insurance contract involved has not yet been issued, the name of the insurerĀ  and the policy number may be left blank and later inserted in the originalĀ  agreement.

No premium finance agreement shall contain a power of attorney to confess judgment in this State.

L.1968, c. 221, s. 9.
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