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STATE OF CONNECTICUT DEPARTMENT OF REVENUE SERVICES PO BOX 2990 HARTFORD CT 061042990 (Rev. 12/99) FORM 115A FORM 115A For Calendar Year PREMIUM TAX RETURN TAX ON PREMIUMS PAID TO UNAUTHORIZED INSURERS
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Form 115a is a tax form used to report certain types of income to the IRS.
Individuals or businesses who receive income that falls under the reporting requirements of form 115a are required to file this form.
Form 115a can be filled out manually or electronically, following the instructions provided by the IRS.
The purpose of form 115a is to report specific types of income to the IRS for tax purposes.
Form 115a requires the taxpayer to report details of the income received, including the amount and source of the income.
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