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Inventory of GID FormsGID-001-ILGID-002-ILGID-002-RS Application For Original Certificate Of Authority (same as GID-2)GID-003-ILGID-003-MemoGID-003-RS Appointment Of Attorney-In-Fact By Insurer (same as GID-3)GID-004-RS Appointment Of Commissioner As Attorney-In-Fact By Insurer (same as GID-4)GID-006-IL SEP08 ANNUAL GA INDUSTRIAL LOAN LICENSE RENEWALGID-007-IL OCT08 ANNUAL GA INDUSTRIAL LOAN REPORTGID-007-RS Official Having Supervision Of Insurance In The State Of Domicile (same as GID-7)GID-007A-IL OCT08 ANNUAL GA INDUSTRIAL LOAN REPORT ADDENDUM (interactive)GID-007B-IL OCT08 STATEMENT OF INCOME AND EXPENSESGID-010-RS Application For Renewal Of Certificate Of Authority (sames as GID-10 Rev 11-2001)GID-011-MemoGID-011-RS Insurance Company Annual Statement For Publication (same as GID-11 Rev 11-2001)GID-012 Annual Premium Tax Return (Rev 10-04)GID-012-02-InstructionsGID-012-02GID-012-03-InstructionsGID-012-03GID-012-04-InstructionsGID-012-05-InstructionsGID-012-05GID-012-06-InstructionsGID-012-07-InstructionsGID-012-07GID-012-IL NOV08 QUARTERLY INS AND LOAN TAX RPTGID-012-PT 2009 ANNUAL PREMIUM TAX RETURN (Rev 09-09)GID-012-PT-08GID-012GID-012A-01GID-012A-02-InstructionsGID-012A-02GID-012A-03GID-012A-04GID-012A-05GID-012A-06GID-012A-07GID-012A-IL DEC09 STATEMENT OF ESTIMATED MONTHLY LOAN TAXGID-012A-PT (Rev 09-09)GID-012A-PT-09GID-013-02-InstructionsGID-013-02GID-013-03-InstructionsGID-013-03GID-013-04-InstructionsGID-013-04GID-013-05-InstructionsGID-013-05GID-013-06-InstructionsGID-013-06GID-013-07-InstructionsGID-013-07GID-013-PT SEP09 2009 GEORGIA RETALIATORY TAX COMPUTATION (Rev 09-09)GID-013-PT-08GID-013GID-014-02-InstructionsGID-014-02GID-014-03-InstructionsGID-014-03GID-014-04-InstructionsGID-014-04GID-014-05-InstructionsGID-014-05GID-014-06-InstructionsGID-014-06GID-014-07-InstructionsGID-014-07GID-014-08GID-014-ILGID-014-PT SEP09 2009 CALCULATION FOR ABATEMENT OF GROSS PREMIUM TAX (Rev 09-09)GID-014-PT-07GID-014-PT-08GID-014GID-015-02GID-015-03GID-015-04GID-015-05GID-015-06GID-015-07GID-015-IL MAY09 LOAN MANAGER'S APPOINTMENT FORMGID-015-IL MAY09 LOAN MANAGERS APPOINTMENT FORMGID-015-PT SEP09 2009 STATEMENT IN SUPPORT OF CLAIM FOR RETALIATORY TAX CREDITSGID-015-PT-08GID-015GID-016GID-017A-02-InstructionsGID-017A-02GID-017A-03-InstructionsGID-017A-03GID-017A-04-InstructionsGID-017A-04GID-017A-05GID-017A-06GID-017A-07GID-017A-PT SEP 2009 MUNICIPAL LICENSE FEES FORMS (Rev 9-09)GID-018GID-019GID-021-EN DEC09 iaGID-022-EN DEC09 ia RENEWALGID-023-EN Prem Finance Co Biographical QuestGID-024-EN DEC09 Annual Report iaGID-024GID-028 GID-032GID-033GID-034GID-035GID-036GID-037-CGID-037GID-038GID-039GID-040-EN DEC09GID-041GID-042-EXHIBIT KGID-043GID-044-and0GID-045MemoGID-044-EXHIBIT LGID-044GID-045-EXHIBIT LGID-050 -Rev 10-04GID-050-02-InstructionsGID-050-02GID-050-03-InstructionsGID-050-03GID-050-04-InstructionsGID-050-04GID-050-PT (Rev. 09-09)GID-050-PT SEP09 2009 LIFE & HEALTH GUARANTY FUND TAX CREDIT FORM (Rev 09-09)GID-050-PT SEP09 2009 LIFE & HEALTH GUARANTY FUND TAX CREDIT FORM (Rev 9-09)GID-050-PT-08GID-050_2001GID-051-EN DEC09 Appl For Lic As TPA Admn iaGID-051-EN-0808 Application for license as an AdministratorGID-052-EN DEC09 Biographical Affidavit iaGID-053-ENGID-053GID-054-EN DEC09 Service of Process iaGID-054-PartGID-055-EN DEC09 Resolution Service of Process iaGID-055GID-056-EN DEC09 Financial Statement iaGID-057-BondGID-057-EN DEC09 Bond TPA iaGID-057-LH-UR-0908GID-057GID-059-EN NOV09GID-060-EN NOV09 Annual Statement for Continuing Care Provider and Facility iaGID-061-EN NOV09GID-061GID-065-LH-UR-0908GID-065GID-072-LH-UR-0908-checklistGID-072-LH-UR-0908GID-072-PRAGID-072GID-073-LH-UR-0908GID-073GID-10GID-101-EGID-101A-AL JUL09 2010 Georgia Agency License Renewal Application Form-InteractiveGID-101B-AL JUL09 2010 Georgia Agent License Renewal Application Form-InteractiveGID-101E Request for Continuing Education Reduction ExemptionGID-103-2003GID-103-AL JAN10 Resident Insurance License ApplicationGID-103GID-109GID-11 MemoGID-11GID-110 Request for Approval of Pre-Licensing or Continuing Education (Rev 4-05)GID-110GID-111 Certificate of Education CompletionGID-111GID-112 Insurance Counselors BondGID-112GID-113GID-114 Surplus Lines Brokers BondGID-12 Annual Premium Tax Return (Rev 10-04)GID-12 Annual Premium Tax Return (Rev 10-05)GID-12 Annual Premium Tax Return (Rev 10-06)GID-12 Annual Premium Tax Return (Rev 10-07)GID-12 Annual Premium Tax Return (Rev 10-04)GID-12 Annual Premium Tax Return (Rev 10-06)GID-12 Annual Premium Tax Return (Rev 10-07)GID-12 Instructions (Rev 10-04)GID-12 Instructions (Rev 10-05)GID-12 Instructions (Rev 10-06)GID-12 Instructions (Rev 10-07)GID-12-PT Annual Premium Tax Return (Rev 10-05)GID-122A-122T Request for New and Terminated Certificate of AuthorityGID-122sa Request for New and Terminated Subagent Certificate of AuthorityGID-12A Statement of Quarterly Premium Tax (Rev 10-04)GID-12A Statement of Quarterly Premium Tax (Rev 10-05)GID-12A Statement of Quarterly Premium Tax (Rev 10-06)GID-12A Statement of Quarterly Premium Tax (Rev 10-07)GID-12A Statement of Quarterly Premium Tax (Rev 09-01)GID-12A Statement of Quarterly Premium Tax (Rev 10-04)GID-12A Statement of Quarterly Premium Tax (Rev 10-05)GID-12A Statement of Quarterly Premium Tax (Rev 10-06)GID-12A Statement of Quarterly Premium Tax (Rev 10-07)GID-12A-PT 2009 STMT OF QTR PREMIUM TAX Rev 10-08GID-12A-PT Annual Premium Tax Return (Rev 10-04)GID-12A-PT Annual Premium Tax Return (Rev 10-04)GID-13 Georgia Retaliatory Tax Computation (O.C.G.A. §33-3-26) (Rev 10-04)GID-13 Georgia Retaliatory Tax Computation (O.C.G.A. §33-3-26) (Rev 10-04)GID-13 Georgia Retaliatory Tax Computation (O.C.G.A. §33-3-26) (Rev 10-05)GID-13 Georgia Retaliatory Tax Computation (O.C.G.A. §33-3-26) (Rev 10-06)GID-13 Georgia Retaliatory Tax Computation (O.C.G.A. §33-3-26) (Rev 10-07)GID-13 instructions (Rev 10-04)GID-13 instructions (Rev 10-05)GID-13 instructions (Rev10-07)GID-13 instructions (Rev1007)GID-130 Resident Agency ApplicationGID-130-031GID-130-032GID-130-033GID-130-034GID-130-FIGID-130GID-130sGID-14 2007 Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2007 (Rev1007)GID-14 Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2003 (Rev 10-04)GID-14 Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2004 (Rev 10-04)GID-14 Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2004 (Rev 10-04)GID-14 Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2005 (Rev 10-05)GID-14 Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2005 (Rev 10-05)GID-14 Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2006 (Rev 10-06)GID-14 Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2006 (Rev 10-06)GID-14 Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2007 (Rev 10-07)GID-14 Instructions (Rev 10-04)GID-14 Instructions (Rev 10-05)GID-14 Instructions (Rev 10-06)GID-14 Instructions (Rev 10-07)GID-14 Instructions (Rev1004)GID-14 InstructionsGID-15 Statement in Support of Claim for Retaliatory Tax Credits (Rev 10-04)GID-15 Statement in Support of Claim for Retaliatory Tax Credits (Rev 10-05)GID-15 Statement in Support of Claim for Retaliatory Tax Credits (Rev 10-06)GID-15 Statement in Support of Claim for Retaliatory Tax Credits (Rev 10-07)GID-15 STATEMENT IN SUPPORT OF CLAIM FOR RETALIATORY TAX CREDITS (Rev 10-05)GID-16GID-17A Instructions (Rev 10-04)GID-17A Municipal License Fees Form (LIFE, A&S, AND HMO COMPANIES ONLY) (Rev 10-06)GID-17A Municipal License Fees Form (LIFE, A&S, AND HMO COMPANIES ONLY) (Rev 10-06)GID-17A Municipal License Fees Form (LIFE, A&S, AND HMO COMPANIES ONLY) (Rev 10-07)GID-17A-PT 2008 MUNICIPAL LICENSE FEES FORMS (Rev 10-08)GID-17A-PT-08GID-17A-Rev 10-04GID-17A-Rev 10-05GID-18GID-203-PT SEP09 2009 RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURNGID-203-PT-08GID-205-PT SEP09 INSURANCE PREMIUM TAX CREDITSGID-205-PT-08GID-207-PT InstructionsGID-207-PT-08GID-210-EN JAN09_RISK RETENTION GROUP NOTICE AND REGISTRATION-(Interactive Copy)GID-211-EN FEB10 PURCHASE GROUP NOTICE AND REGISTRATION-Interactive CopyGID-212-PT FEB09 QUARTERLY PREMIUM TAX AFFIDAVIT ia rev01042010GID-213-PT OCT09 GEORGIA RETALIATORY TAX-InteractiveGID-214-PT FEB09 REPORT OF PERSON(S) PROCURING INSURANCE-InteractiveGID-215-PT FEB09 RISK RETENTION GROUPS QUARTERLY PREMIUM TAX AFFIDAVIT-InteractiveGID-217A-SF MAR09_WATER BASED FIRE PROTECTION SYSTEMS INSPECTION WAIVER AFFIDAVITGID-220-IL MAY09_INDUSTRIAL LOAN COMPLAINT FORMGID-221-SFGID-222-SF JUL09 Water Based Fire Protection Certificate of CompetencyGID-222A & 222B-SF JUL09 Water Based Fire Protect Certificate of Competency & Certicate of Employer ApplicGID-222A & 222B-SF JUL09 Water Based Fire Protection Certificate of CompetencyGID-223-SF JUL09 APPL FOR WATER BASED FIRE PROTECT SYS DESIGNER LICGID-224-SF JUL09 Water Based Fire Protection Inspector ApplicationGID-225-SF JUL09 Water Based Fire Protection Systems Contractors LicenseGID-226-SF JUL 09 ENGINEERED FIRE SUPPRESSION SYSTEM LICENSE APPLICATIONGID-227-SF JUL 09 PRE-ENGINEERED INDUSTRIAL PERMIT APPLICATIONGID-228-SF JUL 09 PRE-ENGINEERED INDUSTRIAL LICENSE APPLICATIONGID-229-SF JUL 09 2010 PROVISIONAL PERMIT APPLICATIONGID-230-SF JUL09 ENGINEERED FIRE SUPPRESSION SYSTEM PREMIT APPLICATIONGID-231-SF JUL09 PORTABLE FIRE EXTINGUISHER LICENSE APPLICATIONGID-232-SF JUL09 PORTABLE FIRE EXTINGUISHER PERMIT APPLICATIONGID-233-SF JUL09 Pre-Engineered Kitchen Restaurant Fire Suppression System Permit ApplicationGID-234-SF JUL09 Pre-Engineered Kitchen Restaurant Fire Suppression System License ApplicationGID-235-SF AUG09 Citizenship Signature FormGID-237-SF OCT09_Georgia Manufactured Homes Retailer Retail Broker Acknowledgment FormGID-238-SF OCT09_Manufactured Housing Installation Information Form-(Same as FM-391)GID-239-EN NOV09 Annual Renewal Check Sheet For Groups iaGID-242-EN DEC09 ExpForm TPA iaGID-3 MemoGID-3GID-32 Application for License as a Prepaid Legal Services SponsorGID-323-FIGID-33 Application for Renewal License as a Prepaid Legal Services SponsorGID-34 Bond by Sponsor of Prepaid Legal Services PlanGID-35 Power to Sell and Assign SecuritiesGID-36 Resolution Form Authorizing Sale or AssignmentGID-37 Authorization Form For Sale or AssignmentGID-37-C Assignment of Savings Share Certificate or CDGID-38 Resolution Form Authorizing Sale or AssignmentGID-39 Annual Report of Prepaid Legal Services SponsorGID-41 Biographical QuestionaireGID-423-FIGID-43GID-44 and GID-45 MemoGID-50 Instructions (Rev 10-04)GID-50 InstructionsGID-50 Life & Health GuarantyFund Tax Credit Form (Rev 10-04)GID-50-PT SEP09 2009 LIFE & HEALTH GUARANTY FUND TAX CREDIT FORM (Rev 09-09)GID-AL-6 Request for Clearance LetterGID-AL-6GID-AL-6A Request for Status LetterGID-AL-6AGID-AL-LS Life Settlement Producer RegistrationGID-AL-LS-1 Life Settlement Producer RegistrationGID-AL-LSGID-AL-RV-1 Retail Vendors of Communication Equipment ApplicationGID-AL-RV-1-RETAILVENDORGID-AL-RV-1GID-E-LS-1GID-EN-LS-1 New and Rnwl Appl for Lic As Life Settlement ProvderGID-EN-LS-1GID-EN-LS-1RGID-EN-LS-1RIGID-EN-LS-2 Biographical Statement And AffidavitGID-EN-LS-2GID-EN-LS-3 Authority for Release of InformationGID-EN-LS-3GID-EN-LS-4 Life Settlement Provider Financial StatementGID-EN-LS-4GID-EN-LS-5 OCT09 SERVICE OF PROCESS interactiveGID-EN-LS-5(a)GID-EN-LS-5(b)GID-EN-LS-5(c)GID-EN-LS-6 OCT09 ResolutionForm (interactive)GID-EN-LS-6GID4GID_221-2010-I
Inventory of GID Forms
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