Form 302 - 2013 Premium Tax Final For Property Companies - 2014
Download a blank fillable Form 302 - 2013 Premium Tax Final For Property Companies - 2014 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 302 - 2013 Premium Tax Final For Property Companies - 2014 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
1CALENDAR YEAR 2013 PREMIUM TAX FINAL FOR PROPERTY COMPANIES
Office of Superintendent of Insurance, 1120 Paseo De Peralta, Santa Fe, NM 87501, P.O. Box 1689, Santa Fe, NM 87504-1689, Room 433
Make check payable to “Office of Superintendent of Insurance”
For calendar year ending December 31, 2013. Original to be filed no later than April 15, 2014 to avoid a penalty (NMSA 59A-6-4)
Company Name: ___________________________________________________________
NM Co. # ____________
Company Address: _________________________________________________________
Class: _____________
NAIC:
_________________________________________________________________
_______________
Contact: _________________________________________________________
Phone/Email: _____________________________________________________
DEDUCTIONS ALLLOWED
1.Gross Premiums
2.Return
3.Dividends
4.Premiums
5.Federally
6. Net Premiums on
received from
premiums or
paid/credited to
received from
Exempt
which the New
policies within
Political
policyholders
Authorized
Premiums
Mexico tax is
CLASS
the State of New
Subdivisions
companies for
Based
Mexico
reinsurance
(Column 1
on
minus 2, 3, 4
NM risks
& 5).
(1)
Fire
(2.1) Allied Lines Crop- Crop
Hail
(2.2) Federally reinsured allied
Lines
(2.3) Federal Flood
(2) Farm owners Multiple Peril
(4) Homeowners Multiple Peril
(5.1) Commercial Multiple Peril
(non-liability)
(5.2) Commercial Multiple Peril
(liability)
(8) Ocean Marine
(9) Inland Marine
(12) Earthquake
Miscellaneous
1. TOTALS
2. Premium Tax Due (3.003% of line 34 Column )
st
nd
3. Less 1
and 2
quarterly taxes paid (include credit taken)
rd
th
4. Less 3
and 4
quarterly taxes paid (include credit taken)
5. Less year 2013 remaining credit not used in line 3 & 4
#78
7.Net Premium Taxes Due
Total Amount of Check
Check #
The insurance company above named; whose return for PREMIUM TAX is herein above set forth; that they signed the forgoing Premium Tax
returns for and as of the act of said insurance company by authority of its Board of Directors that they have examined the contents thereof; and
that to their best knowledge and belief are true and correct, as disclosed the books of said insurance company as of December 31, 2013.
NOTARY SEAL
_____________________________
President/Authorized Signature
Notary Signature ________________________
My Commission Expires __________________
_____________________________
Subscribed and sworn before me this ________ day of __________, 20___
Secretary/Treasurer/Authorized Signature
Form 302
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial