Form M11 - Insurance Premium Tax Return For Property And Casualty Companies - 2013 Page 2
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6M11
Page 2
2013 Insurance Premium Tax Return for Property and Casualty Companies
(continued)
A
B
State of Incorporation Basis
Minnesota Basis
15 Net taxable business (enter amounts from line 11) . . . . . . . . . . . . . . . . . . . 15
*
%
%
16 Premium tax percentage rate* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Premium tax liability (multiply line 15 by percentage on line 16) . . . . . . . . 17
18 Fire insurance tax liability (from M11AR, line 12) . . . . . . . . . . . . . . . . . . . . . 18
19 Other taxes (itemize on a separate schedule) . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Total premium tax liability (add lines 17, 18 and 19) . . . . . . . . . . . . . . . . . . 20
21 Licenses and fees paid to Minnesota Department of Commerce and
home state (from M11B, line 10; or if domiciled in Minnesota, Hawaii,
Massachusetts, New York or Rhode Island, enter zero) . . . . . . . . . . . . . . . . 21
22 Total taxes, licenses and fees (add lines 20 and 21) . . . . . . . . . . . . . . . . . . 22
23 Enter amount from line 22, Column A or B, whichever is greater . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
24 Total licenses and fees paid to Minnesota Department of Commerce (from M11B, line 11;
or if domiciled in Minnesota, Hawaii, Massachusetts, New York or Rhode Island, enter zero) . . . . . . . 24
25 Subtract line 24 from line 23 (if zero or less, skip lines 26 and 27,
and enter this amount on line 28) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
26 Minnesota Guaranty Fund Association offset (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
27 Minnesota Joint Underwriting Association (JUA) assessment (see instructions) . . . . . . . . . . . . . . . . . . 27
28 Tax before refundable credits . If line 25 is zero or less, enter the amount from line 25 .
If line 25 is positive, subtract any amounts on lines 26 and 27 from line 25 .
(If result is less than zero, enter zero) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
29 Credit for historic structure rehabilitation
(attach credit certificate) and enter NPS project number: . . . . . . . . . . . .
. . 29
30 Tax liability (subtract line 29 from line 28) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
31 a Prior year’s overpayment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31a
b Estimated payment March 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31b
c Estimated payment June 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31c
d Estimated payment Sept . 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31d
e Estimated payment Dec . 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31e
Add lines 31a through 31e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
32 Tax due (or overpaid) (subtract line 31 from line 30) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Enter on line 12 on page 1.
*
Line 16 — Tax Rates for Minnesota Basis (check one)
1 percent for mutual property and casualty insurance companies with total assets of $5 million or less at the end of the
calendar year .
Enter total assets at end of year:
$
1 .26 percent for mutual insurance companies that sell both property and casualty insurance that had total assets greater
than $5 million at the end of the calendar year, but less than $1 .6 billion on Dec . 31, 1989 .
2 percent for insurance companies not listed above .
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