Form IB-34 "Installment Payment Property and Casualty Companies" - North Carolina

What Is Form IB-34?

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

Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the North Carolina Department of Revenue;
  • 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 printable version of Form IB-34 by clicking the link below or browse more documents and templates provided by the North Carolina Department of Revenue.

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Download Form IB-34 "Installment Payment Property and Casualty Companies" - North Carolina

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IB-34
Installment Payment
Web
Property and Casualty Companies
1-18
DOR Use Only
Installment Due Date
(MM-DD-YY)
Legal Name (First 35 Characters)
(USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
Federal Employer ID Number
Mailing Address
City
State
Zip Code
Name of Contact Person
Phone Number
State of Domicile
NAIC Number
Fill in circle if applicable:
Payment has been made through electronic funds transfer (EFT)
Part 1.
Computation of Gross Premiums Tax Installment
(If prior total gross premiums tax liability was less than $10,000, do not
complete this form; installment payments are not required.)
,
,
,
.
1. Total Gross Premiums Tax Liability
00
1.
(From prior Form IB-33, Schedule B, Part 3, Line 5)
,
,
,
.
2. Gross Premiums Tax Installment Due
2.
00
Multiply Line 1 by 33 1/3% (.3333)
,
,
,
.
3. Overpayment of Gross Premiums Tax to be Applied as Credit
3.
00
(From prior Form IB-33 or prior installment form)
,
,
,
.
4. Net Gross Premiums Tax Installment Due
4.
$
(Line 2 minus Line 3. If less than zero, any remaining overpayment should
00
be applied to subsequent installments.)
,
,
.
.
(See www.ncdor.gov for current
5. a. Penalties
b. Interest
00
00
interest rate and penalty information)
,
,
,
.
$
6. Total Gross Premium Tax Installment Due
6.
00
(Add Lines 4, 5a and 5b)
Part 2.
Computation of Insurance Regulatory Charge Installment
,
,
,
.
7. Total Insurance Regulatory Charge Liability
7.
00
(From prior Form IB-33, Schedule C, Line 4)
,
,
,
.
8. Insurance Regulatory Charge Installment Due
00
8.
Multiply Line 7 by 33 1/3% (.3333)
,
,
,
.
9. Overpayment of Insurance Regulatory Charge to be Applied as Credit
9.
00
(From prior Form IB-33 or prior installment form)
10. Net Insurance Regulatory Charge Due
,
,
,
.
(Line 8 minus Line 9. If less than zero, any remaining overpayment should
00
10.
be applied to subsequent installments.)
,
,
.
.
(See www.ncdor.gov for current
11. a. Penalties
b. Interest
00
00
interest rate and penalty information)
,
,
,
.
$
12. Total Insurance Regulatory Charge Installment Due
12.
00
(Add Lines 10, 11a and 11b)
(continued on Page 2)
Signature:
Title:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
Installments are due April 15th, June 15th and October 15th of each taxable year.
Your check or money order must be in the form of U.S. currency from a domestic bank.
N.C. Department of Revenue, Insurance Premiums Tax Unit, P.O. Box 25000, Raleigh, NC 27640-0300
Legal Name
NCDOR ID
Page 2,
IB-34, Web, 1-18
Part 3.
Computation of Additional Property Coverage Tax Installment
,
,
,
.
13.
Additional Tax on Property Coverage Contracts
00
13.
(From prior Form IB-33, Schedule F, Line 14)
,
,
,
.
14.
Additional Property Coverage Tax Installment Due
14.
00
Multiply Line 13 by 33 1/3% (.3333)
,
,
,
.
15.
Overpayment of Tax on Property Coverage
15.
Contracts to be Applied as Credit
00
(From prior Form IB-33 or prior installment form)
16.
Net Additional Property Coverage Tax Due
,
,
,
.
(Line 14 minus Line 15. If less than zero, any remaining overpayment
16.
00
should be applied to subsequent installments.)
,
.
,
.
(See www.ncdor.gov for current
17. a. Penalties
b. Interest
00
00
interest rate and penalty information)
,
,
,
.
$
18. Total Additional Property Coverage Tax Installment Due
18.
00
(Add Lines 16, 17a and 17b)
Part 4.
Amount of Installment Due
19. Total Installment Due
,
,
,
.
$
(Add Lines 6, 12, and 18. If amount on either of these lines is less than
19.
00
zero, do not include in total due.)
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