Form Ib-33 - Gross Premium Tax Return Property And Casualty Companies - 2010 Page 2
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FEIN
Page 2, Form IB-33, Web, 1-10
Schedule B. Calculation of Gross Premium Tax
Part 1. North Carolina Basis Gross Premium Tax
(Multiply NC Taxable Premiums by Applicable Tax Rate)
NC Taxable Premiums
Tax Rate
Tax Computed on NC Basis
,
,
,
.
,
,
,
.
1.
Life Insurance
00
00
1.9%
,
,
,
.
,
,
,
.
2.
Annuities
00
00
0%
,
,
,
.
,
,
,
.
3.
Accident and Health
00
00
1.9%
,
,
,
.
,
,
,
.
4.
Workers’ Comp
00
00
2.5%
,
,
,
.
,
,
,
.
5.
All Other Lines (attach schedule)
00
00
1.9%
,
,
,
.
,
,
,
.
6.
Finance Charges
00
00
1.9%
,
,
,
,
,
,
.
.
7.
Total
00
00
Add Lines 1 through 6
Part 2. State of Domicile Basis Gross Premium Tax
(Enter state of domicile tax rate in the Tax Rate column. Multiply NC Taxable Premiums
by the Tax Rate. Attach supplemental schedule showing detail of taxable premiums and tax computation if space provided is inadequate.)
NC Taxable Premiums
Tax Rate
Tax Computed on State of Domicile Basis
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,
,
.
,
,
,
.
1.
Life Insurance
00
00
%
,
,
,
.
,
,
,
.
2.
Annuities
00
00
%
,
,
,
.
,
,
,
.
Accident and Health
3.
00
00
%
,
,
,
,
,
,
.
.
Workers’ Comp
4.
00
00
%
,
,
,
.
,
,
,
.
5.
All Other Lines (attach schedule)
00
00
%
,
,
,
.
,
,
,
.
6.
Finance Charges
00
00
%
,
,
,
.
,
,
,
.
7.
Total
00
00
Add Lines 1 through 6
Part 3.
Computation of Gross Premium Tax
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,
,
.
1. Gross Premium Tax Computed on NC Basis
00
1.
(From Part 1,Total)
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,
,
.
2. Retaliatory Premium Tax Computation
00
2.
Total Tax Computed from Part 2, Line 7 minus Total Tax Computed from Part 1, Line 7 but not less than zero.
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,
.
3. Gross Premium Tax
00
3.
Add Line 1 and Line 2
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,
,
.
4. Tax Credits
00
4a.
a. NC Guaranty Fund Assessment Credit (From Schedule E, total; not to exceed Line 3)
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,
,
.
00
4b.
b. NC-478 Tax Credits (Limited, attach NC-478 forms)
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,
,
.
5. Gross Premium Tax Due
00
5.
Line 3 minus Lines 4a and 4b, but not less than zero
,
,
,
.
6. Prior Year Credit Applied to 2009
6.
00
(From Schedule D, Line 1, Column 1)
,
,
,
.
7. Gross Premium Tax Installment Payments
7.
00
(From Schedule D, Line 5, Column 1)
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,
,
.
8. Balance of Gross Premium Tax Due
$
00
8.
Line 5 minus Line 6 and Line 7, but not less than zero. If less than zero, enter amount on Line 9.
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,
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.
9.
00
9. Overpayment
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,
,
.
10. Amount of Line 9 to be Applied to 2010 Gross Premium Tax
10.
00
,
,
,
.
11. Gross Premium Tax to be Refunded
11.
00
Line 9 minus Line 10
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