Every such broker or agent shall keep a separate account of the business done under his surplus line license and on or before the first day of July in each year, shall file with the

22 Guam Code Ann. BUSINESS REGULATIONS
CH. 15 BUSINESS OF INSURANCE

Commissioner a statement for the calendar year preceding, giving the name of the insured to whom such policy or indemnity contract granting such unauthorized insurance has been issued, the name and home office of each company issuing any such policy or contract, the amount of such insurance, the great premiums charged therein or therefor, the date and term of the policy, and the amount of premium returned on each policy canceled or not taken, with such other information and upon such form as required by the Commissioner, and pay the Commissioner an amount equal to the taxes imposed by law on the premiums of like authorized insurance companies.

SOURCE: GC § 43264.