Form Fprf - Annual Report Of Premiums And Taxes For Property And Casualty Insures For The Fprf Premium Tax Fund - 2011

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2011 FPRF INSTRUCTIONS
ALL PROPERTY & CASUALTY INSURERS
All tax forms and payments must be received on or before March 1, 2012; the Department does not
accept the postmark date. No authority exists for granting any extension of time for filing or
payment. Any insurer that fails to report or pay tax will be subject to penalty in accordance with ACA
26-57-607.
ALL PROPERTY AND CASUALTY INSURERS MUST FILE THIS FORM EVEN IF NO PREMIUM
WAS WRITTEN IN THE LINES OF BUSINESS OUTLINED ON THE FORM.
The Department does not accept software forms. The forms must be completed and printed on our
website.
Attach the check made payable to the FPRF Premium Tax Fund to the form.
Mail the return and check to: Arkansas Insurance Department
Accounting Division
1200 West Third Street
Little Rock, AR 72201-1904
If a refund is due mark REFUND DUE on the top of Page 1.
For questions concerning the tax forms, contact the Accounting Division at (501) 371-2605 or
email us at
insurance.accounting@arkansas.gov

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