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License/Certificate No. Required A If Provider of Last Resort check here QUARTERLY REPORT Part 1 of 3Pennsylvania Gross ReceiptsName of Company: Period of Operation: From (Month, Year) to (Month,
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The required a-if provider is a form that must be filled out by certain providers of financial services.
Providers of financial services are required to file the required a-if provider form.
The required a-if provider form can be filled out online or submitted in paper form.
The purpose of the required a-if provider form is to report certain financial information to the appropriate authorities.
The required a-if provider form typically requires information such as income, assets, and financial transactions.
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