Form M11l - Insurance Premium Tax Return For Life And Health Companies - 2012 Page 5

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2011 Form M11L Instructions
(continued)
Mailing Your Return
Information and Assistance
Line 44c
Interest
Mail your return and all required attach-
Website:
Interest. You must pay interest on the
ments to: Minnesota Revenue, Mail Station
Email:
insurance.taxes@state.mn.us
unpaid tax plus penalty from the due date
1780, St. Paul, MN 55145-1780.
Phone:
651-556-3024 (TTY: Call 711 for
until the total is paid. The interest rate for
Minnesota Relay)
For express deliveries, use our street ad-
calendar year 2013 is 3 percent. The rate
dress: 600 N. Robert St., St. Paul, MN 55101
We’ll provide information in other formats
may change for future years.
upon request to persons with disabilities.
Business Information
To figure how much interest you owe, use
For questions about licensing and regula-
the following formula with the appropriate
Changes
tions, contact the Minnesota Department of
interest rate:
Be sure to let us know within 30 days if you
Commerce:
change mailing addresses, phone numbers,
Interest =
Website:
or any other business information. To do
(tax + penalty) × # of days late × interest
Email:
companylic.commerce@state.mn.us
so, go to our website, login to e-Services
rate ÷ 365
Phone:
651-296-6319 or 1-800-657-3602
and update your profile information. By
(
: Call Minnesota Relay at 711)
TTY
notifying us, we will be able to let you know
of any changes in Minnesota tax laws and
filing requirements.
Worksheet: Additional Charge for Underpaying Estimated Tax for 2012
1 Enter 80 percent of your total annual tax liability from line 41 of your 2012 Form M11L . . . . . . . . . . . 1
2 Enter the amount from line 41 of your 2011 Form M11L. If you were not required to file a 2011
return or if your total annual tax liability was $500 or less, you do not owe an additional charge . . . . 2
Due Dates
March 15
June 15
Sept. 15
Dec. 15
3 Enter one-fourth of step 1 or step 2 (whichever is less)
in each column . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Amounts paid on or before the due date for each period. Include
credits applied, such as prior year’s overpayment . . . . . . . . . . . . . . . 4
5 Overpayment of previous installment (see worksheet instructions) . 5
6 Add steps 4 and 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Underpayment (or overpayment). Subtract step 6 from step 3 . . . . . 7
8 Date underpayment is paid or March 1, 2013, whichever is earlier. . . .8
9 Number of days from the due date to the date on step 8 . . . . . . . . . 9
10 Additional charge (step 9 ÷ 365 × interest (see below) × step 7) . . 10
11 TOTAL. Add amounts in each column of step 10.
Enter the result here and on Form M11L, line 44a . . . . . . . . . . . . . 11
If step 11 is zero, keep this worksheet for your records. If it is more than zero, attach a copy of the worksheet to your Form M11L.
Interest: 2012 = .03; 2013 = .03
Worksheet Instructions
Step 5
installment’s due date to the date the second
If there are payments included from a
payment is made.
Payments of estimated tax are applied
merged company, attach a schedule listing
against any underpayments of required in-
the merged company name, NAIC number,
Also, the second installment will then be
stallments in the order that the installments
payment amounts and payment dates.
underpaid by $100 (assuming that the
were due.
second payment is $200) until sufficient
Credit the excess of any overpayment for a
repayments are received to eliminate the
For example, if your first installment is
period on step 5 of the next payment period.
underpayment.
underpaid by $100 and you deposit $200
Step 10
for your second installment, $100 of your
If more than one payment has been made
If there is no underpayment on step 7, enter
second payment is applied to the first
for a required installment, attach a separate
installment. The additional charge for the
“none” on step 10 for that period.
3
computation for each payment.
first installment is computed from the first

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