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Department of Revenue Services PO Box 2990 Hartford CT 06104-2990 (Rev. 12/05) Form 115A For Calendar Year Premium Tax Return Tax on Premiums Charged by Unauthorized Insurers 2005 Complete return

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What is form 115a premium tax?

Form 115a premium tax is a tax form used to report and pay premiums on certain types of insurance policies.

Who is required to file form 115a premium tax?

Insurance companies and other entities that receive premiums on insurance policies are required to file form 115a premium tax.

How to fill out form 115a premium tax?

Form 115a premium tax can be filled out by providing the required information, such as policy details, premium amounts, and other relevant information, as specified on the form.

What is the purpose of form 115a premium tax?

The purpose of form 115a premium tax is to report and pay premiums on insurance policies, ensuring compliance with tax regulations and obligations.

What information must be reported on form 115a premium tax?

Information that must be reported on form 115a premium tax includes policy details, premium amounts, policyholder information, and other relevant information as specified on the form.

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