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Minnesota Free Printable IG255, Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance for 2020 Minnesota Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance

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Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance
IG255, Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance

IG255 2019 Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance Due March 1, 2020 Check if: Print or Type Name of Insured Mailing Address Check if New Address City State Zip Code No Activity Return Contact Person Daytime Phone Fax Number Email Address Website Address I am licensed to obtain insurance from nonadmitted insurers from Amended Return Minnesota Tax ID (required) Check if you are a purchasing group to 1 Total gross premiums paid (from page 2, Column G) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Calculate Amount Due/Overpaid 2 Total return premiums received (from page 2, Column H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Taxable gross premiums paid (subtract line 2 from line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Tax rate is 2% (0.02) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 .02 5 Total gross premiums tax due (multiply line 3 by line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 Penalty (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 Interest (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 8 TOTAL AMOUNT DUE (or overpaid) (add lines 5 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 If you owe additional tax: Payment method: Electronic payment Check (payable to Minnesota Revenue; write MN tax ID number on check; attach voucher) Enter amount paid Date paid (If amount paid is different from amount due on line 8, attach an explanation.) If you overpaid: Overpayments will be refunded. Sign Here I declare that this return is correct and complete to the best of my knowledge and belief. Signature of Insured or Officer of Corporation Signature of Preparer Mail to: Minnesota Department of Revenue Mail Station 1780 600 N. Robert Street St. Paul, MN 55145-1780 Print Name of Preparer Date Daytime Phone Date Daytime Phone I authorize the Minnesota Department of Revenue to discuss this tax return with the preparer. 2019 Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance Name of insured IG255 Page 2 Minnesota tax ID number List all policies where Minnesota is the home state of the Insured. A NAIC Number B C Name of Insurer Policy Number D E Insurance Type Code* F G Amount Insured Gross Premiums Paid Subtotal (if more than one page) Total * Use one of the following code numbers to indicate the insurance type. 1 Fire 3 Homeowners/Commercial M.P. 2 Extended coverage/Allied lines 4 Inland/Ocean marine 5 Accident/Health 6 Liability 7 Auto 8 Fidelity/Surety 9 Burglary/Theft 10 Boiler/Machinery 11 Other (specify) H Return Premiums 2019 Form IG255 Instructions For insurance tax laws, see Minnesota Statutes, Chapter 297I at www.leg.state.mn.us. You must complete and file Form IG255 if you are a person, firm, corporation, or purchasing group buying insurance directly from a “nonadmitted insurer,” which is defined as an “insurer not licensed to engage in the business of insurance in Minnesota” (M.S. 297I.01, subd.10(e)). If you purchased nonadmitted insurance through a broker that is not licensed by the Minnesota Department of Commerce, you must report these premiums as directly procured premiums from a nonadmitted insurer on Form IG255. If you purchased surplus lines insurance, which is a form of nonadmitted insurance, through a licensed surplus lines broker, the surplus lines insurance is not directly procured and the broker is responsible for completing and filing Form IG260, Nonadmitted Insurance Premium Tax Return for Surplus Lines Brokers. Filing Requirement Effective on July 21, 2011, the Nonadmitted and Reinsurance Reform Act (NRRA) of 2010 permits only the insured’s home state to require the payment of premium tax for nonadmitted insurance. When Minnesota is the home state of the insured, as provided under section 297I.05, subd. 7, 100% of the gross premiums are taxable in Minnesota with no allocation of the tax to other states. “Home state” means the state in which an insured maintains its principal place of business, or in the case of an individual, the individual’s principal residence. If 100% of the insured risk is located outside of Minnesota, then the insured’s home state is the state to which the greatest percentage of the insured’s taxable premium for that insurance contract is allocated. Due Date You must file Form IG255 and pay any tax due by March 1 of the following year. (M.S. 297I.30, subd. 1) The U.S. postmark date, or date recorded or marked by a designated delivery service, is considered the filing date (private postage meter marks are not valid). When the due date falls on a Saturday, Sunday or legal holiday, returns and payments electronically made or postmarked on the next business day are considered timely. When a return or payment is late, the date it is received at the Department of Revenue is treated as the date filed or paid. Extension for Filing Return. If good cause exists, you may request a filing extension. Instructions Check Boxes At the top of the form, check if the return is: • an Amended Return: Check only if you are amending a previously filed return for the same period. Include all original and corrected policies on the amended return. • a No Activity Return: Check only if you did not purchase any insurance directly from nonadmitted insurers during the year. IG255 Page 2 Instructions Complete page 2 BEFORE page 1. A. NAIC Number Enter the NAIC number. B. Name of Insurer List the insurers. Include policies for insurance companies without NAIC numbers. C. Policy Number The policy number (modified by the month and year that the policy was issued) is the controlling number for reporting direct-procedured insurance policies and any subsequent activity during the policy period, i.e., endorsements, audits and/or cancellations. D. Date of Coverage Enter the policy coverage date. E. Insurance Type Code Enter the appropriate insurance type code for each policy: 1. Fire 2. Extended Coverage/Allied Lines 3. Homeowners/Commercial M.P. 4. Inland/Ocean Marine Continued 1 2019 Form IG255 Instructions (Continued) 5. Accident/Health 6. Liability 7. Auto 8. Fidelity/Surety 9. Burglary/Theft 10. Boiler/Machinery 11. Other (Specify) F. Amount Insured Enter the amount insured. G. Gross Premiums Paid Include all premiums paid by any insured with a home state of Minnesota. H. Return Premiums Enter all return premiums received. Include a note indicating on which return the original policy was reported. Payments Electronic Payments If your total insurance taxes and surcharges for the last 12-month period ending June 30 is $10,000 or more, you are required to pay your tax electronically in all subsequent years. You must also pay electronically if you are required to pay any Minnesota business tax electronically, such as sales or withholding tax. To pay electronically, go to the department’s website at www.revenue.state.mn.us and log in. If you do not have internet access, call 1‑800570-3329 to pay by phone. You will need your ID number, and bank routing and account numbers. When paying electronically, you must use an account not associated with any foreign banks. If you use other electronic payment methods, such as ACH credit method or Fed Wire, instructions are available on our website or by calling our Business Registration Office at 651-282-5225 or 1-800-657-3605. Check Payments If you are not required to pay electronically and are paying by check, visit our website at www.revenue.state.mn.us and click on “Make a Payment” and then “By check” to create a voucher. Print and mail the voucher with a check made payable to Minnesota Revenue. When you pay by check, your check authorizes us to make a one-time electronic fund transfer from your account, and you may not receive your canceled check. Note: If no amount is due or if you pay electronically, do not send in a voucher. Penalties and Interest Late payment. If you do not pay all the tax due by the due date, a late payment penalty is due. The penalty is 5% of the unpaid tax for any part of the first 30 days the payment is late, and 5% for each additional 30-day period, up to a maximum of 15%. Late filing. Add a late filing penalty to the late payment penalty if your return is not filed by the due date. The penalty is 5% of the unpaid tax. When added to the late payment penalty, the maximum combined penalty is 20%. Payment method. If you are required to pay electronically and do not, an additional 5% penalty applies to payments not made electronically, even if a paper check is sent on time. Interest. You must pay interest on the unpaid tax plus penalty from the due date until the total is paid. The interest rate for calendar year 2020 is 5%. The rate may change for future years. To figure how much interest you owe, use the following formula with the appropriate interest rate: Interest = (tax + penalty) × # of days late × interest rate ÷ 365 Mailing Your Return Mail your return and all required attachments to: Minnesota Department of Revenue Mail Station 1780 600 N. Robert St. St. Paul, MN 55145-1780 For express deliveries, use our street address: Minnesota Department of Revenue 600 N. Robert St. St. Paul, MN 55101 Continued 2 2019 Form IG255 Instructions (Continued) Business Information Changes Be sure to let us know within 30 days if you change mailing addresses, phone numbers or any other business information. To do so, go to our website, log in to e-Services and update your profile information. By notifying us, we will be able to let you know of any changes in Minnesota tax laws and filing requirements. Information and Assistance Website: www.revenue.state.mn.us Email: [email protected] Phone: 651-556-3024 This information is available in alternate formats. For questions about licensing and regulations, contact the Minnesota Department of Commerce: Website: www.mn.gov/commerce Email: [email protected] Phone: 651-539-1599 or 1-800-657-3978 Fax: 651-539-0107 3
Extracted from PDF file 2019-minnesota-form-ig255.pdf, last modified January 2012

More about the Minnesota Form IG255 Other TY 2019

We last updated the Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance in February 2020, so this is the latest version of Form IG255, fully updated for tax year 2019. You can download or print current or past-year PDFs of Form IG255 directly from TaxFormFinder. You can print other Minnesota tax forms here.

Other Minnesota Other Forms:

TaxFormFinder has an additional 95 Minnesota income tax forms that you may need, plus all federal income tax forms.

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Form W-4MN Minnesota Employee Withholding Allowance/Exemption Certificate (Revised 11/14)
Form AWC Alternative Withholding Certificate (for individual nonresident partners and shareholders; not for wage withholding) (Revised 7/14)
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Download all MN tax forms View all 96 Minnesota Income Tax Forms


Form Sources:

Minnesota usually releases forms for the current tax year between January and April. We last updated Minnesota Form IG255 from the Department of Revenue in February 2020.

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Historical Past-Year Versions of Minnesota Form IG255

We have a total of eight past-year versions of Form IG255 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2019 Form IG255

IG255, Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance

2018 Form IG255

IG255, Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance

2017 Form IG255

2011 IG255, Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance

2016 Form IG255

2011 IG255, Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance

2015 Form IG255

2011 IG255, Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance

Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance 2014 Form IG255

2011 IG255, Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance

2013 Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance 2013 Form IG255

2011 IG255, Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance

2012 Form IG255

2011 IG255, Nonadmitted Insurance Premium Tax Return for Direct Procured Insurance


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