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IRS Federal Excise Tax (FET) Exemption Agreement User Fee

This form is used to pay the user fee applicable to any foreign insurer or reinsurer wishing to enter into a closing agreement under Rev. Proc. 2003-78, 2003-2 C.B. 1029. The stated user fee is in accordance with Appendix A of Rev. Proc. 2003-1, or any successor procedure.

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