Form Ld-T - Annual Report Of Premiums,taxes And Fees Of Foreign Life And Accident And Health Insurance Companies - 2011 Page 2
Download a blank fillable Form Ld-T - Annual Report Of Premiums,taxes And Fees Of Foreign Life And Accident And Health Insurance Companies - 2011 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Ld-T - Annual Report Of Premiums,taxes And Fees Of Foreign Life And Accident And Health Insurance Companies - 2011 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6
7
8
9ARKANSAS FOREIGN LIFE & DISABILITY
PREMIUM TAX RETURN INSTRUCTIONS
Instructions for Page 1 of the return.
NAIC Codes
Please enter your 5-digit NAIC Company Code in the space provided and complete all lines in the company information
section. Complete Column 1 – Arkansas Tax and Column 2 – State of Domicile. Provide the Correct Tax Rate for the
Domiciliary State.
Section A
Line 1(a) - Life Insurance Direct Written Premiums – Use amount from Annual Statement, Direct Business for
Arkansas, Line 1, Life Insurance: Column 5-Total. No deduction from this amount may be made on
the Arkansas side (Col 1).
Line 1(b) - Less Army/Air Force Federal Premiums.
Line 1(c) - Arkansas tax rate is 2.5%. Multiply Line 1(a) less (b) by this rate and enter the result on Line 1(c).
Line 2(a) - Accident & Health - Enter amount from Annual Statement, Direct Business Page for Arkansas, Line
26(Total), and Column 1.
Line 2(b) - Less Federal Employees Health Benefits Program (Line 24.1)
Line 2(c) - Dividends Paid or Credited On Direct Business – Enter amount from Annual Statement, Direct Business
Page for Arkansas, Line 26 (Total), Column 3 in Accident and Health Insurance Section (bottom).
Line 2(d) - Less Medicare Title XVIII, tax exempt (Line 24.4)
Line 2(e) - Subtract Line 2(b-d) from Line 2(a). Enter result on Line 2(e), Columns 1 & 2.
Line 2(f) - Multiply Line 2(e) by 2.5% tax rate and enter the result in column 1 & 2, Line 2(f).
Line 2(g) - Additional Taxes and Fees from State of Domicile. Include any/all fees or taxes that would be required
of an insurance company doing business in your state. If your state of domicile imposes a minimum tax,
enter that amount here. Do not include special purpose ASSESSMENTS. You must attach an explanation
with computations for multiple items on this line. Use this line for fees not shown in Section B. New
York Domiciled Companies: The CT-33 and CT-33-M, New York Franchise Tax forms, prepared on the
Arkansas basis, are to be filed in Arkansas immediately upon filing the franchise information in New York.
Line 3 -
Total premium tax due Line 1(c) plus Line 2(f), enter result on line; Col 2 use Line 1(c), 2(f)(g).
Section B
Line 4(a) - Enter the annual statement-filing fee from your state of domicile in Col 2. The Arkansas side is
completed. FOR FEES OTHER THAN SHOWN HERE, LIST IN SECTION 2(e).
Line 4(b) - Enter the Certificate of Authority/annual renewal fee from your state of domicile in Col 2. The
Arkansas side is completed.
All other fees associated with the filing are to be shown in Section A, 2g.
Line 4(C) - Add together Lines 4a and 4b then enter result here in Col 2.
Section C
Line 5 - Total of all Premium Taxes and Fees Due - Add together Lines 3 plus 4c then enter result here.
Figure cannot be less than zero.
Instructions for Page 2 of return.
Section D
Follow instructions at the top of page 2, this is your tax liability. Use amount from SECTION A, LINE 3.
2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Rrg-t - Annual Report Of Premiums,taxes,and Fees Of Registered Risk Retention Groups - 2011
Financial
2011 Form Aid Ac Ci-t - Annual Report Of Premiums, Taxes, And Fees Of All Captive Insurance Companies - Arkansas Insurance Department
Financial
Form 207i - Insurance Premium Tax And Health Care Center Tax Underpayment Of Estimated Tax - 1998
Financial
Form N-px - Annual Report Of Proxy Voting Record Of Registered Management Investment Company
Business
Form Upa-134 - Annual Report Of A Domestic Or Foreign Registered Limited Liability Partnership
Legal
Related Categories
Parent category: Financial