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Expenses Report Sample

Payee/Policyholder

Payee or policy holder name.

Ren

Whether or not the expense is for a renewal.

St

Payee / Policyholder state.

Coverage

Coverage type.

Expense

When the expense was made.

Type

Expense type.

Gross Prem.

Gross premium.

%

Percent Commission.

Payable

Expense payable amount.

Deducted

Deduction amount.

Refunded

Refund amount.

Misc.

Amount of other expense types.

Disbursed

Expense amount disbursed.

Closed

Closed expense amount.

Due

Remaining expense amount.