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FOR DEPARTMENT USE ONLY CI770 054/000 CI771 054/001 STATE OF TENNESSEE THE DEPARTMENT OF COMMERCE AND INSURANCE CI755 171/555 P.O. BOX 198983 Nashville, TN 37219-8983 (615) 741-1670 STATEMENT OF FEES
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Captive annual premium tax is a tax imposed on the premiums paid by captive insurance companies.
Captive insurance companies are required to file captive annual premium tax.
Captive annual premium tax can be filled out by providing information on premiums paid, losses incurred, and other relevant financial information.
The purpose of captive annual premium tax is to ensure that captive insurance companies contribute their fair share of taxes to the government.
Information such as premiums paid, losses incurred, and financial statements must be reported on captive annual premium tax.
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