"Life Company Unlicensed Premium Tax Report - Property and Casualty Companies" - New Hampshire

Life Company Unlicensed Premium Tax Report - Property and Casualty Companies is a legal document that was released by the New Hampshire Insurance Department - a government authority operating within New Hampshire.

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  • Released on January 1, 2020;
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STATE of NEW HAMPSHIRE
DEPARTMENT OF INSURANCE
UNLICENSED COMPANIES PREMIUM TAX REPORT
YEAR ENDED DECEMBER 31, ________
Property & Casualty Companies Due Date: March 1, ________
Name of Company _______________________________________________________________
Address of Company _____________________________________________________________
Federal Tax Identification Number _________________________________________________
NAIC Group Code___________ NAIC Company Code__________ Domestic State __________
1. State Page, Direct Premium Written, Line 35 less lines 8 + 9
__________________
2. Schedule T, Finance and Service Charges, Line 30
__________________
3. Total (Line 1 + Line 2)
__________________
4. Premium Tax Due at 4% Premium Tax Rate (Line 3 x 4%)
__________________
5. State Page, Direct Premium Written, Marine - Lines 8 + 9
__________________
6. Premium Tax Due at 2% Premium Tax Rate (Line 5 x 2%)
__________________
7. Total Premium Tax Due (Lines 4 + 6)
___________________
The undersigned certifies that this report is true and correct according to the best of his information, knowledge, and
belief.
_______________________________________________________
___________
PREPARER
TITLE
DATE
CONTACT INFORMATION:
ADDRESS _____________________________________________
EMAIL
______________________________________________
I. Except as to premiums on lawfully procured surplus lines insurance pursuant to the surplus lines laws of this state, and premiums on
unlicensed insurance procured by industrial insurers on which a tax has been paid pursuant to RSA 406-B:16, VI and premiums on
independently procured insurance on which a tax has been paid pursuant to RSA 406-B:17, every unauthorized insurer shall pay to the
commissioner before March 1 next succeeding the calendar year in which the insurance was so effectuated, continued or renewed a
premium receipts tax of 4 percent of gross premiums charged for such insurance other than marine insurance and a premium receipts
tax of 2 percent of gross premiums charged for such marine insurance on subjects resident, located or to be performed in this state.
Such insurance on subjects resident, located or to be performed in this state procured through negotiations or an application, in whole
or in part occurring or made within or from within or outside of this state, or for which premiums in whole or in part are remitted
directly or indirectly from within or outside of this state, shall be deemed to be insurance procured, or continued or renewed in this
state. The term "premium" includes all premiums, membership fees, assessments, dues, and any other consideration for insurance.
Such tax shall be in lieu of all taxes and fire department dues. On default of any such unauthorized insurer in the payment of such tax
the insured shall pay the tax. If the tax prescribed by this section is not paid within the time stated, the tax shall be increased by a
penalty contingent upon the number of days that have passed since the due date. For late payments received 1-30 days after the due
date, the penalty fee shall be 3 percent of the amount of tax due. For late payments received 31-60 days after the due date, the penalty
fee shall be 6 percent of the amount of tax due. For late payments received more than 60 days after the due date, the penalty fee shall
be 12 percent of the amount of tax due.
II. If a policy covers risks or exposures only partially in this state, the tax payable shall be computed on the portions of the premium
which are properly allocable to the risks or exposures located in this state. In determining the amount of premiums taxable in this state,
all premiums written, procured, or received in this state and all premiums on policies negotiated in this state shall be deemed written
on property or risks located or resident in this state, except such premiums as are properly allocated or apportioned and reported as
taxable premiums of any other state or states.
Source. 1967, 237:1. 1971, 170:4. 2002, 207:39, eff. July 15, 2002. 2019, 179:5, eff. Jan. 1, 2020.
STATE of NEW HAMPSHIRE
DEPARTMENT OF INSURANCE
UNLICENSED COMPANIES PREMIUM TAX REPORT
YEAR ENDED DECEMBER 31, ________
Property & Casualty Companies Due Date: March 1, ________
Name of Company _______________________________________________________________
Address of Company _____________________________________________________________
Federal Tax Identification Number _________________________________________________
NAIC Group Code___________ NAIC Company Code__________ Domestic State __________
1. State Page, Direct Premium Written, Line 35 less lines 8 + 9
__________________
2. Schedule T, Finance and Service Charges, Line 30
__________________
3. Total (Line 1 + Line 2)
__________________
4. Premium Tax Due at 4% Premium Tax Rate (Line 3 x 4%)
__________________
5. State Page, Direct Premium Written, Marine - Lines 8 + 9
__________________
6. Premium Tax Due at 2% Premium Tax Rate (Line 5 x 2%)
__________________
7. Total Premium Tax Due (Lines 4 + 6)
___________________
The undersigned certifies that this report is true and correct according to the best of his information, knowledge, and
belief.
_______________________________________________________
___________
PREPARER
TITLE
DATE
CONTACT INFORMATION:
ADDRESS _____________________________________________
EMAIL
______________________________________________
I. Except as to premiums on lawfully procured surplus lines insurance pursuant to the surplus lines laws of this state, and premiums on
unlicensed insurance procured by industrial insurers on which a tax has been paid pursuant to RSA 406-B:16, VI and premiums on
independently procured insurance on which a tax has been paid pursuant to RSA 406-B:17, every unauthorized insurer shall pay to the
commissioner before March 1 next succeeding the calendar year in which the insurance was so effectuated, continued or renewed a
premium receipts tax of 4 percent of gross premiums charged for such insurance other than marine insurance and a premium receipts
tax of 2 percent of gross premiums charged for such marine insurance on subjects resident, located or to be performed in this state.
Such insurance on subjects resident, located or to be performed in this state procured through negotiations or an application, in whole
or in part occurring or made within or from within or outside of this state, or for which premiums in whole or in part are remitted
directly or indirectly from within or outside of this state, shall be deemed to be insurance procured, or continued or renewed in this
state. The term "premium" includes all premiums, membership fees, assessments, dues, and any other consideration for insurance.
Such tax shall be in lieu of all taxes and fire department dues. On default of any such unauthorized insurer in the payment of such tax
the insured shall pay the tax. If the tax prescribed by this section is not paid within the time stated, the tax shall be increased by a
penalty contingent upon the number of days that have passed since the due date. For late payments received 1-30 days after the due
date, the penalty fee shall be 3 percent of the amount of tax due. For late payments received 31-60 days after the due date, the penalty
fee shall be 6 percent of the amount of tax due. For late payments received more than 60 days after the due date, the penalty fee shall
be 12 percent of the amount of tax due.
II. If a policy covers risks or exposures only partially in this state, the tax payable shall be computed on the portions of the premium
which are properly allocable to the risks or exposures located in this state. In determining the amount of premiums taxable in this state,
all premiums written, procured, or received in this state and all premiums on policies negotiated in this state shall be deemed written
on property or risks located or resident in this state, except such premiums as are properly allocated or apportioned and reported as
taxable premiums of any other state or states.
Source. 1967, 237:1. 1971, 170:4. 2002, 207:39, eff. July 15, 2002. 2019, 179:5, eff. Jan. 1, 2020.