Fillable Form Ig259 - Firetown Premium Report

2012 Form IG259 Instructions

For insurance tax laws, see Minnesota Statutes, Chapter 297I at

Filing Requirements

Instructions

Line 4

Enter all inland marine premiums (line 9,

All fire and casualty insurers authorized to

Check Boxes

Minnesota state page).

write fire or inland marine insurance (in-

At the top of the form, check if the return is:

cluding extended coverage) subject to Min-

Line 5

• an Amended Return: Check only if you

nesota premium tax, must file Form IG259

Enter all earthquake premiums (line 12,

are amending a previously filed return

even if no business is conducted during the

Minnesota state page).

for the same period. Include all original

year covered by the report.

and corrected premiums on the amended

Line 6

(M.S. 297I.25, subd. 2; M.S. 69.021)

return.

Report the fire and extended coverage por-

• for No Activity: Check only if you did not

Due Date

tion of aircraft physical damage premiums

sell any insurance that had fire, lightning

received for insurance covering hangars and

File Form IG259 for each calendar year by

or sprinkler leakage coverage for the year.

non-airworthy or not-in-motion aircraft.

March 1 of the following year. If the report

Line Instructions

is incomplete or inaccurate, the department

Note: Do not include ocean marine and

Premiums include finance, service or other

may return the report and demand that a

automobile business on this report.

charges paid to the insurer as well as divi-

complete and accurate report be filed within

dends applied for new, renewal or extended

Line 7

30 days (see Penalties).

insurance.

Report any other fire, lightning, sprinkler

The U.S. postmark date, or date recorded or

leakage or extended coverage. Attach a

marked by a designated delivery service, is

Line 1

schedule.

considered the filing date (private postage

Enter fire, lightning and sprinkler leakage

meter marks are not valid). When the due

premiums (line 1 of your NAIC Minnesota

Information and Assistance

date falls on a Saturday, Sunday or legal

state page).

Website:

holiday, returns postmarked on the next

business day are considered timely. When a

Lines 2a and 2b

Email: insurance.taxes@state.mn.us

return is filed late, the date it is received at

Enter all crop premiums written for allied

Phone: 651-556-3024 (TTY: Call 711 for

the Department of Revenue is treated as the

lines on line 2a and other than crop premi-

Minnesota Relay)

date filed.

ums on line 2b (line 2.1, Minnesota state

We’ll provide information in other formats

page).

upon request to persons with disabilities.

Penalties

Lines 3a and 3b

For questions about licensing and regula-

If your report is not filed by the due date,

Enter all farmowners and homeowners

tions, contact the Minnesota Department of

you will be fined $25 for each seven days (or

multi-peril premiums written (lines 3 and 4,

Commerce:

fraction thereof) you are late to a maximum

Minnesota state page).

penalty of $200. (M.S. 69.021)

Website:

Line 3c

If you knowingly file an inaccurate report,

Email:

companylic.commerce@state.mn.us

you may be fined from $25 to $1,000, and

Enter the nonliability portion of all com-

Phone: 651-296-6319 or 1-800-657-3602

your certificate of authority may be revoked

mercial premiums written (line 5.1, Min-

(

: Call Minnesota Relay at 711)

TTY

by the Department of Commerce. Any

nesota state page).

person responsible for filing the report who

Line 3d

fails or refuses to do so within 30 days after

Enter the liability portion of all commercial

the department requests the report may be

premiums written (line 5.2, Minnesota state

fined up to $1,000.

page).

Form Ig259 - Firetown Premium Report - 2012 Page 2

Related Articles

Related forms

Related Categories