Form 74a101 - Insurance Premiums Tax Return Form Page 2
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1
2SECTION II—REPORT OF PREMIUMS PAID TO AUTHORIZED REINSURANCE COMPANIES
Name of Authorized
Amounts of
Address
Reinsurance Company
Premiums Paid
$
Total Premiums Paid to Authorized Reinsurance Companies During Calendar Year 20___ ...........
$
INSTRUCTIONS
•
This return must be filed by every Domestic Mutual, Domestic Mutual Fire or Cooperative and Assessment Fire Insurance Company
pursuant to KRS 299.530 and KRS 304.4-030.
•
Complete Section I by listing the name, address and amounts of premiums paid to each unauthorized reinsurance company during the
preceding calendar year.
•
Compute your tax liability by multiplying Total Premiums in Section I by 2 percent (.02).
•
Complete Section II to report premiums paid to authorized reinsurance companies during the preceding calendar year.
•
File this return on or before March 1.
(
For additional information, contact the Financial Tax Section at (502) 564-4810.
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