Form 1076 - Annual Municipal Premium & Tax Report - Louisiana Department Of Insurance - 2011 Page 2
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6NAIC NUMBER:
COMPANY NAME:
MUNICIPAL TAX
MUNICIPAL TAX
CODE
MUNICIPALITY OR PARISH
DIRECT PREMIUMS
LIABILITY
CODE
MUNICIPALITY OR PARISH
DIRECT PREMIUMS
LIABILITY
351
Cotton Valley
600
Gibsland
360
Coushatta
610
Gilbert
370
Covington
615
Gilliam
375
Creola
620
Glenmora
380
Crowley
630
Golden Meadow
390
Cullen
635
Goldonna
400
Delcambre
640
Gonzales
410
Delhi
650
Grambling
420
Denham Springs
660
Gramercy
430
DeQuincy
665
Grand Cane
440
DeRidder
670
Grand Coteau
442
DeSoto Parish
680
Grand Isle
444
Dixie Inn
685
Grant Parish
448
Dodson
690
Grayson
450
Donaldsonville
700
Greensburg
455
Doyline
705
Greenwood
460
Dry Prong
710
Gretna
462
Dubach
720
Grosse Tete
464
Dubberly
730
Gueydan
465
Duson
731
Hall Summit
470
E. Baton Rouge Parish
740
Hammond
471
E. Carroll Parish
750
Harahan
472
E. Feliciana Parish
760
Harrisonburg
473
East Hodge
765
Haughton
475
Edgefield
770
Haynesville
477
Elizabeth
780
Heflin
480
Elton
785
Henderson
485
Epps
790
Hessmer
490
Erath
800
Hodge
493
Eros
810
Homer
500
Estherwood
820
Hornbeck
510
Eunice
825
Hosston
520
Evangeline Parish
830
Houma
521
Evergreen
840
Iberia Parish
530
Farmerville
850
Iberville Parish
540
Fenton
855
Ida
550
Ferriday
860
Independence
555
Fisher
870
Iota
560
Florien
880
Iowa
564
Folsom
890
Jackson
567
Fordoche
893
Jackson Parish
568
Forest
895
Jamestown
570
Forest Hill
900
Jeanerette
580
Franklin
902
Jean Lafitte
581
Franklin Parish
905
Jefferson Davis Parish
584
Franklinton
910
Jefferson Parish
586
French Settlement
920
Jena
590
Georgetown
930
Jennings
Form 1076 (Revised 01/12)
THIS DOCUMENT IS EXEMPT FROM PUBLIC RECORDS LAW UNDER R.S. 44§4
Page 2 of 6
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