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Directory Results for IB53 2006 Gross Premium Tax Return SelfInsured Workers Compensation Group Web 507 IB Insurance North Carolina Department of Revenue Legal Name (USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS) Fill in circle if applicable: Mailing Address to IB54NN08- issue Bpdf

IB53 2006 Gross Premium Tax Return SelfInsured Workers Compensation Group Web 507 IB Insurance North Carolina Department of Revenue Legal Name (USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS) Fill in circle if applicable: Mailing Address
IB54NN08- issue Bpdf