Form Dr-908 - Insurance Premium Taxes And Fees Return - 2014 Page 3
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12DR-908
R. 01/15
Page 3
Name _____________________________________ FEIN _________________________________ Taxable Year _____________
SCHEDULE I
COMPUTATION OF INSURANCE PREMIUM TAX
(Not To Be Used for Wet Marine and Transportation Tax)
*** Include the Florida Business Page of Your Florida Annual Statement ***
Types of Insurance
Total Premiums
Tax Rate
Tax Due
1.
Property/Casualty/Miscellaneous
a. Plus: Additional Taxable Premiums
b. Less: Excluded Premiums
c. Total Taxable Premiums
1.75%
2.
Life and Accident and Health
a. Plus: Additional Taxable Premiums
b. Less: Excluded Premiums
c. Total Taxable Premiums
1.75%
3.
Prepaid Limited Health Service Organizations
1.75%
4.
Commercial Self-Insurance Funds
1.60%
5.
Group Self-Insurance Funds
1.60%
6.
Medical Malpractice Self-Insurance
1.60%
7.
Assessable Mutual Insurers
1.60%
8.
Corporation Not-for-Profit Self-Insurance Funds
1.60%
Public Housing Authorities Self-Insurance Funds
9.
1.60%
(see instructions)
10.
Annuity Premiums (Schedule II, Line 3)
11.
Total Premium Tax Due (Add Lines 1c, 2c, and 3 through 10. Enter here and on Page 1, Line 1)*
* If zero or less, enter -0-
SCHEDULE II
ANNUITY CONSIDERATION PREMIUMS
Types of Insurance
Total Premiums
Tax Rate
Tax Due
1.
Annuity Premiums
1.00%
2.
Premium Tax Savings Derived and Credited to the “Holders” (If none, enter zero “0”)
*
3.
Total Annuity Premiums Due (Line 1 minus Line 2. Enter here and on Schedule I, Line 10)
*
If zero or less, enter -0-
SCHEDULE III
CREDITS AGAINST THE PREMIUM TAX
Workers’ Compensation Administrative Assessment Credit (Schedule VI, Line 4)
1.
Firefighters’ Pension Trust Fund Credit (Schedule XII- B, Line 3, minus credit used Schedule XI, Line 6)
2.
Municipal Police Officers’ Retirement Trust Fund Credit
3.
(Schedule XIII - B, Line 3 minus credit used Schedule XI, Line 7)
Eligible Corporate Income Tax Credit (Schedule V, Line 11)
4.
Salary Tax Credit (Schedule V, Line 12 plus Schedule V, Line 13)
5.
Florida Life and Health Insurance Guaranty Association Credit (Schedule VII, Line 1)
6.
Community Contribution Credit (Total credits approved under s. 624.5105, F.S., minus credit used
7.
Schedule XI, Line 8) (Enter here and include on Schedule XIV, Line 12, Column A)
8.
Certified Capital Company (CAPCO) Credit (Enter here and include on Schedule XIV, Line 12, Column A)
9.
Capital Investment Tax Credit (Enter here and include on Schedule XIV, Line 12, Column A)
Credit for Contributions to Nonprofit Scholarship Funding Organizations (Schedule V, Line 14), (Enter
10.
here and include on Schedule XIV, Line 12, Column A)
New Markets Tax Credit (Enter here and include on Schedule XIV, Line 12, Column A)
11.
Total Credits (Sum of Line 1 through Line 11. Enter here and on Page 1, Line 2)
12.
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