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FORM INS42005MAINE REVENUE SERVICES00INSURANCE PREMIUMS TAX RETURNERS Insurance Account Numeric Company Code×0530000×Period Covered Date January 1 December 31, 2005,
Name/Address:CHECK ALL THAT
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To fill out nameaddress, follow these steps:
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Start by writing your full name, including your first name, middle name (if applicable), and last name.
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If filling out an online form, remember to click the 'submit' or 'save' button once you have entered the name and address details.
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What is nameaddress?
Nameaddress is a form used to report an individual's name and address information.
Who is required to file nameaddress?
Individuals who need to update or provide their name and address information are required to file nameaddress.
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Nameaddress requires individuals to report their full name and current address.
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