Fillable tennesee form in 0578

7. Net Estimated Premium Workers Comp Fire Marshal Tax and Workers Comp Surcharge Line 5 minus line 6 PAY THIS AMOUNT Do not list negative Tax amounts on any of the above lines if negative enter zero 0 Make remittance payable to TENNESSEE DEPT. OF COMMERCE INSURANCE IN-0578 Other Than Life Quarterly Tax Form Rev 3/2014 Page 1 of 3 Schedule B COMPUTATION OF FIRE MARSHAL TAX To Be Computed By Property Insurers Only...
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tennesee form in 0578