Last updated: 3/28/2025
Tax Disclosure Report-Preferred Provider Companies
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Description
TAX DISCLOSURE REPORT - PREFERRED PROVIDER COMPANIES. This form is used by Preferred Provider Companies to report their tax information to the Commonwealth of Massachusetts. It requires the company to provide details such as its exact name, principal office location, and financial information related to the tax year, including gross receipts or sales, income taxable in Massachusetts, and total excise or tax due. The form must be signed by the company's Treasurer or Assistant Treasurer, certifying that the information is correct under penalties of perjury. The form also allows for reporting any tax credits taken against the excise tax, and it includes instructions for how the company should complete the form based on the most recent tax returns or documents filed. www.FormsWorkflow.com





