Form Pv29 - Auto Theft Prevention Surcharge Return Payment

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Auto Theft Prevention Surcharge Return Payment
PV29
IMPORTANT:
Type in the required information while this form is on the screen and print a copy. A personalized scan
line will be printed on the voucher using the information you entered. To help ensure your payment is properly credited
to your account, verify that the period end date and Minnesota tax ID number are included in the scan line.
When you print this voucher, be sure to set the Page Scaling to “None” in your Print options. DO NOT check the “Auto-
rotate and center pages” or “Shrink to fit” boxes. If they are already checked, click on the box to uncheck them.
Pay by Credit or Debit Card
Before You Can Make a
Filing Requirements
• Go to payMNtax.com; or
Companies licensed for auto insurance are
Payment
• Call 1‑855‑9‑IPAY‑MN.
required to:
To ensure your payment is processed cor-
• File a return online through e-Services and
rectly, you must have a Minnesota tax ID
You'll be charged a fee to use this service,
number.
which goes directly to Value Payment
• Pay an auto theft prevention surcharge.
Systems (a national company that partners
To register for a Minnesota tax ID number:
All insurance companies licensed for
with federal, state and local governments to
automobile insurance in Minnesota must file
• Go to or
provide credit/debit card payment services).
an auto theft prevention surcharge return
• Register by phone at 651‑282‑5225 or
even if they have no activity to report.
1‑800‑657‑3605.
The Department of Revenue doesn't have
any financial agreement with Value
To calculate the surcharge, multiply the
Payment Systems and doesn't receive any of
number of insured vehicles with
Pay Electronically
its fees.
comprehensive insurance coverage by $.50
• Go to and log
per vehicle for six months of coverage.
in to e-Services; or
Pay by Check
Include the following types of vehicles:
• Call 1‑800‑570‑3329 to pay by phone.
If you're not required to pay electroni-
passenger automobiles, pickup trucks, vans
cally, you may pay by check. Complete the
(but not commuter vans), and motorcycles.
You’ll need your Minnesota tax ID number,
voucher below and mail it with your check.
password and banking information. When
All information is required to process your
Due Dates
paying electronically, you must use an ac-
payment, including your Minnesota tax ID
Your quarterly returns and payments are due
count not associated with any foreign banks.
number.
May 1, August 1, November 1 and February
After you authorize the payment, you’ll re-
1 of the following year. Returns are due even
When you pay by check, your check autho-
ceive a confirmation number. You can cancel
if you have no activity to report.
rizes us to make a one-time electronic fund
a payment up to one business day before the
transfer from your account, and you may
When the due date falls on a weekend or
scheduled payment date, if needed.
not receive your cancelled check.
legal holiday, payments electronically made
Do not use the voucher below unless
or postmarked on the next business day are
Questions?
you are paying by check.
considered timely.
Call 651-556-3024.
Cut carefully along this line to detach.
PV29
501
Auto Theft Prevention Surcharge
Minnesota Tax ID
Return Payment
(required)
Name of insurance company
Mailing address
NAIC Number
City
State
ZIP code
Enter the last day of the period. Example:
Period End Date
u
If making a 2013 Period 3 payment, use
(mmddyy)
093013.
Make check payable to Minnesota Revenue and mail to:
AMOUNT
Minnesota Revenue, Mail Station 1780, St. Paul, MN 55145-1780
OF CHECK
00
To help ensure your payment is properly credited to your account, be sure to verify that the scan line below includes the correct period end date and your Minnesota tax ID.
50102000000000000000002311300000
000000
0000000000000000000000002

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