Form E-Title.retaliatory - Annual Retaliatory Tax Report Foreign Title Insurer - Arizona Department Of Insurance - 2002

ADVERTISEMENT

ARIZONA DEPARTMENT OF INSURANCE
DUE DATE: APRIL 15, 2003
2002 ANNUAL RETALIATORY TAX REPORT
or OCTOBER 15, 2003 WITH FILED EXTENSION
FOREIGN TITLE INSURER
PREMIUM TAX UNIT
(602) 912-8429
FAX (602) 912-8421
For Office Use Only
For Audit Use Only
ORIGINAL REPORT
AMENDED REPORT / REASON _______________________________________________________________________________
Complete Company Name and Home Office Address
State of Incorporation
x
x
x
NAIC Number
x
NAIC Group Number
x
Federal I. D. Number
x
Preparer’s Name and Title:
E-Mail Address:
Toll Free or Collect Phone: (
)
FAX: (
)
Complete Mail Address:
1)
Retaliatory Amount Due From Page 2, Line 22
$
(Pay Code 04)
A
R
I
Z
O
N
A
D
E
P
A
R
T
M
E
N
T
O
F
I
N
S
U
R
A
N
C
E
M
:
A
R
I
Z
O
N
A
D
E
P
A
R
T
M
E
N
T
O
F
I
N
S
U
R
A
N
C
E
AKE CHECK PAYABLE TO
Attention: TAX UNIT
A
M
:
2910 North 44
Street, Second Floor
ND
AIL CHECK WITH REPORT TO
th
Phoenix, Arizona 85018-7256
PREPARER CERTIFICATION
COMPANY OFFICER CERTIFICATION
I certify that I have prepared this report. It is true, complete and correct to the
I certify that I have examined this report. It is true, complete and correct to the best
best of my knowledge.
of my knowledge.
SIGNATURE OF PREPARER
DATE
SIGNATURE OF OFFICER
DATE
NAME AND TITLE TYPED OR PRINTED
NAME AND TITLE TYPED OR PRINTED
E-TITLE.R
(R
. 12/02)
STATE OF ARIZONA
P
1
2
ETALIATORY
EV
AGE
OF

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Arizona Form 800nr - Cigarette Distributor's Monthly Return For Nonresident Licensed Distributors - Arizona Department Of Revenue Arizona Form 800nr - Cigarette Distributor's Monthly Return For Nonresident Licensed Distributors - Arizona Department Of Revenue Financial
Form Rmft-10, Schedule E - Mft, Ust, And Eif Tax- And Fee-paid Purchases - Illinois Department Of Revenue Form Rmft-10, Schedule E - Mft, Ust, And Eif Tax- And Fee-paid Purchases - Illinois Department Of Revenue Financial
Form E -500a - Sales And Use Tax Report Form E -500a - Sales And Use Tax Report Financial
Form Ft 1120fi - Corporation Franchise Tax Report For Financial Institutions - Ohio Department Of Taxation - 2012 Form Ft 1120fi - Corporation Franchise Tax Report For Financial Institutions - Ohio Department Of Taxation - 2012 Financial
Form It-6 - Indiana Corporation Income Tax Return - Estimated Quarterly Payment - Indiana Department Of Revenue Form It-6 - Indiana Corporation Income Tax Return - Estimated Quarterly Payment - Indiana Department Of Revenue Financial
Form Tob: Otp - Monthly State Tobacco Tax Return By Resident Distributors - Alabama Department Of Revenue Form Tob: Otp - Monthly State Tobacco Tax Return By Resident Distributors - Alabama Department Of Revenue Financial
Form Ft-es - Indiana Financial Institution Tax Return Estimated Quarterly Payment - Indiana Department Of Revenue Form Ft-es - Indiana Financial Institution Tax Return Estimated Quarterly Payment - Indiana Department Of Revenue Financial
Form 1041-qft - U.s. Income Tax Return For Qualified Funeral Trusts - Department Of Treasury - 2013 Form 1041-qft - U.s. Income Tax Return For Qualified Funeral Trusts - Department Of Treasury - 2013 Financial
Sales And Use Tax Report - Jefferson Davis Parish - Louisiana Department Of Revenue Sales And Use Tax Report - Jefferson Davis Parish - Louisiana Department Of Revenue Financial
Form E-title.foreign - Annual Fees Report Foreign Title Insurer - Az Department Of Insurance - 2002 Form E-title.foreign - Annual Fees Report Foreign Title Insurer - Az Department Of Insurance - 2002 Legal

Related Categories

Parent category: Legal
Download
Go
Page of 2