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Get MN DoR IG260 2020

Total. Enter on appropriate lines on page 1. G Total Premiums H All Fees/ Commissions I Total Gross J Return 2018 Form IG260 Instructions For insurance tax laws see Minnesota Statutes Chapter 297I at www. This is not a Social Security number or agency Minnesota tax ID number. File Form IG260 with all required attachments and pay any tax due by Submit separate payments for each return. Check Payments The U.S. postmark date or date recorded or marked by a designated delivery service is considered the filing date private postage meter marks are not valid. Revenue. state. mn.us and click on Make a Payment and then By check to create a voucher. Print and mail the voucher with a check made payable to Minnesota Revenue. Extension for Filing Return. If good cause exists you may request a filing extension. How to Complete the Form Rules for Using Spreadsheets When you pay by check your check authorizes us to make a one-time electronic fund transfer from your account and you may not receive your canceled check. Complete page 2 before page 1 of Form If you are using your own spreadsheet you must include all the information and in the same format as on page 2 of Form IG260 including subtotals on each page. IG260 2018 Nonadmitted Insurance Premium Tax Return for Surplus Lines Brokers For the period of check one Jan* 1 - June 30 2018 Due Aug. 15 2018 July 1 - Dec* 31 2018 Due Feb. 15 2019 Check if Name of Surplus Lines Broker Agency Name Print or Type Amended Return License Number Check if New Address Mailing Address No activity Return Date Licensed Minnesota Tax ID Number Required see instructions Social Security Number last 4 digits City State Zip Code Email Address Website Address Contact Person Daytime Phone Fax Number 1 Total premiums from page 2 column G. 1 2 Total fees and commissions from page 2 column H. 2 3 Total gross premiums from page 2 column I. 3 4 Total return premiums from page 2 column J. Enter as a positive number. 4 Figure the Tax 5 Taxable gross premiums subtract line 4 from line 3. 5 6 Tax rate is 3. 03. 6 7 Total tax multiply line 5 by line 6. 7 8 Penalty see instructions. 8 9 Interest see instructions. 9 10 TOTAL AMOUNT DUE or overpaid add lines 7 through 9. 10 If you owe additional tax make separate payments for each period Payment method Electronic payment Check payable to Minnesota Revenue write MN tax ID number on check attach voucher Enter amount paid Date paid If amount paid is different from amount due on line 10 attach an explanation* If you overpaid overpayments will be refunded* Sign Here I declare that this return is correct and complete to the best of my knowledge and belief* Signature of Broker Signature of Preparer Print Name of Preparer Date Mail to Minnesota Revenue Mail Station 1780 St* Paul MN 55145-1780 Rev* 11/17 I authorize the Minnesota Department of Revenue to discuss this tax return with the preparer. page 2 A NAIC Number B C Name of Insurer Policy Number See Page 2 Column instructions for a list of codes to enter in column F* D Effective Date required E F Trans* Type Subtotal if more than one page.

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