Form 1076 - Annual Municipal Premium & Tax Report - Louisiana Department Of Insurance - 2011 Page 3
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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
940
Jonesboro
1190
Minden
941
Jonesville
1200
Monroe
945
Junction City
1205
Montgomery
950
Kaplan
1210
Montpelier
955
Keachi
1220
Mooringsport
960
Kenner
1230
Moreauville
970
Kentwood
1235
Morehouse Parish
975
Kilbourne
1240
Morgan City
976
Killian
1250
Morganza
980
Kinder
1260
Morse
985
Krotz Springs
1270
Napoleonville
989
Lafayette Parish
1280
Natchitoches
990
Lafayette
1281
Natchitoches Parish
991
Lafourche Parish
1290
Newellton
1000
Lake Arthur
1300
New Iberia
1010
Lake Charles
1310
New Llano
1020
Lake Providence
1320
New Orleans
1025
LaSalle Parish
1330
New Roads
1030
Leesville
1331
Noble
1040
LeCompte
1340
North Hodge
1045
Leonville
1342
Norwood
1047
Lillie
1350
Oakdale
1050
Lincoln Parish
1360
Oak Grove
1054
Lisbon
1364
Oak Ridge
1060
Livingston
1370
Oberlin
1062
Livingston Parish
1375
Oil City
1070
Livonia
1380
Olla
1080
Lockport
1390
Opelousas
1081
Logansport
1391
Ouachita Parish
1085
Longstreet
1392
Palmetto
1090
Loreauville
1393
Parks
1100
Lutcher
1395
Patterson
1105
Madison Parish
1396
Pearl River
1110
Madisonville
1397
Pine Prairie
1111
Mamou
1400
Pineville
1120
Mandeville
1405
Pioneer
1130
Mangham
1410
Plain Dealing
1140
Mansfield
1419
Plaquemines Parish
1150
Mansura
1420
Plaquemine
1160
Many
1422
Plaucheville
1161
Maringouin
1430
Pleasant Hill
1165
Marion
1435
Pointe Coupee Parish
1170
Marksville
1437
Pollock
1172
Maurice
1440
Ponchatoula
1173
McNary
1449
Port Allen
1174
Melville
1450
Port Barre
1175
Mermentau
1451
Port Vincent
1180
Mer Rouge
1452
Powhatan
1185
Merryville
1453
Provencal
Form 1076 (Revised 01/12)
THIS DOCUMENT IS EXEMPT FROM PUBLIC RECORDS LAW UNDER R.S. 44§4
Page 3 of 6
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