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74A117 (121)Commonwealth of Kentucky DEPARTMENT OF REVENUEMONTHLY INSURANCE SURCHARGE REPORTER OFFICIAL USE ONLY STA. 61AND ASSESSMENT FIRE INSURER(Excluding any company that transfers its corporate
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Start by writing your full name in the designated space provided on the form.
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Insurance companies, regulatory agencies, and other entities may require name and address details for NAIC compliance purposes.
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Name and address NAIC stands for Name, Address, and National Association of Insurance Commissioners.
Insurance companies are required to file Name and Address NAIC.
Name and Address NAIC can be filled out online through the NAIC's electronic filing system.
The purpose of Name and Address NAIC is to provide accurate and up-to-date information about insurance companies.
On Name and Address NAIC, insurance companies must report their legal name, address, and NAIC company code.
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