Form T-71 - Rhode Island And Providence Plantations Insurance Companies Tax Return Of Gross Premiums - 2014 Page 2

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State of Rhode Island and Providence Plantations
2014 Form T-71
14111699990102
Insurance Companies Tax Return of Gross Premiums
Name
Federal employer identification number
Schedule B - Computation of Tax Upon Retaliatory Basis (RIGL 44-17-1)
1
Tax that would be imposed by taxpayer’s state or country..........................................................................
1
2
Rhode Island tax. Amount from Schedule A, line 6a .................................................................................
2
3
Tax Due. Subtract line 2 from line 1. If zero or less, enter zero. Enter here and on page 1, Schedule A, line 6b.
3
Schedule C - Computation of Reciprocal Fees and Assessments (RIGL 27-2-17)
Fees and assessments that would be imposed by taxpayer’s state or country..........................................
1
1
2
Fees billed by the RI Insurance Division related to annual filings and fees (see instructions)...................
2
3
Reciprocal fees and assessments due. Subtract line 2 from line 1. If zero or less, enter zero.
Enter here and on page 1, Schedule A, line 11...........................................................................................
3
IMPORTANT INFORMATION
Mail Form T-71 with any payment due to: RI Division of Taxation - One Capitol Hill - Providence, RI 02908
Form T-71 is due on or before March 1, 2015

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