Office of Insurance and Safety Fire CommissionerRalph T. Hudgens
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Domestic Life, HMO and Non-Profit Companies - 2011

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Form #GID-012-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: ANNUAL PREMIUM TAX RETURN
ANNUAL PREMIUM TAX RETURN
PID:782-SID:1602-FN:GID-012-PT AnnualPremTaxReturn2011_Rev09122011.pdf

Form #GID-012A-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: STATEMENT OF QUARTERLY PREMIUM TAX
Form is provided for quarterly filings.
PID:717-SID:1217-FN:GID-012A-PT STATEMENTOFQUARTERLYPREMIUMTAXRev10-10.pdf

Form #GID-014-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: CALCULATION FOR ABATEMENT OF GROSS PREMIUM
CALCULATION FOR ABATEMENT OF GROSS PREMIUM
PID:781-SID:1597-FN:GID-014-PT CalcAbatementGrossPremTax_rev09112011.pdf

Form #GID-017A-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: MUNICIPAL LICENSE FEES FORM
MUNICIPAL LICENSE FEES FORM
PID:779-SID:1589-FN:GID-017A-PT NOV10 2010 MUNICIPAL LICENSE FEES FORMS_test.pdf

Form #GID-050-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: 2011 LIFE AND HEALTH GUARANTY FUND TAX CREDIT FORM
2011 LIFE AND HEALTH GUARANTY FUND TAX CREDIT FORM
PID:778-SID:1586-FN:GID-050-PT LIFE HEALTH GUAR FUND TAX CREDIT_rev09192011.pdf

Form #GID-203-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN
RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN
PID:783-SID:1607-FN:GID-203-PT RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN_rev09192011.pdf

Form #GID-205-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: 2011 INSURANCE PREMIUM TAX CREDITS
2011 INSURANCE PREMIUM TAX CREDITS
PID:780-SID:1592-FN:GID-205-PT INSURANCE PREMIUM TAX CREDITS_rev09192011.pdf

Form #REMINDERS 2011 ANNUAL PREMIUM TAX FILING INSTRUCTIONS This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: REMINDERS 2011 ANNUAL PREMIUM TAX FILING INSTRUCTIONS (Rev 10-10).
REMINDERS 2011 ANNUAL PREMIUM TAX FILING INSTRUCTIONS (Rev 10-10).
PID:701-SID:1508-FN:Lock Box_REMINDERS 2011 ANNUAL PREMIUM TAX FILING INSTRUCTIONS (Rev 10-10).pdf

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