Form Rct-124 - Marine Insurance Tax Report Domestic And Foreign Marine Insurance - 2011 Page 4
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4RCT-124
(I)
1240011401
Page 4
TOTAL UNDERWRITING PROFIT ON MARINE BUSINESS TRANSACTED WITHIN THE U.S.
1. Net Premiums, less Net Reinsurance Premiums, written within the U.S.
(Schedule A, Column 6, Item d)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
2. Plus: Net Unearned Marine Premiums on U.S. business at beginning of
four-year period (Schedule D, Column 7, Item a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
3. Total (Line 1 plus Line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
4. Less: Net Unearned Marine Premiums on U.S. business at end of four-
year period (Schedule D, Column 7, Item d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
5. Net Marine Premiums Earned (Line 3 minus Line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
6. Net Marine Losses incurred on business written within the U.S.
(Schedule E, Column 6, Item d)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
7. Specific Marine Expenses incurred (Schedule F, Column 8, Item d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
8. Proportion of general expenses chargeable to U.S. Marine Premiums
(Schedule G, Item e multiplied by Schedule G, Column 8, Item d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
9. Total Deductions (Line 6 plus Line 7 plus Line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
10. Net Marine Underwriting Profit on business written within the U.S.
(Line 5 minus Line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
11. Net Marine Underwriting Profit on business written within Pennsylvania
for three years (Line 10 multiplied by Schedule G, Item f) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
12. Average Net Marine Underwriting Profit on business within Pennsylvania
for one year (0.33 x Line 11)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
13. Tax at 5 percent on Average Net Marine Underwriting Profit on business within Pennsylvania for one
year (0.05 x Line 12) Enter this amount on Page 1, Column A (whole dollars only) . . . . . . . . . . . . . . . . . . . . . . . . . .$
IF ALIEN, GIVE NAME OF STATE IN WHICH PRINCIPAL U.S. OFFICE IS LOCATED
DATE BUSINESS COMMENCED IN PENNSYLVANIA
INCORPORATED OR ORGANIZED UNDER THE LAWS OF:
THIS REPORT IS MADE BY A STOCK COMPANY, ASSOCIATION, EXCHANGE, ETC. (PLEASE SPECIFY)
1240011401
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