Form Ig259 - Firetown Premium Report - 2017 Page 2

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2017 Form IG259 Instructions
For insurance tax laws, see Minnesota Statutes, Chapter 297I at
Filing Requirements
If you knowingly file an inaccurate report,
ums on line 2b (line 2.1, Minnesota state
you may be fined from $25 to $1,000, and
page).
All fire and casualty insurers that write or
your certificate of authority may be revoked
are authorized to write fire or inland marine
Lines 3a and 3b
by the Department of Commerce. Any
insurance (including extend coverage)
Enter all farmowners and homeowners
person responsible for filing the report who
subject to Minnesota premium tax, must file
multi-peril premiums written (lines 3 and 4,
fails or refuses to do so within 30 days after
Form IG259 even if no business is conduct-
Minnesota state page).
the department requests the report may be
ed during the year covered by the report.
fined up to $1,000.
Line 3c
(M.S. 297I.25, subd. 2; M.S. 69.021)
(M.S. 69.021, Subd. 3)
Enter the nonliability portion of all com-
mercial premiums written (line 5.1, Min-
Instructions
nesota state page).
File Electronically
Check Boxes
Line 3d
Options are available to electronically pre-
At the top of the form, check if the return
Enter the liability portion of all commercial
pare and file this report. Electronic Filing
is:
premiums written (line 5.2, Minnesota state
is a secure, fast and easy way to file.
page).
For more information, go to our website
• an Amended Return: Check only if you
are amending a previously filed return
Line 4
for the same period. Include all original
Enter all inland marine premiums (line 9,
and corrected premiums on the amended
Minnesota state page).
return.
Due Date
• a No Activity: Check only if you did not
Line 5
File Form IG259 for each calendar year by
sell any insurance that had fire, lightning
Enter all earthquake premiums (line 12,
March 1 of the following year. If the report
or sprinkler leakage coverage for the
Minnesota state page).
is incomplete or inaccurate, the department
year.
may return the report and demand that a
Line 6
Line Instructions
complete and accurate report be filed within
Report the fire and extended coverage por-
30 days (see Penalties).
Premiums must include finance, service
tion of aircraft physical damage premiums
or other charges paid to the insurer as well
The U.S. postmark date, or date recorded or
received for insurance covering hangars and
as dividends applied for new, renewal or
marked by a designated delivery service, is
non-airworthy or not-in-motion aircraft.
extended insurance.
considered the filing date (private postage
Note: Do not include ocean marine and
meter marks are not valid). When the due
Line 1
automobile business on this report.
date falls on a Saturday, Sunday or legal
Enter fire, lightning and sprinkler leakage
holiday, returns postmarked on the next
Line 7
premiums (line 1 of your NAIC Minnesota
business day are considered timely. When a
state page).
Report any other fire, lightning, sprinkler
return is filed late, the date it is received at
leakage or extended coverage. Attach a
the Department of Revenue is treated as the
Lines 2a and 2b
schedule.
date filed.
Enter all crop premiums written for allied
lines on line 2a and other than crop premi-
Information and Assistance
Penalties
Website:
If your form IG259 is not filed by the due
Email:
insurance.taxes@state.mn.us
date, you will be fined $25 for each seven
Phone:
651-556-3024
days you are late (or fraction thereof) to a
This material is available in alternate
maximum penalty of $200.
formats.
For questions about licensing and regula-
tions, contact the Minnesota Department of
Commerce:
Website:
Email:
licensing.commerce@state.mn.us
Phone:
651-539-1599 or 1-800-657-3978

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