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Get PA DoR RCT-121C 2016

(Line 1 minus Lines 2, 3 and 4) 1. 2. 3. 4. 5. fire Insurance 6. 7. 8. 9. Gross Direct Premiums Received less Cancellations and Premiums Returned Dividends to Policy Holders Other Deductions (Attach Schedule.) Taxable Fire Insurance Premiums (Line 6 minus Lines 7 and 8) 6. 7. 8. 9. Accident and health Insurance 10. 11. 12. 13. 14. 15. 16. Gross Direct Accident and Health Premiums Dividends to Policy Holders Other Deductions (Attach Schedule.) Taxable Accident and Health Insurance Premiums.

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