Form Gid 391 Al PDF Details

Form Gid 391 Al, also known as the Alabama Individual Income Tax Return, is a form used by taxpayers to report their annual income to the Alabama Department of Revenue. This form is due by April 15th each year, and must be filed online unless you are exempt from e-filing. In order to complete Form Gid 391 Al, you will need your Social Security number, your driver's license number or state ID number, and your email address. Be sure to review the instructions carefully before filing your return. If you have any questions, please contact the Alabama Department of Revenue at (800) 222-3234.

You'll find it useful to understand how much time you will need to prepare this form gid 391 al and exactly how lengthy the form is.

Form NameForm Gid 391 Al
Form Length1 pages
Fillable fields24
Avg. time to fill out5 min 3 sec
Other namesGID 391 AL Request For Clearance Letter state of georgia insurance commissioner form

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Ralph T. Hudgens, Commissioner

Phone: 855-235-5174E-mail:

Request For Clearance Letter


GID-391-AL AUG2014

1.General Instructions

A.A clearance letter is used by Georgia resident licensees who wish to cancel their Georgia license and apply for a license in a new resident state.

B.The fee for each clearance letter is $10.00.

C.You must submit your Georgia Insurance License with this request. If you have not submitted your license with this request, explain why your license is not included with this request.

I have included my original license card with this request.

I have not included my original license with this request because:

D.Return this request along with payment to: PSI SERVICES LLC / GEORGIA INSURANCE DEPT.

2.Licensee Instructions

Print your complete name as it appears on your Georgia insurance license.



Last Name

First Name





Suffix (Jr., Sr.)


























Mailing Address (Suite number, floor number, etc…)



















































Zip Code 5-digits



























New Address (Suite number, floor number, etc…)



















































Zip Code 5-digits



























Residential Phone Number





















License Fee and Clearance Letter Request




























License Number

Social Security Number




National Producer Number

Insert the number of clearance letters requested. Multiply the number of clearance letters requested per license type by the fee of $10.00 per letter. Enter the total in the “Total Amount Enclosed” space.

NOTE: If you hold more than one license, a request for a clearance letter for one license type implies cancellation of all licenses held.


Clearance Letter(s) requested for







the following license type(s)















Number Of








Clearance Letters Requested


(per letter requested)








$ 10.00












WARNING: By requesting a clearance letter, you are canceling your current Georgia license for all license types.

Licensee Signature



Bank of America Lockbox Services

Lockbox 742983, 6000 Feldwood Road, College Park, GA 30349


This office does not discriminate in employment, programs or services. Disabled persons can contact 404-656-2056 to obtain this document in another format.

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completing Form Gid 391 Al stage 1

Complete the License, Fee, and, Clearance, Letter, Request National, Producer, Number Social, Security, Number Number, Of FEE, Clearance, Letters, Requested per, letter, requested TOTAL, AMOUNT ENCLOSED, Date, TOTAL, OF, ALL, FEES, DUE Licensee, Signature and MAIL, FEES, TO section using the data requested by the system.

Form Gid 391 Al LicenseFeeandClearanceLetterRequest, NationalProducerNumber, SocialSecurityNumber, NumberOf, FEE, ClearanceLettersRequested, perletterrequested, TOTALAMOUNT, ENCLOSED, Date, TOTALOFALLFEESDUE, LicenseeSignature, and MAILFEESTO fields to insert

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