Page 243 - Binder2
P. 243
Additional Premium Due For This Transaction
Payment of the premium as specified below will be deemed acceptance by the public authority
of the policy terms.
Minimum and Deposit GBP
Insurance Premium Tax at 12% GBP
Total Payable in this Transaction GBP
Future Annual Premium
Payment of the premium as specified below will be deemed acceptance by the public authority
of the policy terms.
Minimum and Deposit GBP
Insurance Premium Tax at 12% GBP
Total Payable GBP
Signed on behalf of the insurer

