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  • Fillable Ohio Surplus Lines Affidavit Form

Get Fillable Ohio Surplus Lines Affidavit Form

Surplus Lines Premium Tax Summary www.insurance.ohio.gov Please note: This form is now available at www.insurance.ohio.gov If no money is due, this form does not need to be filed. ON-LINE SYSTEM USER ID(S): SLTAX (The number(s) must match the number(s) used when reporting ALL business on-line to the Dept. of Insurance) Name: Business Address: City: State: Telephone: Fax: Zip: License #: Contact Person s E-Mail Address: Risk Purchasing Group Risk Retention Group Surplus Lines Brok.

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How to use or fill out the Fillable Ohio Surplus Lines Affidavit Form online

The Fillable Ohio Surplus Lines Affidavit Form is a critical document for those in the surplus lines insurance business in Ohio. This guide provides clear, step-by-step instructions to help you complete this form online efficiently and correctly.

Follow the steps to fill out the form accurately online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by filling out your name. Ensure that this reflects your legal name as it appears on your identification or official documents.
  3. Provide your business address, including city, state, and zip code. Verify the information for accuracy to avoid any issues with processing.
  4. Enter the telephone and fax numbers where you can be reached. This ensures that relevant parties can contact you if necessary.
  5. Input your license number as required. This should match the number used when reporting all business online to the Department of Insurance.
  6. Fill in the contact person’s email address as this may be crucial for future correspondence related to this form.
  7. Select the appropriate category concerning your business type, such as Risk Purchasing Group, Risk Retention Group, Surplus Lines Broker, or Unauthorized Business.
  8. Report gross premiums charged, gross premiums returned, and any exempt premiums in the respective fields, ensuring all figures are accurate.
  9. Calculate the subtotal and determine the 5% tax due based on the provided amounts.
  10. Once all information is filled out and verified, save the changes. You may also choose to download, print, or share the form as needed.

Complete your documents online to ensure efficiency and accuracy in your submissions.

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Surplus Lines Statement - Ohio Department of...
614-644-2635 | Fax 614-728-1280 | insurance.ohio.gov. INS4024 (Rev. 08/2020). Page 1 of 1...
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The surplus line tax in Ohio is a specific tax imposed on the premium of surplus lines insurance policies. It typically stands at 8 percent of the gross premium collected. This tax applies to policies issued by unauthorized insurers, meaning those not licensed in Ohio. For precise reporting, consider using a Fillable Ohio Surplus Lines Affidavit Form to ensure all necessary details are accurately documented.

To obtain a surplus lines license in Ohio, applicants must meet specific requirements including submitting a completed application, providing proof of insurance experience, and paying the applicable fees. Additionally, you will need to file the Fillable Ohio Surplus Lines Affidavit Form as part of the documentation process. This form is crucial for meeting state regulations and ensuring that your license remains valid. By using our platform, you can access this form easily and ensure that you are complying with all necessary requirements.

Common surplus lines claims arise from various risks including natural disasters, professional liability, and unique property damage. For instance, a business may file a claim for damages after a catastrophic event that is not typically covered by standard insurance. These claims often involve complex situations that require detailed documentation. Using the Fillable Ohio Surplus Lines Affidavit Form can streamline the claims process and ensure proper adherence to regulations.

Surplus lines policies cover unique risks that standard insurance cannot address. Common examples include excessive liability coverage for large events, specialized marine insurance, and coverage for difficult-to-insure properties. Often, businesses that operate in high-risk industries rely on these types of policies. Each of these requires proper filing, often facilitated by the Fillable Ohio Surplus Lines Affidavit Form.

Surplus lines insurance is a special type of insurance that covers unique risks. It fills a gap in the standard market by covering things that most companies can't or won't insure.

The Surplus Lines Deduction allows taxpayers to deduct from their premiums “sums collected to cover federal and other state taxes and examination fees” when calculating the premium amount subject to the tax.

The surplus lines tax is in addition to the premiums charged by the insurer. This tax is 3 percent of gross premiums and must be collected at the time of the delivery of the policy.

Surplus lines insurance is a special type of insurance that covers unique risks. It fills a gap in the standard market by covering things that most companies can't or won't insure.

Surplus lines tax: 4.85% (+ stamping fee of . 075% (. 00075)) (reduced from . 15% effective January 1, 2021), payable by broker (TX DOI imposes assessments/enforcement actions for late filings).

The ODI Surplus Lines Licensing page covers this. If commissions are paid to an individual, the individual must be surplus lines licensed and must file and pay taxes.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232