Office of Insurance and Safety Fire CommissionerRalph T. Hudgens
Commissioner
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Domestic Life, HMO and Non-Profit Companies - 2012

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Form #GID-012-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: Annual Premium Tax Return
Annual Premium Tax Return
PID:1040-SID:2665-FN:GID-012-PT AnnualPremTaxReturn2012_Rev10032012.pdf

Form #GID-012A-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: STATEMENT OF QUARTERLY PREMIUM TAX
STATEMENT OF QUARTERLY PREMIUM TAX
PID:786-SID:1621-FN:GID-012A-PT STATEMENTOFQUARTERLYPREMIUMTAX_Rev09122011.pdf

Form #GID-014-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: CALCULATION FOR ABATEMENT OF GROSS PREMIUM TAX
CALCULATION FOR ABATEMENT OF GROSS PREMIUM TAX
PID:1041-SID:2671-FN:GID-014-PT CalcAbatementGrossPremTax_rev10032012.pdf

Form #GID-050-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: 2012 Life and Health Guaranty Fund Tax Credit
2012 Life and Health Guaranty Fund Tax Credit
PID:1044-SID:2686-FN:GID-050-PT 2012 Life and Health Guaranty Fund Tax Credit_rev10032012.pdf

Form #GID-203-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN
RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN
PID:1045-SID:2691-FN:GID-203-PT 2012 Reconcil Stmt Annl Prem Tax Ret_Rev10032012.pdf

Form #GID-205-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: 2012 INSURANCE PREMIUM TAX CREDITS
2012 INSURANCE PREMIUM TAX CREDITS
PID:1046-SID:2696-FN:GID-205-PT 2012 Ins Prem Tax Credits_rev10032012.pdf

Form #REMINDERS 2012 ANNUAL PREMIUM TAX FILING INSTRUCTIONS This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: REMINDERS 2012 ANNUAL PREMIUM TAX FILING INSTRUCTIONS
REMINDERS 2012 ANNUAL PREMIUM TAX FILING INSTRUCTIONS
PID:787-SID:1625-FN:REMINDERS 2012 ANL PREMIUM TAX FILING INSTR_rev09112011.pdf

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