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2020 IB-54 Installment Payment Self-Insured Workers Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation

To be used by self-insured workers' compensation groups, health maintenance organizations, or hospital or dental service corporations in making installment payments of gross premiums tax for 2020

Documents

  • 2020 IB-54 Installment Payment Self-Insured Workers Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation

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North Carolina Department of Revenue

PO Box 25000
Raleigh, NC 27640-0640
General information: 1-877-252-3052
Individual income tax refund inquiries:
1-877-252-4052

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