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Get Cra Form B243

Address of Agent/Broker/Insurer 6 7 Net Premiums Tax due (Canadian funds) Additional policies are to be reported with all requested details on a separate sheet and attached to this return. Tax due on these policies must also be included in the Total due. Total due 8 Payment attached Client contact name CAD CAD 9 Telephone number CERTIFICATION I, Print name Title hereby certify that the information in this return is true, correct and complete. Signature Form prescribed by the Mini.

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