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Michigan Department of Treasury
1988 (Rev. 8-06)
2007 Insurance Company Quarterly Return for SBT and Retaliatory Tax
Issued under authority of P.A. 218 of 1956 and 228 of 1975.
4th QUARTER DUE: January 31, 2008
See instructions for filing guidelines.
Business Name
NAICS Number
Federal Employer ID Number (FEIN) or TR Number
Address (Number and Street)
WRITE PAYMENT
$
.00
AMOUNT HERE
City, State, ZIP Code
Mail to:
Make check payable to "State of
Michigan Department of Treasury
Michigan." Write the FEIN or TR
Taxpayer's Signature
Dept. 77229
Number on the check.
Detroit, MI 48277-0229
Michigan Department of Treasury
1988 (Rev. 8-06)
2007 Insurance Company Quarterly Return for SBT and Retaliatory Tax
Issued under authority of P.A. 218 of 1956 and 228 of 1975.
3rd QUARTER DUE: October 31, 2007
See instructions for filing guidelines.
Business Name
NAICS Number
Federal Employer ID Number (FEIN) or TR Number
Address (Number and Street)
WRITE PAYMENT
$
.00
AMOUNT HERE
City, State, ZIP Code
Mail to:
Make check payable to "State of
Michigan Department of Treasury
Michigan." Write the FEIN or TR
Taxpayer's Signature
Dept. 77229
Number on the check.
Detroit, MI 48277-0229
Michigan Department of Treasury
1988 (Rev. 8-06)
2007 Insurance Company Quarterly Return for SBT and Retaliatory Tax
Issued under authority of P.A. 218 of 1956 and 228 of 1975.
2nd QUARTER DUE: July 31, 2007
See instructions for filing guidelines.
Business Name
NAICS Number
Federal Employer ID Number (FEIN) or TR Number
Address (Number and Street)
WRITE PAYMENT
$
.00
AMOUNT HERE
City, State, ZIP Code
Mail to:
Make check payable to "State of
Michigan Department of Treasury
Taxpayer's Signature
Michigan." Write the FEIN or TR
Dept. 77229
Detroit, MI 48277-0229
Number on the check.
Michigan Department of Treasury
1988 (Rev. 8-06)
2007 Insurance Company Quarterly Return for SBT and Retaliatory Tax
Issued under authority of P.A. 218 of 1956 and 228 of 1975.
1st QUARTER DUE: April 30, 2007
See instructions for filing guidelines.
Business Name
NAICS Number
Federal Employer ID Number (FEIN) or TR Number
Address (Number and Street)
WRITE PAYMENT
$
.00
AMOUNT HERE
City, State, ZIP Code
Mail to:
Make check payable to "State of
Michigan Department of Treasury
Taxpayer's Signature
Michigan." Write the FEIN or TR
Dept. 77229
Detroit, MI 48277-0229
Number on the check.