Form NYC-FP - Form NYC-FP - Annual Report of Fire Premiums Tax Upon Foreign and Alien Insurers
Page 2
LIST COMPLETE NAMES, PRINCIPAL BUSINESS ADDRESSES AND EMPLOYER IDENTIFICATION NUMBERS FOR ALL MEMBERS
OF THIS GROUP. (ATTACH ADDITIONAL PAGES IF NECESSARY)
EMPLOYER
TAX
NAME
ADDRESS
IDENTIFICATION
PAID
NUMBER
GROUP
NAME
MEMBER
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Mail report and remittance to :
NYC DEPARTMENT OF FINANCE
FIRE PREMIUMS TAX SECTION
59 MAIDEN LANE, 19TH FLOOR
NEW YORK, NY 10038