Instructions For 2005 Form Ig259
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1Instructions for 2005 Form IG259
Line 1
Filing requirements
Penalties
Enter fire, lightning and sprinkler leakage
All fire and casualty insurers authorized to
If your report is not filed by the due date,
premiums from line 1 of your NAIC
write fire or inland marine insurance
you will be fined $25 for each seven days (or
Minnesota state page.
(including extended coverage) subject to
fraction thereof) you are late to a maxi-
Minnesota premium tax, must file
mum penalty of $200 (M.S. Ch. 69.021).
Line 2
Form IG259 even if no business is con-
If you knowingly file an inaccurate report,
Allied lines extended coverage
ducted during the year covered by the
you may be fined from $25 up to $1,000,
Enter fire, lightning, sprinkler-leakage and
report (M.S. Ch. 69.021 available at
and your certificate of authority may be
extended coverage premiums included in
).
revoked by the Commerce Department.
allied lines (line 2.1 of your NAIC Minne-
Any person responsible for filing the
sota state page). Do not include coverage for
Due date
report who fails or refuses to do so within
time element, growing crops, crop hail,
Form IG259 must be filed for each
30 days after the department requests the
flood and rain. Attach a schedule showing
calendar year on or before March 1 of the
report may be fined up to $1,000.
premiums included in allied lines.
following year. If the report is incomplete
Lines 3a–3e
or inaccurate, the department may return
Information and
the report and demand that a complete
Multi-peril premiums
assistance
and accurate report be filed within 30 days
Report premiums not included on
If you need additional information or help
(see penalties).
previous lines.
to complete this form, call 651-297-1772 or
The U.S. postmark date, or date recorded
Line 6
e-mail insurance.taxes@state.mn.us.
or marked by a designated delivery service,
Report the fire and extended coverage
Forms are available on our website at
is considered the filing date (private
portion of aircraft physical-damage
or from our
postage meter marks are not valid). When
premiums received for insurance covering
St. Paul office at 600 North Robert Street
the due date falls on a Saturday, Sunday, or
hangars and nonairworthy or not-in-
near the state capitol.
legal holiday, returns postmarked on the
motion aircraft.
next business day are considered on time.
TTY: Call 711 for Minnesota Relay Service.
Note: Do not include ocean marine and
When a return is filed late, the date it is
We’ll provide information in other formats
automobile business on this report.
received at the Department of Revenue is
upon request to persons with disabilities.
treated as the date filed.
Fire percentages
Questions about licensing and regula-
Minnesota Revenue requires written
tions. Call the Minnesota Department of
approval if you wish to use different
Commerce at 651-296-6319.
percentages than the ones listed on this
form. For written approval, send a request
Line instructions
to Minnesota Revenue to use percentages
Premiums include finance, service or other
that were computed prior to collecting
charges paid to the insurer as well as
premiums during this calendar year.
dividends applied for new, renewal or
Attach documentation including detailed
extended insurance.
supporting schedules.
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