| Return Reference | Explanation |
|---|---|
| Part I, line 8 | | Other Revenues:, Amount:| Line 8 Other Revenue: Surplus Lines $9,755.25 2% Perm Tax $28,312.74. Total Insurance Money from 2024 Financial Standing Report., $38068| |
| Part I, line 10 | | Grants And Similar Amounts Paid:, Amount:| Assessment Withheld $1,013.84 Line 21 2024 Financial Standing Report, $1013| |
| Part I, line 16 | | Other Expenses:, Amount:| Line 16 Other Expenses: From Disbursements 2024 Financial Standing Report: Surplus Lines $6,633.57 2% Perm Tax $19,252.66 State Filing Fee $30.50, $25917| |
| Part II, Line 26 | | Explanation:| $1,013.84 Assessment WIthheld Line 21 on 2024 Financial Standing Report |
| Software ID: | |
| Software Version: |