Annual Report Form

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PLEASE RETURN THIS COMPLETED FORM WITH THE ANNUAL
FINANCIAL REPORTS.
TO:
THE DELAWARE PUBLIC SERVICE COMMISSION
FROM:
_________________________________________________
(Name of Company)
_________________________________________________
(Address of Company)
_________________________________________________
_________________________________________________
(Telephone Number)
____________________________________________________________
(Name of Preparer)
Per the filing requirements of the Delaware Public Service Commission,
as explained in the attached letter, please find attached the following
items:
ONE copy of the company’s standard financial statements
.
(Income statement and balance sheet)
Please be sure to provide the information required in 26 Del. Admin. C.
§1002, Part E and F as applicable
A $25.00 filing fee.
Return to the Delaware Public Service Commission by April 30th

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