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Premium $7,700.00 Policy Fee $150.00 Broker Fee $400.00 Inspection Fee $0.00 State Tax $165.00 SLC $15.00 Fire Marshal Tax $24.75 Total $8,454.75QBE Specialty Insurance Company RENEWAL ENDORSEMENT TRIAL

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What is premium 7700?

Premium 7700 is a form used to report premium payments made to certain types of foreign insurance companies.

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Premium 7700 requires reporting of the name and address of the foreign insurance company, the amount of premium payment, and the policy number.

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