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Get Form CT-33-D: November 2001 , Tax On Premiums Paid Or Payable ... - Tax Ny

Ty number Term of insurance policy effective or renewed from Name Telephone number ( to mm/dd/yy mm/dd/yy For office use only ) Number and street or PO box City State ZIP code Type of organization Corporation Partnership Individual Other: Payment enclosed A. Payment pay amount shown on line 10. Make check payable to: Commissioner of Taxation and Finance. Include on the check your identification number, Form CT-33-D, and the calendar quarter for which you are reporting. Part I.

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