Form Ins-2 - Maine Estimated Monthly Return For Fire Investigation And Prevention Tax

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FORM INS-2
MAINE ESTIMATED MONTHLY RETURN FOR
FIRE INVESTIGATION AND PREVENTION TAX
00
Due 01/31/07
January, 2007
*0731000*
Instructions and worksheet are on the reverse side.
Company
MRS Insurance Account Number
Address
Estimated Payment
,
,
$
. 0 0
(
)
see instructions on back
*Signature
PAYMENT MUST ACCOMPANY RETURN
Name/Title
Make check payable to :
Treasurer, State of Maine
Telephone
Send return with check to:
Maine Revenue Services, P.O.Box 9120
*Must be signed by the President, Treasurer, Secretary, Chief
Augusta, ME 04332-9120
Accounting Officer, or Attorney-in-Fact of a Reciprocal Insurer.
FORM INS-2
MAINE ESTIMATED MONTHLY RETURN FOR
FIRE INVESTIGATION AND PREVENTION TAX
00
Due 02/28/07
February, 2007
*0731000*
Instructions and worksheet are on the reverse side.
Company
MRS Insurance Account Number
Address
Estimated Payment
$
,
,
. 0 0
(
)
see instructions on back
*Signature
PAYMENT MUST ACCOMPANY RETURN
Name/Title
Make check payable to :
Treasurer, State of Maine
Telephone
Send return with check to:
Maine Revenue Services, P.O.Box 9120
*Must be signed by the President, Treasurer, Secretary, Chief
Augusta, ME 04332-9120
Accounting Officer, or Attorney-in-Fact of a Reciprocal Insurer.
FORM INS-2
MAINE ESTIMATED MONTHLY RETURN FOR
FIRE INVESTIGATION AND PREVENTION TAX
00
Due 04/02/07
March, 2007
*0731000*
Instructions and worksheet are on the reverse side.
Company
MRS Insurance Account Number
Address
Estimated Payment
$
,
,
. 0 0
(
)
see instructions on back
*Signature
PAYMENT MUST ACCOMPANY RETURN
Name/Title
Make check payable to :
Treasurer, State of Maine
Telephone
Send return with check to:
Maine Revenue Services, P.O.Box 9120
*Must be signed by the President, Treasurer, Secretary, Chief
Augusta, ME 04332-9120
Accounting Officer, or Attorney-in-Fact of a Reciprocal Insurer.

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