Form 1265 B Surplus Line Producer's Quarterly Tax Statement Self-procurement - Louisiana

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form 1265 B for the current year.

Form 1265 B Surplus Line Producer's Quarterly Tax Statement Self-procurement - Louisiana

What Is Form 1265 B?

This is a legal form that was released by the Louisiana Department of Insurance - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is form 1265 B?A: Form 1265 B is the Surplus Line Producer's Quarterly Tax Statement for self-procurement in Louisiana.

Q: Who needs to file form 1265 B?A: Surplus Line Producers who engage in self-procurement in Louisiana need to file form 1265 B.

Q: What is self-procurement?A: Self-procurement refers to the act of a Surplus Line Producer directly placing insurance coverage with a non-admitted insurer.

Q: What information is required on form 1265 B?A: Form 1265 B requires information such as the Surplus Line Producer's name, address, tax identification number, and details of self-procured insurance transactions.

Q: How often do Surplus Line Producers need to file form 1265 B?A: Surplus Line Producers need to file form 1265 B on a quarterly basis.

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Form Details:

  • Released on December 1, 2015;
  • The latest edition provided by the Louisiana Department of Insurance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 1265 B by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Louisiana Department of Insurance.

Download Form 1265 B Surplus Line Producer's Quarterly Tax Statement Self-procurement - Louisiana

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