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DEPARTMENT USE ONLY SURPLUS LINES ANNUAL TAX STATEMENT NORTH DAKOTA INSURANCE DEPARTMENT Tax/Fee paid, if different: SON 17419 (122015) Penalty/Interest Paid: Producer Name: (REQUIRED) Producer Street
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How to fill out surplus lines annual tax

How to fill out surplus lines annual tax:
01
Determine if your insurance transactions qualify for surplus lines taxation: Before filling out the surplus lines annual tax form, you need to ensure that your insurance transactions fall under the category of surplus lines. This typically includes coverage for risks that cannot be placed in the regular admitted market.
02
Gather the necessary information: Collect all the relevant information required to complete the tax form. This may include details about the insured, the insurance policy, the premiums, and any other pertinent data. Make sure you have all the necessary documentation at hand.
03
Obtain the surplus lines annual tax form: Contact your state's insurance regulatory authority or visit their website to obtain the surplus lines annual tax form. Each state may have its own specific form, so ensure that you have the appropriate one for your jurisdiction.
04
Accurately complete the form: Fill out the form thoroughly and accurately. Provide all the requested information, making sure not to omit any required fields. Double-check your inputs to avoid any mistakes or inaccuracies.
05
Calculate the tax liability: Calculate the applicable surplus lines tax based on the premiums collected or other criteria specified in the form. This calculation may involve a specific tax rate or a percentage of the premiums, depending on your state regulations.
06
Include any required attachments: Some states may require additional documentation or attachments to be included along with the tax form. These may include supporting schedules, lists of transactions, or other relevant paperwork. Ensure that you attach all the necessary documents to avoid any delays or complications.
07
Submit the form and payment: Once the form is completed and any required attachments are included, submit the surplus lines annual tax form to the appropriate authority. Ensure that you also submit the payment for the calculated tax liability, following the specified payment methods and deadlines.
Who needs surplus lines annual tax:
01
Insurance brokers and agents: Professionals involved in the sale and placement of surplus lines insurance policies are typically required to file surplus lines annual tax. This ensures compliance with state regulations and supports the collection of applicable taxes.
02
Surplus lines insurers: Companies engaged in surplus lines insurance business are also typically responsible for filing the surplus lines annual tax. This includes reporting the relevant information about their underwriting and premium transactions.
03
State insurance regulatory authorities: The surplus lines annual tax is a means for state insurance regulatory authorities to monitor and regulate the surplus lines insurance market. Therefore, these authorities benefit from the submission of the tax form as it provides valuable data about the surplus lines transactions occurring within their jurisdiction.
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What is surplus lines annual tax?
Surplus lines annual tax is a tax paid by insurance companies for insurance policies that are placed with non-admitted insurers.
Who is required to file surplus lines annual tax?
Insurance companies are required to file surplus lines annual tax.
How to fill out surplus lines annual tax?
Surplus lines annual tax can be filled out by submitting the required forms and documentation to the appropriate regulatory agency.
What is the purpose of surplus lines annual tax?
The purpose of surplus lines annual tax is to regulate and monitor the placement of insurance policies with non-admitted insurers.
What information must be reported on surplus lines annual tax?
Information such as policy details, premiums, and taxes paid must be reported on surplus lines annual tax.
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