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Minnesota Free Printable 2018 IG258, Police Premium Report for 2021 Minnesota Police Premium Report

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Police Premium Report
2018 IG258, Police Premium Report

IG258 2019 Police Premium Report Informational Report on Auto Insurance Premiums Due March 1, 2020 Name of Insurance Company Check if: NAIC Number Amended Return No Activity Minnesota Tax ID (required) State/Country of Incorporation Note: Numbers in parentheses refer to line numbers on NAIC Minnesota state page. Also include all finance and service charges. Premiums for Police State Aid 1 Gross direct premiums less return premiums on auto insurance coverages (lines 19.1–19.4), plus fees, premium finance and other service charges . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Dividends on auto liability insurance coverages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Net applicable premiums (subtract line 2 from line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Gross direct premiums less return premiums on auto physical damage (lines 21.1 and 21.2), plus policy fees, premium finance and other service charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 Dividends on auto physical damage coverages . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 Net applicable premiums (subtract line 5 from line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 Total applicable premiums (add lines 3 and 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 No payment due. For informational purposes only. Attach this report to your Form M11. Keep a copy for your records. Sign Here I declare that this return is correct and complete to the best of my knowledge and belief. Authorized Signature Title Date Daytime Phone Signature of Preparer Print Name of Preparer Date Daytime Phone Mail to: Minnesota Department of Revenue Mail Station 1780 600 N. Robert St. St. Paul, MN 55145-1780 Do not send to the Minnesota Department of Commerce. I authorize the Minnesota Department of Revenue to discuss this tax return with the preparer. 2019 Form IG258 Instructions For insurance tax laws, see Minnesota Statutes, Chaper 297I at www.leg.state.mn.us. Notice This report must be signed and dated by the company’s authorized person to be valid for filing. (M.S. 297I.26, subd. 1) Filing Requirements All property and casualty insurers that write or are authorized to write automobile insurance subject to Minnesota premium tax, must file Form IG258 even if no business is conducted during the year covered by the report. Include all premiums except return premiums and dividends paid by the insurer or its agents in Minnesota (in cash or other form of payment) for auto insurance coverages outlined in the company’s annual financial statement (NAIC Minnesota state page, lines 19.1–19.4 and 21.1– 21.2). Also include policy fees, premium finance and other service charges. (M.S. 297I.26, subd. 1; M.S. 477C.01, Subd. 4) File Electronically Options are available to electronically prepare and file this report. Electronic Filing is a secure, fast and easy way to file. For more information, go to our website www.revenue.state.mn.us. Due Date Attach your Form IG258 to your Form M11, Insurance Premium Tax Return. File your forms each year with all required attachments by March 1 of the following year. 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 weekend or legal holiday, returns postmarked the next business day are considered timely. When a return is late, the date it is received at the Department of Revenue is treated as the date filed. Penalties If your Form IG258 is not filed by the due date, you will be fined $25 for each seven days you are late (or fraction thereof) to a maximum penalty of $200. If you knowingly file an inaccurate report, you may be fined from $25 to $1,000, and your certificate of authority may be revoked by the Department of Commerce. Any person responsible for filing the report who fails or refuses to do so within 30 days after the department requests the report may be fined up to $1,000. (M.S. 297I.26, subd. 2) 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 premiums on the amended return. • a No Activity: Check only if you did not sell any auto insurance. Information and Assistance Website: www.revenue.state.mn.us Email: [email protected] Phone: 651-556‑3024 This material 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
Extracted from PDF file 2019-minnesota-form-ig258.pdf, last modified October 2012

More about the Minnesota Form IG258 Other

We last updated the Police Premium Report in March 2020, and the latest form we have available is for tax year 2019. This means that we don't yet have the updated form for the current tax year. Please check this page regularly, as we will post the updated form as soon as it is released by the Minnesota Department of Revenue. You can print other Minnesota tax forms here.


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

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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 IG258 from the Department of Revenue in March 2020.

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Historical Past-Year Versions of Minnesota Form IG258

We have a total of eight past-year versions of Form IG258 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2019 Form IG258

2018 IG258, Police Premium Report

2018 Form IG258

2018 IG258, Police Premium Report

2017 Form IG258

2016 IG258, Police Premium Report

2016 Form IG258

2016 IG258, Police Premium Report

2015 Form IG258

2011 IG258, Police Premium Report

Police Premium Report 2014 Form IG258

2011 IG258, Police Premium Report

2013 Police Premium Report 2013 Form IG258

2011 IG258, Police Premium Report

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