Get Kentucky Department Of Insurance Fillable Form 141
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How to fill out the Kentucky Department Of Insurance Fillable Form 141 online
The Kentucky Department Of Insurance Fillable Form 141 is a crucial document for local governments to report insurance premium taxes. This guide provides clear, step-by-step instructions for completing the form online, ensuring accuracy and compliance.
Follow the steps to easily fill out the form online.
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering the name of the city, county, or urban county government at the top of the form. Ensure this is accurate as it will identify the reporting entity.
- Complete the filer information section. Decide whether you are a direct writer or a surplus lines broker and fill in the corresponding details: name, address, phone numbers, and relevant identification numbers.
- If applicable, fill in the insurance company name and the individual broker's details if coverage was exported under KRS 304.10.
- List the types of insurance provided in the 'Line Of Insurance' section. For each line, input the established tax rate, premiums collected, tax payable, collection fee, and the amount collected from policyholders.
- If acting as a surplus lines broker, complete the carrier listing for exported coverage by providing the carrier names, NAIC numbers, quarterly premiums collected, and municipal taxes collected.
- Review the certification statement at the end of the form. Ensure that you sign, date, and provide all required contact information for the person responsible for preparing the return.
- Once all sections are filled out accurately, save your changes. You will have the option to download, print, or share the form as needed.
Complete your Kentucky Department Of Insurance Fillable Form 141 online today to ensure timely compliance.
KY surcharge tax is an additional levy that applies to certain insurance premiums, mainly those related to surplus lines. It addresses the need for funding related to insurance regulatory oversight and disaster relief. Keeping abreast of this tax is important for brokers dealing with surplus lines. The Kentucky Department Of Insurance Fillable Form 141 can guide you in reporting this surcharge correctly.
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