Receipt Log Sample

Date

Log entry date.

Policy

Who holds the policy.

Report Period

Period being reported.

Amount Received

Dollar amount received.

Applied to Addl Fee

Amount applied to any additional fees.

Applied to Premium

Amount applied to the policy premium.

Comm/MGU Deducted

Receipt amount deducted for commission and MGU fees.

Gross Applied

Receipt amount applied.

Overpayment

Receipt amount over that required for premium, fees, etc.

Write Off

Write off amount.

Unapplied

Unapplied receipt amount.