2012 Quarterly Tax Payment Voucher - South Dakota printable pdf download

2012 Quarterly Tax Payment Voucher - South Dakota

SOUTH DAKOTA DIVISION OF INSURANCE

445 EAST CAPITOL AVE

PIERRE, SD 57501

605-773-3563

INSTRUCTIONS FOR 2012 QUARTERLY PAYMENTS

QUARTERLY PREMIUM TAX PAYMENTS FOR SOUTH DAKOTA

REQUIRED QUARTERLY PREPAYMENTS: Insurance companies licensed in South Dakota whose premium

tax for the prior year was greater than $5,000 are required to make quarterly payments. Payments must be

postmarked on or before April 30

, July 31

, October 31

and January 31

. Late payments result in a penalty of

1.5% for each month or part thereof.

QUARTERLY PAYMENT CALCULATIONS: On the 2011 tax return, add lines 16A, 16B, 16C, 25, 26, 31, 38

and 43 then divide the sum by four. This is the amount you need to submit quarterly. Please return the appropriate

amount along with the below voucher to the South Dakota Remittance Center as noted below.

Mail checks, payable to SD Division of Insurance, along with the below voucher for quarterly tax payments to:

South Dakota Remittance Center

PO Box 5055

OR:

300 S. Sycamore Ave STE #102

Sioux Falls, SD 57117-5055

Sioux Falls, SD 57110





Please detach from upper portion before mailing

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** 2012 QUARTERLY TAX PAYMENT VOUCHER – SOUTH DAKOTA **

MAIL TO: SOUTH DAKOTA REMITTANCE CENTER

PO BOX 5055

SIOUX FALLS, SOUTH DAKOTA 57117

_______________________________________________________________________________________________

DO NOT SUBMIT THIS VOUCHER UNLESS A PAYMENT IS REQUIRED. CHECK THE APPROPRIATE PAYMENT

LISTED BELOW AND RETURN THIS VOUCHER AND PAYMENT TO THE SOUTH DAKOTA REMITTANCE CENTER

AT THE ADDRESS NOTED ABOVE

QUARTERLY PREPAYMENTS FOR 2012:

_______ 1

QUARTERLY PAYMENT - Due April 30, 2012

_______ 2

QUARTERLY PAYMENT - Due July 31, 2012

_______ 3

QUARTERLY PAYMENT - Due October 31, 2012

_______ 4

QUARTERLY PAYMENT - Due January 31, 2013

AMOUNT SUBMITTED --

Round to nearest dollar

___________________________________

________

COMPANY NAME:

NAIC #

CONTACT PERSON: ___________________________________ DIRECT PHONE # ______________________

2012 Quarterly Tax Payment Voucher - South Dakota

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