October 2013 Commission Statement

Broker Commission Statement for October 2013
Intermediary No:
4952
Bank Details
Broker:
Bank:
FIRST NATIONAL BANK
Fax Number:
PROFESSIONAL BUSINESS
XCHANGE
6238072
Branch Code:
256755
Postal Address:
22 Clemens Corner
Account:
62323335986
Bovet Road, Bellair Park
VAT No:
NORTH RIDING
Email:
GTE@MAIL.COM
JOHANNESBURG
FSP SOLUTIONS (Pty) Ltd
2169
Toll Free No: 0860 001827
Porta Nova Building,
Gazelle Close,
Corporate Park South, Midrand
Vat No: 4340205089

Fax: (011) 206 5005
Summary Broker Commission Statement for October 2013

Fsp Policy No
Status
Summary
Title
Initials
Client
Identification No
Total Risk
Amt
Total Interm Total Interm Vat

Comm + Fee
Withholding
Amt
Amt
Balance
Brought
Forward
Total Owed
Amt
Total Interm
Portion Received
Amt
Total Interm
Comm + Fee
Paid Amt
Balance Caried
Forward
MR
AE
SNYDERS
7511015078081
R 249.94
R 47.80
R 5.87
R 0.00
R 41.93
R 41.93
R 41.93
R 0.00
MR
AE
SNYDERS
7511015078081
R 53.42
R 6.68
R 0.82
R 0.00
R 5.86
R 5.86
R 5.86
R 0.00
Activating
MR
AE
SNYDERS
7511015078081
R 4.00
R 1.00
R 0.12
R 0.00
R 0.88
R 0.88
R 0.88
R 0.00
Activating
MR
AE
SNYDERS
7511015078081
New National: Proper

17437236
Activating
Proper: Fsp RePlace

17437236
Activating
Proper: Identity Theft

17437236
Proper: Sasria
17437236
Printed on 2013/10/31 03:10:57 AM
R 2.00
R 0.22
R 0.03
R 0.00
R 0.19
R 0.19
R 0.19
R 0.00
R 309.36
R 55.70
R 6.84
R 0.00
R 48.86
R 48.86
R 48.86
R 0.00
Page 1 of 2
Execution Time: 3 minute(s), 21 second(s)
Detailed Broker Commission Statement for October 2013

Product
Fsp Policy No
Summary
Status
Title
Initials
Client
Identification No
Total Risk Amt Total Interm Comm

+ Fee Amt
Total Interm Vat

Withholding Amt
Balance Brought
Forward
Activating
MR
AE
SNYDERS
7511015078081
R 249.94
R 47.80
R 5.87
R 0.00
Activating
MR
AE
SNYDERS
7511015078081
R 53.42
R 6.68
R 0.82
R 0.00
Activating
MR
AE
SNYDERS
7511015078081
R 4.00
R 1.00
R 0.12
R 0.00
Activating
MR
AE
SNYDERS
7511015078081
R 2.00
R 0.22
R 0.03
R 0.00
R 309.36
R 55.70
R 6.84
R 0.00
New National: Proper

17437236
Proper: Fsp RePlace
17437236
Proper: Identity Theft
17437236
Proper: Sasria
17437236
Printed on 2013/10/31 03:10:57 AM

Page 2 of 2
Summary
Risk Premium
Total Owed Amt
Total Interm Total Interm Comm

Portion Received
+ Fee Paid Amt
Amt
Balance Caried
Forward
Motor Vehicle Risk

Amt
Motor Cycle Risk

Amt
Caravans Risk Amt
Trailers Risk Amt
HC Risk Amt
R 41.93
R 41.93
R 41.93
R 0.00
R 249.94
R 0.00
R 0.00
R 0.00
R 0.00
R 5.86
R 5.86
R 5.86
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.88
R 0.88
R 0.88
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.19
R 0.19
R 0.19
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 48.86
R 48.86
R 48.86
R 0.00
R 249.94
R 0.00
R 0.00
R 0.00
R 0.00
Printed on 2013/10/31 03:10:57 AM

Page 2 of 2
Risk Premium (Insurer + Intermediary Commission Amt)

Building Risk Amt
All Risk Risk Amt
Injury Inv Amt
Watercraft Risk
Amt
Elect Eqp Risk Amt
Liability Risk Amt
Sasria Motor Risk

Amt
Sasria Non Motor

Risk Amt
Other Risk Amt
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 53.42
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 4.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 2.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 2.00
R 0.00
R 57.42
Printed on 2013/10/31 03:10:57 AM

Page 2 of 2
Intermediary Portion
Motor Vehicle Motor Cycle Interm
Interm Inv Amt
Inv Amt
Caravans Interm Trailers Interm Inv

Inv Amt
Amt
HCInterm Inv Amt Building Interm Inv

Amt
All Risk Interm Inv

Amt
Injury Interm Inv

Amt
Watercraft Interm
Inv Amt
R 27.80
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 27.80
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
Printed on 2013/10/31 03:10:57 AM

Page 2 of 2
Elect Eqp Interm Liability Interm Inv

Inv Amt
Amt
Sasria Motor
Interm Inv Amt
Sasria Non Motor

Interm Inv Amt
Other Interm Inv

Amt
Admin Fee Interm

Inv Amt
Motor Vehicle Paid

Amt
Motor Cycle Paid

Amt
Caravan Paid Amt
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 20.00
R 24.39
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 6.68
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 1.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.22
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.22
R 0.00
R 7.68
R 20.00
R 24.39
R 0.00
R 0.00
Printed on 2013/10/31 03:10:57 AM

Page 2 of 2
Paid
Trailer Paid Amt
HCPaid Amt
Building Paid Amt
All Risk Paid Amt
Injury Paid Amt
Watercraft Paid
Amt
Elect Eqp Paid Amt
Liability Paid Amt
Sasria Motor Paid

Amt
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.19
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 0.19
Printed on 2013/10/31 03:10:57 AM

Page 2 of 2
Sasria Non Motor

Paid Amt
Other Paid Amt
Admin Fee Paid

Amt
R 0.00
R 0.00
R 17.54
R 0.00
R 5.86
R 0.00
R 0.00
R 0.88
R 0.00
R 0.00
R 0.00
R 0.00
R 0.00
R 6.74
R 17.54
Printed on 2013/10/31 03:10:57 AM

Page 2 of 2

October 2013 Commission Statement

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October 2013 Commission Statement

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Broker Commission Statement for October 2013

FIRST NATIONAL BANK

Bovet Road, Bellair Park

Vat No: 4340205089

Summary Broker Commission Statement for October 2013

Total Interm Total Interm Vat

New National: Proper

Proper: Fsp RePlace

Proper: Identity Theft

Printed on 2013/10/31 03:10:57 AM

Execution Time: 3 minute(s), 21 second(s)

Detailed Broker Commission Statement for October 2013

Total Risk Amt Total Interm Comm

Total Interm Vat

New National: Proper

Printed on 2013/10/31 03:10:57 AM

Total Owed Amt

Total Interm Total Interm Comm

Motor Vehicle Risk

Motor Cycle Risk

Caravans Risk Amt

Trailers Risk Amt

Printed on 2013/10/31 03:10:57 AM

Risk Premium (Insurer + Intermediary Commission Amt)

All Risk Risk Amt

Injury Inv Amt

Elect Eqp Risk Amt

Liability Risk Amt

Sasria Motor Risk

Sasria Non Motor

Other Risk Amt

Printed on 2013/10/31 03:10:57 AM

Caravans Interm Trailers Interm Inv

HCInterm Inv Amt Building Interm Inv

All Risk Interm Inv

Injury Interm Inv

Printed on 2013/10/31 03:10:57 AM

Elect Eqp Interm Liability Interm Inv

Sasria Non Motor

Other Interm Inv

Admin Fee Interm

Motor Vehicle Paid

Motor Cycle Paid

Caravan Paid Amt

Printed on 2013/10/31 03:10:57 AM

Building Paid Amt

All Risk Paid Amt

Injury Paid Amt

Elect Eqp Paid Amt

Liability Paid Amt

Sasria Motor Paid

Printed on 2013/10/31 03:10:57 AM

Sasria Non Motor

Other Paid Amt

Admin Fee Paid

Printed on 2013/10/31 03:10:57 AM

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