Form E-Ppd - Annual Net Charges Tax And Fees Report - 2000 Page 3
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1
2
3COMPANY NAME
NAIC NO.
PART B - ARIZONA NET CHARGES TAXES DUE FOR CALENDAR YEAR 2000
1.
Tax due from Part A, Page 2, line 10
$
Less Allowable Credits
a)
$
Enterprise Zone Credit from Form EZONE
(EZC)
b)
$
Military Reuse Zone Credit from Form MZONE
(MZC)
(TAO
c) Total (line 1a plus line 1b)
$
)
d) Enter the LESSER amount of line 1 or 1c
$
(TC)
Net Tax Amount (line 1 minus line 1d)
2.
$
(2001 Installment Tax Base)
(IB)
3.
Less: 2000 Installment Taxes Paid (excluding penalty or interest)
a) March 15, 2000
$
b) April 15, 2000
$
c) May 15, 2000
$
d) June 15, 2000
$
e) July 15, 2000
$
f) August 15, 2000
$
g) Total of lines 3a through 3f
(-)$
(TIP)
Enter the result of line 2 minus line 3g on line 4a if positive, or on 4b if negative.
4.
a) Arizona Net Charges Tax due with this report – carry to Part C, Page 1, line 1
(NT)
$
*
$
b)
Overpayment of Arizona net charges tax – to be refunded pursuant to A.R.S. § 20-224.02
(SR)
* WARNING! DO NOT ATTEMPT TO APPLY A TAX OVERPAYMENT TO ANNUAL FEES DUE WITH THIS REPORT. YOUR
OVERPAYMENT WILL BE REFUNDED WITHIN 90 DAYS OF THE DUE DATE OF THIS REPORT. ANNUAL FEES MUST BE PAID
WITH THIS RETURN.
CONTINUE TO PART C ON PAGE 1 FOR SUMMARY AND SIGNATURES
PENALTY FOR LATE PAYMENT OF TAX:
Late payment of tax is subject to a civil penalty equal to the greater of $25 or 5% of the tax paid late, plus interest at the rate of 1% of the tax paid late per month from the
date the tax was due.
E-PPD (12/00)
STATE OF ARIZONA
PAGE 3 of 3
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