2007 Quarterly Tax Payment Voucher - South Dakota

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SOUTH DAKOTA DIVISION OF INSURANCE
445 EAST CAPITOL AVE
PIERRE, SD 57501
605-773-3563
INSTRUCTIONS FOR 2007 QUARTERLY PAYMENTS
QUARTERLY PREMIUM TAX PAYMENTS FOR SOUTH DAKOTA
REQUIRED QUARTERLY PREPAYMENTS: Insurance companies licensed in South Dakota whose premium
th
tax for the prior year was greater than $5,000 are required to make quarterly payments. Payments are due April 30
,
st
st
st
July 31
, October 31
and January 31
. Late payments result in a penalty of 1.5% for each month or part thereof.
QUARTERLY PAYMENT CALCULATIONS: On the 2006 tax return, add lines 16A, 16B, 16C, 25, 26, 31, 37
and 42 then divide the sum by four. This is the amount you need to submit quarterly. Please return the appropriate
amount along with the below voucher to the South Dakota Remittance Center as noted below.
Mail checks, payable to SD Division of Insurance, along with the below voucher for quarterly tax payments to:
South Dakota Remittance Center
South Dakota Remittance Center
PO Box 5055
OR:
230 South Phillips Ave #301
Sioux Falls, SD 57117-5055
Sioux Falls, SD 57104
-------------
----------------
Please detach from upper portion before mailing
DO NOT SUBMIT THIS VOUCHER UNLESS A PAYMENT IS REQUIRED
** 2007 QUARTERLY TAX PAYMENT VOUCHER – SOUTH DAKOTA **
MAIL TO: SOUTH DAKOTA REMITTANCE CENTER – PO BOX 5055 – SIOUX FALLS, SD 57117
_______________________________________________________________________________________________
CHECK THE APPROPRIATE PAYMENT LISTED BELOW AND RETURN THIS VOUCHER AND PAYMENT
TO THE SD REMITTANCE CENTER AT THE ADDRESS NOTED ABOVE.
QUARTERLY PREPAYMENTS FOR 2007:
st
_______ 1
QUARTERLY PAYMENT - Due April 30, 2007
nd
_______ 2
QUARTERLY PAYMENT - Due July 31, 2007
rd
_______ 3
QUARTERLY PAYMENT - Due October 31, 2007
th
_______ 4
QUARTERLY PAYMENT - Due January 31, 2008
$
AMOUNT SUBMITTED (
)
Round to nearest dollar
____________________________________________
_____________
COMPANY NAME:
NAIC #
CONTACT PERSON: ___________________________________ DIRECT PHONE # ______________________

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