12222008 Home Insurance Company 2008 20 20 of Amount Year Assessment Amount Paid During Column C Calendar Year Department of Revenue ServicesState of Connecticut Rev 0210 Instructions ID: 853262
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1 $ 8 12/27/2007 Villanova Insurance Co.
$ 8 12/27/2007 Villanova Insurance Co. et al. 2008 $ $ 12/22/2008 Home Insurance Company 2008 $ $ 20% (.20) of Amount Year Assessment Amount Paid During Column C Calendar Year Department of Revenue ServicesState of Connecticut (Rev. 02/10) Instructions for Transferor Transferors name Transferees name Complete a 2009 Form GAA-1 only to report a transfer of a CIGA assessment credit for calendar year 2009. Do not complete a subsyear (2010 or later) Form GAA-1 to report a transfer of a CIGA assessment credit for calendar year 2009.