Florida Administrative Code
69 - DEPARTMENT OF FINANCIAL SERVICES
69C - Division of Treasury
Chapter 69C-2 - PROCEDURES FOR ADMINISTERING THE FLORIDA SECURITY FOR PUBLIC DEPOSITS ACT
Section 69C-2.009 - Forms
Current through Reg. 50, No. 187; September 24, 2024
(1) The forms listed below are incorporated into and made a part of these rules by reference and shall take effect on the date listed for each form.
(a) DI4-1000 |
(rev. 3/97) |
Contingent Liability Agreement and Affidavit |
(b) DI4-1001 |
(rev. 3/97) |
Public Depository Pledge Agreement |
(c) DI4-1002 |
(3/92) |
Certificate of Qualified Public Depository |
(d) DI4-1003 |
(3/92) |
Public Depository Monthly Report, Worksheet, and Instructions for Completing |
(e) DI4-1004 |
(rev. 6/98) |
Qualified Public Depository Annual Report to the Chief Financial Officer |
(f) DI4-1005 |
(3/92) |
Deposit of Collateral (Model form letter) |
(g) DI4-1006 |
(3/92) |
Substitution of Collateral (Model form letter) |
(h) DI4-1007 |
(3/92) |
Withdrawal of Collateral (Model form letter) |
(i) DI4-1008 |
(3/92) |
Power of Attorney |
(j) DI4-1009 |
(rev. 6/98) |
Public Depositor Annual Report to the Chief Financial Officer |
(k) DI4-1010 |
(3/92) |
Authorized Signature Certification |
(l) DI4-1011 |
(3/92) |
Instruction for Payment of Income |
(m) DI4-1012 |
(6/98) |
Public Deposit Claim Form and Agreement |
(n) D14-1295 |
(6/98) |
Public Deposit Identification and Acknowledgment Form |
(2) Copies of all forms listed in subsection (1), above, may be obtained through the Public Deposits Section, Bureau of Collateral Securities, Division of Treasury, Department of Financial Services, 200 East Gaines Street, Tallahassee, Florida 32399-0345.
Rulemaking Authority 280.19, 280.041(7) FS. Law Implemented 280.04(4), 280.041, 280.05, 280.16, 280.17 FS.
New 2-25-82, Amended 5-17-84, 11-29-84, Formerly 4C-2.09, Amended 4-10-86, 6-28-88, 1-23-91, 7-12-92, 2-1-93, 5-27-97, 4-5-99, Formerly 4C-2.009.