Bail Bond Companies Premium Tax - South Dakota Division Of Insurance - 2011 Page 4
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5► SECTION 3 -- FIRE INSURANCE PREMIUMS,
LINES 16 THROUGH 24
(1)
(2)
(3)
(4)
(5)
(6)
Total
Less
Direct
Dividends
Net
State of
Fire
South Dakota
Premiums
State Page
Premiums
Incorp.
%
Basis
PER STATE PAGE:
State Page
Col. 3
Col (1) - Col (2)
Basis
Col. 1
16. Fire _(line 1)__________________
$
$
$
$
100%
$
17. Farmowners _(line 3)___________
$
$
$
$
35%
$
18. Homeowners _(line 4)___________
$
$
$
$
35%
$
19. Commercial Multi-Peril_(line 5.1)
$
$
$
$
35%
$
20. Inland Marine __(line 9)_________
$
$
$
$
15%
$
21. Automobile Physical Damage
State Page, Col. 1,
Lines 21.1 + 21.2 _________________
$
$
$
$
20%
$
22. Other (Itemize) __________________
$
$
$
$
$
23. Net Taxable Fire Premiums _______
$
$
$
$
$
24. Tax line 51 at ____% rate for column 4
$
$
and .5% for column 6. ___________
Page 3.
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