Form T-71 Insurance 2011ty - Insurance Companies Tax Return Of Gross Premiums Page 2

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Form T-71
Fed ID#
Name
INSURANCE
RIGL 27-2-17 provides that insurance companies organized or incorporated under laws of a state
2011TY
or country whose laws do not impose retaliatory or other charges or grant on a reciprocal basis,
exemptions therefrom for companies organized or incorporated in this state, will not be subject to
page 2
retaliatory taxes or fees.
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.
3.
Tax Due - line 1 less line 2. (If zero or less, enter zero.) - Enter here and on page 1, Schedule A, line 6b .....................
Schedule C - Computation of Reciprocal Fees and Assessments (RIGL 27-2-17)
1.
Fees and assessments that would be imposed by taxpayer’s state or country..............................
1.
2.
Fees billed by the RI Insurance Division related to annual filings and fees (see instructions).......
2.
Reciprocal fees and assessments due - line 1 less line 2 (If zero or less, enter zero.) -
3.
3.
Enter here and on page 1, Schedule A, line 10......................................................................................................................
NOTE: You must attach documents supporting your Rhode Island
Schedule D - Rhode Island Credits
credits. Otherwise, the processing of your return may be delayed.
RI-3468 - Investment Tax Credit - RIGL §44-31 ............................................................................
1.
1.
2.
RI-ZN02 - Enterprise Zone Wage Credit - RIGL §42-64.3-6 ........................................................... 2.
3.
RI-769P - Research and Development Facilities Property Credit - RIGL §44-32-2 ....................... 3.
4.
RI-769E - Research and Development Facilities Expense Credit - RIGL §44-32-3 ....................... 4.
5.
RI-2441 - Adult and Child Day Care Assistance and Development Tax Credit - RIGL §44-47 ...... 5.
6.
RI-8201 - Motion Picture Production Company Tax Credit - RIGL §44-31.2 .................................. 6.
7.
RI-2949 - Jobs Training Tax Credit - RIGL §42-64.6 ...................................................................... 7.
RI-6324 - Adult Education Tax Credit - RIGL §44-46 .................................................................... 8.
8.
9.
RI-2276 - Tax Credit for Contributions to Qualified Scholarship Organization - RIGL §44-62 ............ 9.
10.
RI-286B - Historic Preservation Investment Tax Credit - RIGL §44-33.2 ...................................... 10.
11.
RI-3675 - Employment Tax Credit - RIGL §44-39.1 ...................................................................... 11.
12.
L & H - Life and Health Guaranty Fee ............................................................................................ 12.
13.
Other Credits .... _______________ ............................................................................................... 13.
14.
TOTAL RHODE ISLAND CREDITS - Add lines 1 through 13 - Enter here and on page 1, line 8 ......................................... 14.

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