Sd Form 2318 - 2015 Quarterly Tax Payment Voucher - South Dakota

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SD EForm - 2318
V1
Complete and use the button at the end to print for mailing.
HELP
SOUTH DAKOTA DIVISION OF INSURANCE
124 S. Euclid Ave., 2nd Floor
Pierre, SD 57501
605.773.3563
INSTRUCTIONS FOR 2015 QUARTERLY PAYMENTS
QUARTERLY PREMIUM TAX PAYMENTS FOR SOUTH DAKOTA
REQUIRED QUARTERLY PREPAYMENTS: Insurance companies licensed in South Dakota whose premium tax for
the prior year was greater than $5,000 are required to make quarterly payments. Payments must be postmarked on
or before April 30, 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 2014 tax return, add lines 16A, 16B, 16C, 25, 26, 31, 38
and 43 then divide the sum by four. This is the amount you need to submit quarterly. Please return the payment
along with the voucher below to the South Dakota Remittance Center at the address noted below.
Mail checks payable to SD Division of Insurance, along with the voucher below for quarterly tax payments to:
South Dakota Remittance Center
South Dakota Remittance Center
300 S. Sycamore Ave., Ste. #102 (ground delivery)
P.O. Box 5055
OR:
Sioux Falls, SD 57110
Sioux Falls, SD 57117-5055
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DETACH FROM UPPER PORTION BEFORE MAILING
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2015 QUARTERLY TAX PAYMENT VOUCHER – SOUTH DAKOTA
MAIL TO: SOUTH DAKOTA REMITTANCE CENTER
PO BOX 5055
SIOUX FALLS, SD 57117
_______________________________________________________________________________________________
DO NOT SUBMIT THIS VOUCHER UNLESS A PAYMENT IS REQUIRED. CHECK THE APPROPRIATE PAYMENT LISTED
BELOW AND RETURN THIS VOUCHER AND PAYMENT TO THE SOUTH DAKOTA REMITTANCE CENTER AT THE
.
ADDRESS NOTED ABOVE
QUARTERLY PREPAYMENTS FOR 2015:
st
1
QUARTERLY PAYMENT - Due April 30, 2015
nd
2
QUARTERLY PAYMENT - Due July 31, 2015
rd
3
QUARTERLY PAYMENT - Due October 31, 2015
th
4
QUARTERLY PAYMENT - Due January 31, 2016
$
AMOUNT SUBMITTED --
Round to nearest dollar
___________________________________
________
COMPANY NAME:
NAIC #
CONTACT PERSON: ___________________________________ DIRECT PHONE # ______________________
PRINT FOR MAILING
CLEAR FORM

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