Gaa Schedule - Insurance Guaranty Association Credit

Gaa Schedule - Insurance Guaranty Association Credit - 2002 Page 2

Part 2 - Transfer of CIGA or CLHIGA Assessment Credit

Part 2A - Transfer of CIGA Assessment Credit

Part 2A must be completed by an insurance company (“Transferee”) to which a CIGA assessment credit was transferred by a CIGA member (“Transferor”). The

Transferee must be an affiliate, as defined in Conn. Gen. Stat. §38a-1, of the Transferor. The information to be entered in Part 2A is reported on the 2001 Form

GAA-1, Transfer of CIGA Assessment Credit, that was signed by both the Transferee and the Transferor.

Name of Transferor

Transferor’s

Name of Insolvent

(A)

(B)

Amount Creditable for Calendar Years

Insurance

Insurer

Amount of

Amount Paid

Premiums Tax

Assessment

During 2000

(C)

(D)

(E)

(F)

(G)

Reg. No.

2001

2002

2003

2004

2005

LMI Insurance Co.

Subtotal: (Enter from Transferee’s Form GAA-1)

Part 2B - Transfer of CLHIGA Assessment Credit

There is no CLHIGA assessment credit to be transferred because no assessment was made by CLHIGA during 2000.

Part 3 - Total Amount Creditable for Calendar Year 2001

Subtotal from Part 1A

Subtotal from Part 1B

0.00

Subtotal from Part 2A

Subtotal from Part 2B

0.00

Total 2001 Credit (Enter on Form 207, Line 6, or Form 207F, Line 12)

For Further Information

For further information on the insurance premiums taxes, please call the Excise/Public Services Taxes Subdivision of the Audit Division at 860-541-3225

from 8:00 a.m. to 5:00 p.m., Monday through Friday.

Schedule GAA Back (New 02/02)

Gaa Schedule - Insurance Guaranty Association Credit - 2002 Page 2

Related Articles

Related forms

Related Categories