Form Rct-124 - Underwriting Profits Tax - Domestic And Foreign Marine Insurance Page 3
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4RCT-124
Revenue ID
PAGE 3 OF 4
(06-12)
SCHEDULE A
MARINE PREMIUMS WRITTEN WITHIN THE U.S.
(Excluding premiums on business falling within the provisions of 72 P.S. § 2281 (c) imposing a state tax on marine insurance underwriting profits.)
6
1
2
3
4
5
NET PREMIUMS LESS
LAST THREE
GROSS
RETURN
NET
NET
NET REINSURANCE
CALENDAR YEARS
PREMIUMS
PREMIUMS
PREMIUMS
REINSURANCE
PREMIUMS
a
Year
Year
b
c
Year
d
Totals
SCHEDULE B
MARINE PREMIUMS WRITTEN WITHIN THE COMMONWEALTH OF PENNSYLVANIA
6
1
2
3
4
5
NET PREMIUMS LESS
LAST THREE
GROSS
RETURN
NET
NET
NET REINSURANCE
CALENDAR YEARS
PREMIUMS
PREMIUMS
PREMIUMS
REINSURANCE
PREMIUMS
a
Year
b
Year
c
Year
d
Totals
SCHEDULE C
PREMIUMS WRITTEN – ALL CLASSES OF BUSINESS – FOR THE LAST THREE CALENDAR YEARS
WITHIN THE U.S.
6
1
2
3
4
5
NET PREMIUMS LESS
LAST THREE
GROSS
RETURN
NET
NET
NET REINSURANCE
CALENDAR YEARS
PREMIUMS
PREMIUMS
PREMIUMS
REINSURANCE
PREMIUMS
a
Year
b
Year
c
Year
d
Totals
SCHEDULE D
UNEARNED PREMIUMS ON OUTSTANDING MARINE INSURANCE CONTRACTS (WRITTEN WITHIN THE U.S.)
AT CLOSE OF BUSINESS DEC. 31 FOR LAST FOUR CALENDAR YEARS.
ADVANCE
TRIP (Or Voyage) CONTRACTS
TERM CONTRACTS
PREMIUMS
7
1
LAST FOUR
2
3
4
5
6
TOTAL NET
CALENDAR YEARS
UNEARNED
PREMIUMS IN
PREMIUMS IN
NET UNEARNED
NET UNEARNED
NET UNEARNED
PREMIUMS
FORCE LESS
FORCE LESS
PREMIUMS 50%
PREMIUMS
PREMIUMS
REINSURANCE
REINSURANCE
100%
100%
a
Year
b
Year
c
Year
d
Year
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