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SETTLERS LIFE INSURANCE COMPANY QUALIFIED AGENT APPOINTMENT / LICENSING SCHEDULE 1969 Lee Highway P.O. Box 8600 Bristol, VA 24203 (800) 8776191 This information is subject to change at any time and

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What is this form is for?

This form is used for reporting annual income.

Who is required to file this form is for?

Individuals and businesses with taxable income.

How to fill out this form is for?

You can fill out this form online or by mail.

What is the purpose of this form is for?

The purpose of this form is to report income to the tax authorities.

What information must be reported on this form is for?

Income, deductions, and credits must be reported on this form.