Vt Form Ipt-632 - Estimate Of Insurance Premium Tax - 2015
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1Mail: Vermont Department of Taxes
PO Box 547 Montpelier, VT 05601-0547
*156321100*
Physical: Vermont Department of Taxes
133 State Street Montpelier, VT 05633-1401
Phone: (802) 828-5723
* 1 5 6 3 2 1 1 0 0 *
VT Form
ESTIMATE OF
IPT-632
INSURANCE PREMIUM TAX
For tax year ___________
2015
Company Name
FID #
Address
NAIC #
Annual
City
State
ZIP Code
$
Estimated
Tax
E-mail Address
Filing period (select only one)
1st Quarter
2nd Quarter
3rd Quarter
(Due May 31)
(Due August 31)
(Due November 30)
1. Estimated or Actual Tax for this quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1. _________________________
2. Amount of this payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. _________________________
Make check payable to Vermont Department of Taxes
All companies, associations, or societies whose aggregate tax liability reasonably may be expected to exceed $500.00 for
the calendar year must make quarterly payments. Form IPT-632 (formerly IPE-2, formerly PT-632), Estimate of Insurance
Premium Tax, is not required if no tax is due.
As provided in 32 V.S.A. § 8553, the December quarterly remittance shall be made annually and filed on the Insurance
Premium Tax Return (Form IPT-633, formerly IP-1) on or before the last day of February.
Companies, associations, or societies with an annual tax liability which may be reasonably expected to be less than
$500.00 are required to file VT Form IPT-633 (formerly IP-1) annually on or before the last day of February.
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Important Printing Instructions
Form IPT-632
(formerly IPE-2, formerly PT-632)
5454
Rev. 10/15
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