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MONTHLY INSURANCE SURCHARGE REPORT74A118 (122)Commonwealth of Kentucky DEPARTMENT OF REVENUEFor Periods Beginning 4/1/2010 and AfterFOR OFFICIAL USE ONLY STA. 6145 / / Tax Mo.Yr.Account.

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How to fill out the KY 74A118_DSA online

The KY 74A118_DSA form is essential for reporting insurance premiums and surcharges collected by insurers in Kentucky. This guide provides clear, step-by-step instructions to help you successfully complete the form online.

Follow the steps to effectively fill out the KY 74A118_DSA form.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the tax month and year for the reporting period in the designated fields. Ensure that the account number is accurately filled in.
  3. Provide your name and address in the required section, ensuring that all information is current and correct.
  4. Complete Line 1 by reporting the total premiums, assessments, and other charges collected on risks located in Kentucky, excluding municipal taxes.
  5. On Lines 2A through 2C, deduct amounts not subject to surcharge. This includes premiums returned, various types of insurance premiums, and premiums collected from exempt entities.
  6. Calculate the amount subject to surcharge on Line 3 by subtracting Line 2D from Line 1.
  7. Determine the surcharge due on Line 4 by multiplying the amount from Line 3 by the current surcharge rate (0.018).
  8. If applicable, add any penalties from Line 5 and interest from Line 6 to calculate the total amount due on Line 7.
  9. If adjustments are necessary, attach supporting documentation and enter this adjustment on Line 8.
  10. Finalize your total amount due on Line 9 by adding or subtracting any adjustments from Line 7.
  11. Options at this stage include saving your changes, downloading the completed form, printing it for your records, or sharing it as needed.

Complete your KY 74A118_DSA form online today for accurate and timely submission.

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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