Bail Bond Companies Premium Tax - South Dakota Division Of Insurance - 2011 Page 3

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2011 PREMIUM TAX RETURN FOR COMPANY WRITING BAIL BONDS
YEAR ENDING December 31, 2011
Company Name: ___________________________________________________ NAIC # ______________
► SECTION 1 – BAIL BOND INSURANCE PREMIUMS,
LINES 6 THROUGH 9
Column 1
Column 2
State of Incorporation
SOUTH DAKOTA
Basis
Basis
6. BAIL BOND PREMIUM: -- South Dakota direct premium written
Per line 10 of the NAIC Bail Bond Supplement.
_____________________________________________________________
$
$
7. Bail Bond DEDUCTION – you must itemize here: ____________________
_____________________________________________________________
8. Net taxable Bail Bond premium: __________________________________
$
$
$
$
tax
tax
9. Tax line 8 at rate of _____% for column 1 and 1% for SD basis/column 2____
► SECTION 2 – PROPERTY/CASUALTY INSURANCE PREMIUMS,
LINES 10 THROUGH 15
Column 1
Column 2
State of Incorporation
SOUTH DAKOTA
Basis
Basis
10. PROPERTY/CASUALTY PREMIUM: Per column 1, line 35 plus pro rata
portion of footnote (a) excluding lines 13 through 15.8 on the State page of
the Annual Statement ___________________________________________
$
$
DEDUCTIONS
11. Dividends paid in cash or credited to policyholders ___________________
$
$
12. Other deductions - you must itemize here: ___________________________
_____________________________________________________________
_____________________________________________________________
$
$
13. Total deductions: ______________________________________________
$
$
14. Net Taxable P/C Premium ______________________________________
$
$
$
$
15. Tax line 14 at rate of _____% for column 1 and 2.5% for column 2. ______
Page 2.

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