| Document Date: 2014-10-28 04:04:55
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City Frankfort / / Currency USD / / Event Man-Made Disaster / / Holiday Commonwealth Day / / IndustryTerm insurance premium surcharge / insurance coverage / accident insurance / compensation insurance / insurance premium surcharge report / federal insured flood insurance / flood insurance / federal insured crop insurance / foreign and alien insurer / crop insurance / monthly accounting period / health insurance / insurance premiums / insurance premium surcharge liabilities / title insurance / health insurers / / Organization Kentucky DEPARTMENT OF REVENUE MONTHLY INSURANCE SURCHARGE REPORT DOMESTIC MUTUAL / Federal government / Department of Revenue / / / Position contractor / Kentucky State Treasurer / Date____________________________________________________ GENERAL / principal officer / / ProvinceOrState Kentucky / /
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74A117A[removed]Commonwealth of Kentucky DEPARTMENT OF REVENUE MONTHLY INSURANCE SURCHARGE REPORT