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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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