Form Cdi Fs-003 - Title Insurance Tax Return - 2011
Download a blank fillable Form Cdi Fs-003 - Title Insurance Tax Return - 2011 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 Cdi Fs-003 - Title Insurance Tax Return - 2011 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
1
2
3State of California
Department of Insurance
TITLE INSURANCE TAX RETURN
CDI FS-003 (REV 9/2011)
2011
FOR CALENDAR YEAR
TAX DUE DATE APRIL 1, 2012
Name of Insurer
Fed Tax I.D. No.
CA Perm No.
NAIC No.
Mailing Address
EFT Taxpayer I.D. No.
City, State, Zip
Method of Tax Payment
No Payment
Telephone & Fax #
Check
State of Domicile
EFT
If New Company, check here
If Name Change, check here
If Final Return, check here
If Amended Return, check here
and indicate the effective date of the final transaction.
and indicate the date when it was amended.
STATEMENT OF TAXABLE PREMIUMS AND TAXES DUE DURING CALENDAR YEAR 2011
CDI use only
1.
Gross All Inclusive Title Insurance Premiums
1.
1.1
Deduct Sum Retained by Underwritten Title Companies
1.1
1.2
Net Taxable Insurance Premiums
1.2
2. All Income Received on Reinsurance Assumed without deducting for reinsurance ceded
2.
3. All Other Income Pursuant to RTC 12231 & 12232
3.
4. Total Taxable Income
4.
2.35%
5.
Tax Rate
5.
6.
2011 Annual Tax
6.
7.
Low Income Housing Credit
7.
8.
CA CDFI Credit (COIN)
8.
9.
Prepayments Made During the Reporting Year of 2011
a.
Overpayment applied from prior year
b.
First Quarter (Balance paid)
c.
Second Quarter
d.
Third Quarter
e.
Fourth Quarter
f.
Total Prepayments
9f.
10.
Total Credits & Prepayments Made
10.
11.
2011 Tax Due - If Line 6 is greater than Line 10
11.
12.
2011 Tax Overpayment- If Line 10 is greater than Line 6
12.
The tax overpayment (line 12) may be applied to the 2012
first quarter prepayment and the 2011 retaliatory tax.
A Refund SHALL NOT be applied to the 2012 second quarter
prepayment or any future tax payment.
13.
2012 First Quarter Prepayment
13.
a.
2011 Tax Overpayment applied to the 1st Quarter Prepayment
a.
b.
2012 First Quarter Prepayment Balance Due
13b.
14.
2011 Retaliatory Tax
14.
a.
2011 Tax Overpayment applied to the Retaliatory Tax
a.
b.
2011 Retaliatory Tax Balance Due
14b.
15.
Tax Refund
15.
Line 11
2011 Tax Due
Line 13b
2012 First Quarter Prepayment Balance Due
Line 14b
2011 Retaliatory Tax Balance Due
Each Payment must be paid separately and should
NOT be combined to make one lump sum payment
Page 1 of 3
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial