Form 63-23p - Premium Excise Return For Insurance Companies - 2005 Page 3

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Part 3. Computation of Retaliatory Tax.
Foreign casualty insurers only must complete this schedule.
Use the space below to calculate your excise using the identical method and the same rate used by the state in which you are incorporated in taxing a like
Massachusetts insurance company, or its agents, if doing business to the same extent. If the computation in the state of your
incorporation is in every respect the same as your Massachusetts computation, a statement to that effect should be made . . . . . . 1
1.5M 1/06 CPR0106
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