Form 7505 - Foreign Fire Insurance Tax - City Of Chicago
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1
2
3CITY OF CHICAGO
STATUS [
]
DEPARTMENT OF REVENUE
FOREIGN FIRE INSURANCE TAX - 7505
For office use only
Mail Payment and Return to:
ACCOUNT NUMBER
CHECK IF RETURN IS:
DUE DATE
Amended
BEGINNING PERIOD
ENDING PERIOD
MAILING ADDRESS:
Number of Sites:
BUSINESS PHONE:
BUSINESS ADDRESS:
If you have any changes to the account information listed on this return please contact Client Consultation of the Department of
Revenue at (312) 747-IRIS (4747). Do not fill in cents amount, round up to nearest dollar (if 50 cents or more).
1.
Taxable premiums attributable to fire insurance and fire related
0 0
(l
.............................................................
coverage
ine 1h of instructions)
2
Applicable tax rate ...............................................................................
3.
...............................................................
Tax due (multiply line 1 by line 2)
0 0
STOP AT LINE 3 IF THIS IS AN AMENDED RETURN
4.
(l
...................................
0 0
Interest due for late payment
ine 4c of instructions)
5.
..................................................
0 0
Penalty late payment / filing (5% of line 3).
6.
....................................
0 0
Total tax, interest, and penalty (add lines 3, 4, and 5)
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