Loading
Form preview picture

Get Insurance Company Holder Report Form 2009 - Etax Dor Ga

Submit a UP-1Ins for each business included on the CD. ZERO BALANCE REPORTS REQUIRED HOLDER INFORMATION 2. HOLDER (Business Name) 1. FEDERAL EMPLOYER ID# ADDRESS CITY, STATE, ZIP CODE 3. IS THIS REPORT BEING PREPARED BY AN AGENT ON BEHALF OF THE HOLDER? AND ADDRESS: 5. TELEPHONE 4. NAME OF CONTACT PERSON ( 7. DATE OF INCORPORATION 10. NO. OF EMPLOYESS Y N IF YES, FURNISH AGENT NAME 6. E-MAIL ADDRESS ) 8. STATE OF INCORPORATION 11. ANNUAL SALES/PREMIUMS 9. PRIMARY BUSIN.

How It Works

E-Mail rating
4.8Satisfied
55 votes
Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Filers FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to INSURANCE COMPANY HOLDER REPORT FORM 2009 - Etax Dor Ga

  • 1st
  • 14a
  • E-Mail
  • 14f
  • 14b
  • employess
  • filers
  • filer
  • totaling
  • Incorporation
  • Unclaimed
  • premiums
  • certify
  • ins
  • intangible
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.