/ Tax Mo. Yr. Account Number Check Here if Amended Return Check Here if Surplus Lines See reverse for information or call the Department of Revenue, (502) 564-4810. Name and Address Report for Month of Mo. / 20 NAIC FEIN 1. Total premiums, assessments and other charges collected on risk located in Kentucky (exclude municipal taxes).
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How to fill out the KY 74A118 online
The KY 74A118 form, also known as the Monthly Insurance Surcharge Report, is a required document for insurers operating in Kentucky. This guide will provide you with step-by-step instructions on how to successfully fill out this form online, ensuring compliance with state regulations.
Follow the steps to complete the KY 74A118 form online:
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling in the account number at the top of the form to identify your reporting entity.
- Indicate the period of the report by entering the month and year for which you are reporting.
- Check the appropriate boxes to indicate if this is an amended return or if it is for surplus lines.
- In the 'Name and Address' section, provide the official name and address of the reporting entity.
- For line 1, enter the total premiums, assessments, and other charges collected on risks located in Kentucky. Remember to exclude municipal taxes.
- On line 2, report amounts that are not subject to the surcharge, providing details for each subsection (A to D) as applicable.
- Calculate the amount subject to surcharge by subtracting line 2D from line 1; enter this amount on line 3.
- Determine the surcharge due (line 4) by multiplying the amount from line 3 by the current rate of 0.018.
- Complete lines 5 to 8 for additional credits, penalties, and interest, as applicable.
- On line 9, calculate the total amount due by adding lines 4, 7, and 8, and subtracting line 6.
- Report any adjustments on line 10 and calculate the final total amount due on line 11 by adding or subtracting adjustments from line 9.
- Sign and date the form, entering the preparer's information as required, including the printed name, title, and telephone number.
- Review all entries for accuracy and completeness before finalizing.
- Once completed, save your changes, download the document, print it, or share it as necessary.
Begin filling out the KY 74A118 online today to ensure timely compliance!
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Kentucky Department of Revenue. P.O. Box 1303, Frankfort, KY 40602-1303. 501 High Street...
Get answers to your most pressing questions about US Legal Forms API.
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