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How to fill out the Annual Report Verification.docx. DecemberTom online
Filling out the Annual Report Verification form is crucial for ensuring compliance with the Department of Insurance requirements. This guide provides step-by-step instructions to help you accurately complete the form online.
Follow the steps to successfully complete the Annual Report Verification form.
- Click ‘Get Form’ button to obtain the document and open it in your preferred editor.
- Begin by entering the TPA Information section. Fill in the following fields: Name of TPA, FEIN, License Number, Address 1, Address 2, City, State, State of Domicile, and ZIP Code.
- Next, specify the fiscal year ending date for the Annual Report in the designated field.
- The officers of the reporting entity must verify the information provided. Each officer should sign and print their name in the appropriate fields.
- In the Title section, indicate the title of each officer signing the document.
- Date Signed should be filled in by both officers when they complete their signatures.
- Once all fields are complete and verified, save your changes. You may download, print, or share the completed form as required.
Complete your Annual Report Verification form online today for a smooth filing process.
Initial and Annual Fees for LLCs StateFiling FeeAnnual Fee California LLC $70 $800 Franchise Tax (LLCs formed between January 2021 and January 1st 2024 are exempt for first year.) $20 Statement of Information Colorado LLC $50 $10 Connecticut LLC $120 $80 Delaware LLC $110 $30049 more rows
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