Form Ib-33 - Gross Premium Tax Return Property And Casualty Companies - 2010 Page 4

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Legal Name
FEIN
Page 4, Form IB-33, Web, 1-10
Schedule F. 2009 Additional Property Coverage Tax
(A copy of the State Business Page must be attached.)
Taxable
Direct Premiums Written
Taxable Premiums
Line of Business
Percentage
,
,
,
.
,
,
,
.
1.
Fire
00
00
100%
,
,
,
.
,
,
,
.
2.
Farmowners Multiple Peril
00
00
100%
,
,
,
.
,
,
,
.
3.
Homeowners Multiple Peril
00
00
100%
,
,
,
.
,
,
,
.
4.
Commercial Multiple Peril
00
00
100%
(Non-Liability Portion)
,
,
,
.
,
,
,
.
00
00
5.
Ocean Marine
100%
,
,
,
.
,
,
,
.
6.
Inland Marine
00
00
100%
,
,
,
.
,
,
,
.
Earthquake
7.
00
00
100%
,
,
,
.
,
,
,
.
8.
Private Passenger Auto
00
00
10%
Physical Damage
,
,
,
,
,
,
.
.
9.
Commercial Auto
00
00
10%
Physical Damage
,
,
,
.
,
,
,
.
10.
Aircraft
00
00
100%
,
,
,
.
,
,
,
.
00
00
11.
Boiler and Machinery
100%
,
,
,
,
,
,
.
.
12.
Other Contracts Providing
00
00
100%
Wind Coverage
,
,
,
.
,
,
,
.
Total Taxable Premiums
13.
00
00
Add Lines 1 through 12
,
,
,
,
,
,
.
.
14.
Additional Tax on Property Coverage Contracts
00
00
Multiply Line 13 by 0.74% (0.0074)
,
,
,
.
15.
Prior Year Overpayment Amount Applied to 2009
00
(From Schedule D, Line 1, Column 3)
,
,
,
.
16.
Additional Property Coverage Tax Installment Payments
00
(From Schedule D, Line 5, Column 3)
,
,
,
.
17.
Total Additional Tax on Property Coverage Contracts
00
(Line 14 minus Line 15 and Line 16, but not less than zero. If
less than zero, enter amount on Line 18.)
,
,
,
.
00
18.
Overpayment
,
,
,
.
19.
Amount of Line 18 Applied to 2010 Additional Tax on
00
Property Coverage Contracts
,
,
,
.
20.
Additional Tax on Property Coverage Contracts to
00
be Refunded (Line 18 minus Line 19)
,
,
,
.
Total
00

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