N.M. Code R. § 13.14.17.9
NEW MEXICO TITLE INSURER STATISTICAL REPORT FORM 1 - STATEMENT OF INCOME AND EXPENSES For the Calendar Year Ending December 31, 20___ NEW MEXICO EXPERIENCE ONLY Insurer NAIC Code Direct Operations Non-Affiliated Agency Operations Affiliated Agency Operations Total NAIC Annual Statement Schedule T Difference Part A - Revenue 1 Direct written premiums 0 0 2 Direct written premiums retained by agency 0 3 Direct written premiums remitted to insurer 0 0 0 0 4 Escrow and settlement service charges 0 5 Other title fees and service charges 0 6 Total other income 0 0 0 0 0 7 Total revenue 0 0 0 0 For an insurer that charges rates below the promulgated rates: From Form 3 Difference 8 Direct premiums as if they had been written at promulgated rates 0 0 0 Part B - Expenses Line 1 as defined per NAIC annual statement, STATEMENT OF INCOME exhibit. Lines 2 through 22 as defined per NAIC annual statement, EXPENSES exhibit. All entries should show NEW MEXICO expenses only and should NOT include direct charges from direct operations. 1 Losses and loss adjustment expenses incurred 0 2 Total personnel costs 0 3 Total production services purchased outside 0 4 Advertising 0 5 Boards, bureaus, and associations 0 6 Title plant rent and maintenance 0 7 Claim adjustment services 0 8 Amounts charged off, net of recoveries 0 9 Marketing and promotional expenses 0 10 Insurance 0 11 Directors’ fees 0 12 Travel and travel items 0 13 Rent and rent items 0 14 Equipment 0 15 Cost or depreciation of EDP equipment and software 0 16 Printing, stationery, books, and periodicals 0 17 Postage, telephone, messenger, and express delivery 0 18 Legal and auditing 0 19 Total taxes, licenses, and fees 0 20 Real estate expenses 0 21 Real estate taxes 0 22 Aggregate write-ins for miscellaneous expenses 0 23 Total Expenses 0 0 0 0 Part C - Net Income 1 Income (Loss) 0 0 0 0
NEW MEXICO TITLE INSURER STATISTICAL REPORT
FORM 1 - STATEMENT OF INCOME AND EXPENSES
For the Calendar Year Ending December 31, 20___
NEW MEXICO EXPERIENCE ONLY
Insurer
NAIC Code
Direct Operations
Non-Affiliated
Agency Operations
Affiliated
Agency Operations
Total
NAIC Annual Statement Schedule T
Difference
Part A - Revenue
1
Direct written premiums
0
0
2
Direct written premiums retained by agency
0
3
Direct written premiums remitted to insurer
0
0
0
0
4
Escrow and settlement service charges
0
5
Other title fees and service charges
0
6
Total other income
0
0
0
0
0
7
Total revenue
0
0
0
0
For an insurer that charges rates below the promulgated rates:
From Form 3
Difference
8
Direct premiums as if they had been written at promulgated rates
0
0
0
Part B - Expenses
Line 1 as defined per NAIC annual statement, STATEMENT OF INCOME exhibit.
Lines 2 through 22 as defined per NAIC annual statement, EXPENSES exhibit.
All entries should show NEW MEXICO expenses only and should NOT include direct charges from direct operations.
1
Losses and loss adjustment expenses incurred
0
2
Total personnel costs
0
3
Total production services purchased outside
0
4
Advertising
0
5
Boards, bureaus, and associations
0
6
Title plant rent and maintenance
0
7
Claim adjustment services
0
8
Amounts charged off, net of recoveries
0
9
Marketing and promotional expenses
0
10
Insurance
0
11
Directors’ fees
0
12
Travel and travel items
0
13
Rent and rent items
0
14
Equipment
0
15
Cost or depreciation of EDP equipment and software
0
16
Printing, stationery, books, and periodicals
0
17
Postage, telephone, messenger, and express delivery
0
18
Legal and auditing
0
19
Total taxes, licenses, and fees
0
20
Real estate expenses
0
21
Real estate taxes
0
22
Aggregate write-ins for miscellaneous expenses
0
23
Total Expenses
0
0
0
0
Part C - Net Income
1
Income (Loss)
0
0
0
0
[13.14.17.9 NMAC – Rp, 13.14.17.9 NMAC, 1/1/2021]