Instructions For Form Ig259 - Firetown Premium Report

Instructions for 2006 Form IG259

Line 2

Filing requirements

Information and

Allied lines extended coverage

assistance

All fire and casualty insurers authorized to

Enter fire, lightning, sprinkler leakage and

write fire or inland marine insurance (in-

If you need additional information or help

extended coverage premiums included in al-

cluding extended coverage) subject to Min-

to complete this form, call 651-297-1772 or

lied lines (line 2.1 of your NAIC Minnesota

nesota premium tax, must file Form IG259

e-mail insurance.taxes@state.mn.us.

state page).

even if no business is conducted during the

Forms are available on our website at www.

year covered by the report (M.S. Ch. 69.021

Lines 3a–e

taxes.state.mn.us or from our St. Paul office

available at ).

Multi-peril premiums

at 600 North Robert Street near the state

Report premiums not included on previous

Due date

capitol.

lines.

Form IG259 must be filed for each calendar

TTY: Call 711 for Minnesota Relay Service.

Line 6

year on or before March 1 of the following

We’ll provide information in other formats

year. If the report is incomplete or inaccu-

upon request to persons with disabilities.

Report the fire and extended coverage por-

rate, the department may return the report

tion of aircraft physical damage premiums

Questions about licensing and regulations.

and demand that a complete and accurate

received for insurance covering hangars and

Call the Minnesota Department of Com-

report be filed within 30 days (see penal-

non-airworthy or not-in-motion aircraft.

merce at 651-296-6319.

ties).

Note: Do not include ocean marine and

Instructions

The U.S. postmark date, or date recorded or

automobile business on this report.

marked by a designated delivery service, is

Check boxes

Line 7

considered the filing date (private postage

At the top of the form, check if the return is:

Report any other fire, lightning, sprinkler

meter marks are not valid). When the due

leakage or extended coverage. Attach a

date falls on a Saturday, Sunday, or legal

• An Amended Return: Check only if you

schedule.

holiday, returns postmarked on the next

are amending a previously filed return for

business day are considered on time. When

the same period.

Fire percentages

a return is filed late, the date it is received at

Minnesota Revenue requires written ap-

• For No Activity: Check only if you did

the Department of Revenue is treated as the

proval if you wish to use different percent-

not sell any insurance that had fire, light-

date filed.

ages than the ones listed on this form. For

ning or sprinkler leakage coverage for the

written approval, send a request to Min-

year.

Penalties

nesota Revenue to use percentages that were

Line instructions

If your report is not filed by the due date,

computed prior to collecting premiums

Premiums include finance, service or other

you will be fined $25 for each seven days (or

during this calendar year. Attach docu-

charges paid to the insurer as well as divi-

fraction thereof) you are late to a maximum

mentation including detailed supporting

dends applied for new, renewal or extended

penalty of $200 (M.S. Ch. 69.021).

schedules.

insurance.

If you knowingly file an inaccurate report,

Line 1

you may be fined from $25 up to $1,000,

and your certificate of authority may be

Enter fire, lightning and sprinkler leakage

revoked by the Commerce Department. Any

premiums (line 1 of your NAIC Minnesota

person responsible for filing the report who

state page).

fails or refuses to do so within 30 days after

the department requests the report may be

fined up to $1,000.

(Rev. 10/06)

Instructions For Form Ig259 - Firetown Premium Report - 2006

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