"Quarterly Tax Return" - Nebraska

Quarterly Tax Return is a legal document that was released by the Nebraska Department of Insurance - a government authority operating within Nebraska.

Form Details:

  • The latest edition currently provided by the Nebraska Department of Insurance;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Nebraska Department of Insurance.

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Download "Quarterly Tax Return" - Nebraska

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NEBRASKA DEPARTMENT OF INSURANCE
QUARTERLY TAX RETURN
TAX YEAR
PAYMENT DUE:
COMPANY INFORMATION
NAIC Number
Contact Person
E-Mail Address
Federal Tax I.D. Number
Telephone
Company Name
Street Address
City
State
Zip Code
SELECT EITHER THE PRIOR YEAR OR ESTIMATED CURRENT YEAR BASIS. THE METHOD SELECTED MUST BE USED FOR
THE ENTIRE TAX YEAR.
Payment Method
PRIOR YEAR BASIS
1
*Prior year premium tax
2
Enter 25% of Line 1
0
CURRENT YEAR BASIS
3
Estimated current year’s total premium tax liability
0
4
Enter one fourth (1/4) of 80% of Line 3
AMOUNT DUE
5
Quarterly premium tax installment (enter amount from Line 2 or
Line 4)
0
6
Deduct credit allowed for previous overpayment
7
Net premium tax due (Line 5 minus Line 6 & 7, if applicable)
0
*Companies whose prior year premium tax liability is less than four thousand dollars are not required to file
quarterly tax returns
FOR ALL 2020 TAX FILINGS - ALL NUMERIC FIELDS MUST CONTAIN A NUMERIC VALUE. IF A PARTICULAR
FIELD IS NOT APPLICABLE PLEASE ENTER THE NUMBER 0 (ZERO).
NE2020QuarterV1
1
NEBRASKA DEPARTMENT OF INSURANCE
QUARTERLY TAX RETURN
TAX YEAR
PAYMENT DUE:
COMPANY INFORMATION
NAIC Number
Contact Person
E-Mail Address
Federal Tax I.D. Number
Telephone
Company Name
Street Address
City
State
Zip Code
SELECT EITHER THE PRIOR YEAR OR ESTIMATED CURRENT YEAR BASIS. THE METHOD SELECTED MUST BE USED FOR
THE ENTIRE TAX YEAR.
Payment Method
PRIOR YEAR BASIS
1
*Prior year premium tax
2
Enter 25% of Line 1
0
CURRENT YEAR BASIS
3
Estimated current year’s total premium tax liability
0
4
Enter one fourth (1/4) of 80% of Line 3
AMOUNT DUE
5
Quarterly premium tax installment (enter amount from Line 2 or
Line 4)
0
6
Deduct credit allowed for previous overpayment
7
Net premium tax due (Line 5 minus Line 6 & 7, if applicable)
0
*Companies whose prior year premium tax liability is less than four thousand dollars are not required to file
quarterly tax returns
FOR ALL 2020 TAX FILINGS - ALL NUMERIC FIELDS MUST CONTAIN A NUMERIC VALUE. IF A PARTICULAR
FIELD IS NOT APPLICABLE PLEASE ENTER THE NUMBER 0 (ZERO).
NE2020QuarterV1
1
version
1
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