Annual Tax And Fees Report Filing Instructions For Domestic Life And Disability Reinsurers With Direct Writing Authority - 2002

ARIZONA DEPARTMENT OF INSURANCE

F

A

D

INANCIAL

FFAIRS

IVISION

PREMIUM TAX UNIT

2910 NORTH 44TH STREET, SUITE 210

Phoenix, Arizona 85018-7256

Phone (602) 912-8429

Fax

(602) 912-8421

ATTENTION: TAX REPORT PREPARER

CALENDAR YEAR 2002 ANNUAL PREMIUM TAX AND FEES REPORT FILING INSTRUCTIONS FOR

DOMESTIC LIFE AND DISABILITY REINSURERS WITH DIRECT WRITING AUTHORITY

SUMMARY OF 2002 ANNUALPREMIUM TAX AND FEES REPORT CHANGES:

1)

PREMIUM TAX DUE DATE FOR ALL COMPANIES, DOMESTIC, FOREIGN OR ALIEN, IS NOW MARCH 1, 2003.

2)

DOMESTIC LIFE AND DISABILITY REINSURERS WITH GRAND-FATHERED DIRECT WRITING AUTHORITY MUST FILE NEW ANNUAL

PREMIUM TAX AND FEES REPORT FORM E-LR-DWA.

2002 ANNUAL PREMIUM TAX AND FEES FORMS INVENTORY AND INSTRUCTIONS

FORM #

FORM DESCRIPTIONS

E-LR-DWA

Annual PremiumTax and Fees Report

Sch-APTO

Premium Tax Offsets For Guaranty Fund Assessments

E-SURVEY.INSTRUCTION

Survey of Arizona Domestic Insurers - Instructions

E-SURVEY.LIFE

Survey of Arizona Domestic “Life” Insurers

E-INSTALLMENT TAX.1-6

2002 Installment Reports (SIX)

ALL FORMS EXCEPT E-INSTALLMENT TAX.1-6 ARE DUE ON OR BEFORE MARCH 1, 2003

1.

ANNUAL TAX REPORT AND REMITTANCE A.R.S. § 20-224

You must file an Annual Premium Tax and Fees Report - EVEN IF NO TAX IS DUE - with one payment for Premium Tax AND/OR Annual Fees due ON OR BEFORE

MARCH 1.

2.

2003 INSTALLMENT TAX REPORTS AND PAYMENTS

In 2003, SIX Installment Tax payments are required to be paid on or before the 15th day of March, April, May, June, July and August by any insurer who paid, or was

required to pay 2002 Arizona premium taxes of $2,000 or more. The net annual tax liability has been identified in the 2002 Annual Premium Tax and Fees Reports with the

phrase "2002 Installment Tax Base" in parenthesis, for easier determination of your Installment Tax liability. There are no waivers or reductions available for this tax

payment requirement. Non-payment or underpayment(s) will result in tax, penalty and interest assessment(s) by this Department.

3.

ARIZONA GUARANTY FUND ASSESSMENT PREMIUM TAX OFFSETS - A.R.S. § 20-692

A premium tax offset based upon Arizona Guaranty Fund assessments paid must be supported by completed new Schedule APTO and copies of your Certificates of

Contribution issued by the Arizona Guaranty Funds to substantiate your tax offset.

IMPORTANT NOTE: PREMIUM TAX OFFSETS ARE AVAILABLE ONLY TO THE EXTENT OF THE TAX LIABILITY FOR THE CALENDAR YEAR AND ARE NOT

CARRIED FORWARD TO SUBSEQUENT CALENDAR YEARS OR REFUNDED.

4.

ANNUAL PREMIUM TAX REFUNDS

This Department will refund premium tax overpayments resulting from 2002 Installment Taxes paid in excess of the 2002 Annual Tax liability without interest and WITHIN 90

DAYS from the due date of your annual tax report. DO NOT OFFSET Annual Fees due for any portion of a premium tax overpayment. Such an offset WILL result in a

statutory penalty of up to $25 per day for non-payment of Annual Fees due.

5.

DUE DATE

Annual Premium Tax and Fees Reports for Domestic companies are due on or before March 1. If March 1 falls on a Saturday or Sunday, the deadline will be extended to

the following Monday for that year only. STATUTORY PENALTIES FOR LATE FILING AND/PAYMENTS WILL BE ENFORCED.

PLEASE NOTE OUR "POSTMARK POLICY" APPLICABLE TO STATUTORY FILINGS, AS IT IS ENFORCED BY THIS DEPARTMENT: To be considered a

TIMELY filing, the package containing the filing must display validation by the United States Postal Service* as proof of the date of filing. Courier deliveries must include an

invoice bearing the date of courier pick-up. If your package does not provide evidence of a timely filing it will be considered filed WHEN RECEIVED and statutory penalties,

where applicable, will be assessed.

*Postage meter stamps do not qualify.

IMPORTANT -

DUE TO CASH CONTROL PROCEDURES DO NOT MAIL ANNUAL PREMIUM TAX OR INSTALLMENT TAX REPORT FORM(S) OR PAYMENT(S)

INSIDE ANNUAL STATEMENT PACKAGES. YOU MUST MAIL TO THE ATTENTION OF: PREMIUM TAX UNIT, AT ADDRESS LISTED ON TOP OF PAGE 1 OF 2.

E-LR-DWA.I

(R

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