To be filed by domestic and foreign insurance companies which are subject to the provisions of Massa 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of your company, mailing address, federal identification number, city/town, state, and zip code in the designated fields.
3. Fill in the name of the treasurer and indicate under which laws your company is organized.
4. Answer the question regarding any changes to your taxable income for prior years by selecting 'Yes' or 'No'.
5. Complete all financial sections accurately, ensuring that amounts are entered correctly to avoid penalties. Attach any necessary documentation as required.
6. Sign the form as an appropriate corporate officer and provide their social security number, telephone number, and date.
7. If applicable, have an authorized delegate sign and check the corresponding box.

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