*033000100*
FORM INS-1
MAINE REVENUE SERVICES
ESTIMATED QUARTERLY RETURN
033000100
PREMIUM AND/OR WORKERS COMPENSATION INSURANCE TAX
Entity Information:
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DATE _____________________________________
*BY ______________________________
TEL. _____________________________________
TITLE ____________________________
SPECIFIC INSTRUCTIONS
Line 1: Quarterly Estimate.
Line 2: Prior Credit.
INTEREST & PENALTY