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Minnesota Free Printable 2011 IG263, Joint Self-Insurance Tax Return for 2020 Minnesota Joint Self-Insurance Tax Return

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Joint Self-Insurance Tax Return
2011 IG263, Joint Self-Insurance Tax Return

IG263 2019 Joint Self-Insurance Tax Return Due March 1, 2020 Tax year beginning 2019, and ending Print or Type Check if: Amended Return Name of Joint Self-Insurance Group Mailing Address Check if New Address City State FEIN No Activity Return Minnesota Tax ID (required) Fax Number Contact Person ZIP Code Daytime Phone Website Address For plans operating under: Chapter 60F Chapter 62H Email Address Round amounts to the nearest whole dollar Calculate Amount Due/Overpaid 1 Claims paid, with no deduction for claims wholly or partially reimbursed through stop-loss insurance: a Ch. 60F plans: Enter total claims paid during the fund year . . . . . . . . . . . 1a b Ch. 62H plans: Enter total claims paid during the fund’s fiscal year . . . . . 1b Total claims paid (add lines 1a and 1b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 3 Tax liability (multiply line 1 by line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Penalty (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 Interest (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 TOTAL AMOUNT DUE (add lines 3 through 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Payment method: Electronic payment Check (payable to Minnesota Revenue; write MN tax ID number on check; attach voucher) Sign Here 2% 2 Tax percentage rate is 2% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Enter amount paid Date paid (If amount paid is different from line 6, attach an explanation.) I declare that this return is correct and complete to the best of my knowledge and belief. I confess judgment to the state of Minnesota for the amount of tax shown due to the extent not timely paid. 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 I authorize the Minnesota Department of Revenue to discuss this tax return with the preparer. 2019 Form IG263 Instructions For insurance tax laws, see Minnesota Statutes, Chapter 297I.01 – 297I.95 at www.leg.state.mn.us. Who Must File? File Form IG263 for the following joint self-insurance plans: • any property and/or casualty or automobile liability (M.S. Chapter 60F) • certain employer health coverage arrangements (M.S. Chapter 62H) For plans operating under Chapter 60F, the tax is equal to 2% of the total amount of claims paid during the fund year, with no deductions for claims wholly or partially reimbursed through stop-loss insurance. For plans operating under Chapter 62H, the tax is equal to 2% of the total amount of claims paid during the fund’s fiscal year, with no deductions for claims wholly or partially reimbursed through stop-loss insurance. Before You File You Need a Minnesota Tax ID Your Minnesota tax ID is the seven-digit number you’re assigned when you register with the Department of Revenue. You must include your Minnesota tax ID on your return so that your filing and any payments you make are properly credited to your account. If you don’t have a Minnesota tax ID, apply online at www.revenue.state.mn.us or call 651‑282-5225 or 1-800-657-3605. It is also important to enter your federal ID number, but not in place of your Minnesota tax ID number. Due Date File Form IG263 and pay any tax due by March 1 of each 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 Saturday, Sunday or legal holiday, returns and payments electronically made or postmarked 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. 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’re 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 to e-Services. If you don’t have Internet access, call 1‑800-570-3329 to pay by phone. You’ll need your user name, password 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 Business Registration Office at 651‑282-5225 or 1-800-657-3605. Check Payments If you’re 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. If you make your payments electronically, do not send in the voucher. Line 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 Return: Check only if you did not have any tax activity during the period. Continued 1 2019 Form IG263 Instructions (Continued) Also check the appropriate box on the front of the form to indicate your type of entity. Line 4 — Penalty Late Payment. If you do not pay the entire tax 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. Line 5 — 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 interest 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 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 and click “Update business info” from the e-Services menu. 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 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 2
Extracted from PDF file 2019-minnesota-form-ig263.pdf, last modified October 2012

More about the Minnesota Form IG263 Other TY 2019

We last updated the Joint Self-Insurance Tax Return in February 2020, so this is the latest version of Form IG263, fully updated for tax year 2019. You can download or print current or past-year PDFs of Form IG263 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.

Form Code Form Name
Form CRP Certificate of Rent Paid (for landlord use only)
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)
Form REV184 Power of Attorney
Form REV187 Authorization to Communicate through Email Transmission (Revised 12/05)

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 IG263 from the Department of Revenue in February 2020.

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Historical Past-Year Versions of Minnesota Form IG263

We have a total of eight past-year versions of Form IG263 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2019 Form IG263

2011 IG263, Joint Self-Insurance Tax Return

2018 Form IG263

2011 IG263, Joint Self-Insurance Tax Return

2017 Form IG263

2011 IG263, Joint Self-Insurance Tax Return

2016 Form IG263

2011 IG263, Joint Self-Insurance Tax Return

2015 Form IG263

2011 IG263, Joint Self-Insurance Tax Return

Joint Self-Insurance Tax Return 2014 Form IG263

2011 IG263, Joint Self-Insurance Tax Return

2013 Joint Self-Insurance Tax Return 2013 Form IG263

2011 IG263, Joint Self-Insurance Tax Return

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