Form Ib-33 - Gross Premium Tax Return Property And Casualty Companies Page 4

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Legal Name
FEIN
Page 4, Form IB-33, Web, 12-12
Schedule F. 2011 Additional Property Coverage Tax
(A copy of the State Business Page must be attached.)
Taxable
Direct Premiums Written
Taxable Premiums
Line of Business
Percentage
,
,
,
.
,
,
,
.
00
00
1.
Fire
100%
,
,
,
,
,
,
.
.
00
00
2.
Farmowners Multiple Peril
100%
,
,
,
.
,
,
,
.
Homeowners Multiple Peril
00
00
3.
100%
,
,
,
,
,
,
.
.
00
00
4.
Commercial Multiple Peril
(Non-Liability Portion)
100%
,
,
,
.
,
,
,
.
Ocean Marine
00
00
5.
100%
,
,
,
,
,
,
.
.
00
00
Inland Marine
6.
100%
,
,
,
.
,
,
,
.
00
00
7.
Earthquake
100%
,
,
,
,
,
,
.
.
Private Passenger Auto
00
00
8.
10%
Physical Damage
,
,
,
,
,
,
.
.
Commercial Auto
9.
00
00
10%
Physical Damage
,
,
,
.
,
,
,
.
Aircraft
00
00
10.
100%
,
,
,
,
,
,
.
.
00
00
11.
Boiler and Machinery
100%
,
,
,
.
,
,
,
.
Other Contracts Providing
00
00
12.
100%
Wind Coverage
,
,
,
.
13.
Total Taxable Premiums
00
Add Lines 1 through 12
,
,
,
.
Additional Tax on Property
14.
00
Coverage Contracts
Multiply Line 13 by 0.74% (0.0074)
,
,
,
.
Prior Year Credit Applied to 2012
00
15.
(From Schedule D, Line 1, Column 3)
,
,
,
.
Additional Property Coverage Tax Installment Payments
00
16.
(From Schedule D, Line 5, Column 3)
,
,
,
.
Balance of Additional Tax on Property Coverage Contracts
17.
00
(Line 14 minus Line 15 and Line 16, but not less than zero. If less than
zero, enter amount on Line 20.)
,
.
,
.
(See for current
18. a. Penalties
b. Interest
interest rate and penalty information)
00
00
,
,
,
.
$
19. Total Additional Tax on Property Coverage Contracts Due
00
(Add Lines 17, 18a and 18b)
,
,
,
.
00
Overpayment
20.
,
,
,
.
Amount of Line 20 Applied to 2013 Additional Tax on
21.
00
Property Coverage Contracts
,
,
,
.
Additional Tax on Property Coverage Contracts to
22.
00
be Refunded (Line 20 minus Line 21)

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