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2012 Q3 Tax report due 11/15/2012

Surplus Lines Broker Forms and Instructions

After filling out the Excel filing form, email it to Don't forget to fill out the affidavit by clicking on the affidavit tab at the bottom of the form.

This form was last updated 7/20/2015 (carrier changes) so if you are using an older version please download and use this version.

Download the form here: ARS20-408 Excel Filing Form