| Premium: |
|
The amount initially. paid |
| Cancelation date |
|
Is it today? |
| Term in Months: |
|
Was it one year? |
| Effective date: |
|
When was the payment made? |
| Expiration date: |
|
Effective until when? |
| Days in effect |
|
Days effective |
| Remaining days |
|
Days uneffective |
| Method: |
|
|
| Earned factor: |
|
|
| Unearned factor: |
|
|
| Earned premium: |
|
|
| Return premium: |
|
|
