Form 1988 - Insurance Company Quarterly Return For Sbt And Retaliatory Tax - 2001

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Michigan Department of Treasury
1988 (Rev. 11-00)
2001 Insurance Company Quarterly Return for SBT and Retaliatory Tax
This form is issued under authority of P.A. 218 of 1956
4th QUARTER DUE: January 31, 2002
and 228 of 1975. See instructions for filing guidelines.
Business Name
NAIC No.
Federal Employer ID No. or TR No.
Address (No. and Street)
WRITE PAYMENT
$
.00
City, State, ZIP
AMOUNT HERE
Write your federal employer
Mail to: Michigan Treasury
Taxpayer's Signature
number on your check. Make
Dept. 77229
payable to "State of Michigan."
Detroit, MI 48277-0229
Michigan Department of Treasury
1988 (Rev. 11-00)
2001 Insurance Company Quarterly Return for SBT and Retaliatory Tax
This form is issued under authority of P.A. 218 of 1956
3rd QUARTER DUE: October 31, 2001
and 228 of 1975. See instructions for filing guidelines.
Business Name
NAIC No.
Federal Employer ID No. or TR No.
Address (No. and Street)
WRITE PAYMENT
$
.00
City, State, ZIP
AMOUNT HERE
Write your federal employer
Mail to: Michigan Treasury
Taxpayer's Signature
number on your check. Make
Dept. 77229
payable to "State of Michigan."
Detroit, MI 48277-0229
Michigan Department of Treasury
1988 (Rev. 11-00)
2001 Insurance Company Quarterly Return for SBT and Retaliatory Tax
This form is issued under authority of P.A. 218 of 1956
2nd QUARTER DUE: July 31, 2001
and 228 of 1975. See instructions for filing guidelines.
Business Name
NAIC No.
Federal Employer ID No. or TR No.
Address (No. and Street)
WRITE PAYMENT
$
.00
City, State, ZIP
AMOUNT HERE
Write your federal employer
Mail to: Michigan Treasury
Taxpayer's Signature
number on your check. Make
Dept. 77229
payable to "State of Michigan."
Detroit, MI 48277-0229
Michigan Department of Treasury
1988 (Rev. 11-00)
2001 Insurance Company Quarterly Return for SBT and Retaliatory Tax
This form is issued under authority of P.A. 218 of 1956
1st QUARTER DUE: April 30, 2001
and 228 of 1975. See instructions for filing guidelines.
Business Name
NAIC No.
Federal Employer ID No. or TR No.
Address (No. and Street)
WRITE PAYMENT
$
.00
City, State, ZIP
AMOUNT HERE
Mail to: Michigan Treasury
Write your federal employer
Taxpayer's Signature
Dept. 77229
number on your check. Make
Detroit MI, 48277-0229
payable to "State of Michigan."

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