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Minnesota Free Printable 2021 M11AR, Fire Insurance Tax (Retaliatory Schedule) for 2022 Minnesota Fire Insurance Tax (Retaliatory Schedule)

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Fire Insurance Tax (Retaliatory Schedule)
2021 M11AR, Fire Insurance Tax (Retaliatory Schedule)

M11AR Attachment #2 2021 Fire Insurance Tax (Retaliatory Schedule) Due March 1, 2022 Check if: Name of Insurance Company NAIC Number Amended Return No Activity Return Minnesota Tax ID (required) State/Country of Incorporation Complete this form if your state of incorporation collects a fire insurance tax. Note: Numbers in parentheses refer to line numbers on NAIC Minnesota state page. Also include all finance and service charges. A Total Direct B Dividends C Net Direct Premiums (A minus B) D % of Fire E State of Incorporation Basis (C times D) 1 Fire (1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Allied lines a Crop (2.1) . . . . . . . . . . . . . . . . . . . . . . . . . . 2a b Other than crop (2.1) . . . . . . . . . . . . . . . . . 2b 3 Multi-peril a Farmowners (3) . . . . . . . . . . . . . . . . . . . . . b Homeowners (4) . . . . . . . . . . . . . . . . . . . . . c Commercial nonliability (5.1) . . . . . . . . . . d Commercial liability (5.2) . . . . . . . . . . . . . . 3a 3b 3c 3d 4 Inland marine (9) . . . . . . . . . . . . . . . . . . . . . . . 4 5 Ocean marine (8) . . . . . . . . . . . . . . . . . . . . . . . 5 6 Earthquake (12) . . . . . . . . . . . . . . . . . . . . . . . . 6 7 Auto physical damage (21.1-21.2) (total commercial and private) OR itemize combined auto comprehensive fire premiums (lines 7a–7f) . . . . . . . . . . . . . . . 7 a Comprehensive fire, theft and miscellaneous (exclude collision) . . . . . . . 7a b Comprehensive fire, theft and miscellaneous with deductible (exclude collision) . . . . . . . . . . . . . . . . . . . . 7b c Fire and theft combined . . . . . . . . . . . . . . 7c d Fire, theft and miscellaneous . . . . . . . . . . 7d e Fire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7e f Collision and others . . . . . . . . . . . . . . . . . . 7f 8 Aircraft physical damage (22) . . . . . . . . . . . . . 8 9 Other fire (itemize on a separate schedule) . . . . . . . . . . . . . . . . . . . . 9 10 Taxable fire premiums (add lines 1 through 9, column E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 11 Percentage rate for fire in the state/country of incorporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 12 Fire insurance tax liability (multiply line 10 by the percentage on line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Enter on Form M11, line 18, Column A. Attach this form when you file your Form M11. Keep a copy for your records. % 2021 Form M11AR Instructions Use this form to determine the correct amount of premiums collected for all fire, sprinkler and lightning damage. Use these instructions as a guide. For further information, see M.S. 297I. The purpose of this form is to collect retaliatory tax on fire insurance premiums. Be sure to include this form when you file your Form M11. Filing Requirements All insurers that write or are authorized to write fire insurance in Minnesota must file Form M11AR if their home state collects a fire insurance tax. This schedule is not required for companies domiciled in Minnesota, Arizona, Hawaii, Massachusetts, New York and Rhode Island. (M.S. 297I.05, subd. 11) File Electronically This schedule (Form M11AR) may be filed electronically using TriTech Software. 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 sell any insurance that had fire, lightning or sprinkler leakage coverage for the year. Line Instructions Premiums include finance, service or other charges paid to the insurers. Line 1 Enter all fire premiums written (line 1, Minnesota state page). Lines 2a and 2b Enter all crop premiums written for allied lines on line 2a and other than crop premiums on line 2b (line 2.1, Minnesota state page). Lines 3a and 3b Enter all farmowners and homeowners multi-peril premiums written (lines 3 and 4, Minnesota state page). Line 3c Enter the nonliability portion of all commercial premiums written (line 5.1, Minnesota state page). Line 3d Enter the liability portion of all commercial premiums written (line 5.2, Minnesota state page). Line 4 Enter all inland marine premiums (line 9, Minnesota state page). Line 5 Enter all ocean marine premiums (line 8, Minnesota state page). Line 6 Enter all earthquake premiums (line 12, Minnesota state page). Line 7 Enter all total auto physical damage premiums (lines 21.1 – 21.2, Minnesota state page) OR: 7a. 7b. 7c. 7d. 7e. 7f. all comprehensive fire, theft and miscellaneous premiums (excluding collision) all comprehensive fire, theft and miscellaneous premiums with deductibles (excluding collision) all fire and theft combined premiums all fire, theft and miscellaneous premiums all fire premiums all collision and other premiums The total auto physical damage premiums listed by breakdown (lines 7a through 7f) should equal total auto physical damage premiums on the state page of your annual statement. Line 8 Enter all aircraft physical damage premiums (line 22, Minnesota state page). Line 9 Include all other premiums collected for your home state’s fire insurance tax if not already included. Provide a breakdown schedule showing fire portion. For package policies, the fire insurance portion may be broken out to more accurately reflect the correct portion of fire premiums. Include a schedule detailing the breakdown. 1 Continued 2021 Form M11AR Instructions (Continued) 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 2021-minnesota-form-m11ar.pdf, last modified October 2012

More about the Minnesota Form M11AR Individual Income Tax TY 2021

We last updated the Fire Insurance Tax (Retaliatory Schedule) in February 2022, so this is the latest version of Form M11AR, fully updated for tax year 2021. You can download or print current or past-year PDFs of Form M11AR directly from TaxFormFinder. You can print other Minnesota tax forms here.

Other Minnesota Individual Income Tax 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 M1 Individual Income Tax Return
Form M1 Instructions Minnesota Individual Income Tax Instructions (Form M1)
Form M1PR Homestead Credit Refund (for Homeowners) and Renters Property Tax Refund
Form M1PR Instructions Homestead Credit Refund and Renter’s Property Tax Refund Instruction Booklet
Form M1W Minnesota Income Tax Withheld (onscreen version)

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 M11AR from the Department of Revenue in February 2022.

Show Sources >

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Minnesota Form M11AR

We have a total of ten past-year versions of Form M11AR in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2021 Form M11AR

2021 M11AR, Fire Insurance Tax (Retaliatory Schedule)

2020 Form M11AR

2020 M11AR, Fire Insurance Tax (Retaliatory Schedule)

2019 Form M11AR

2018 M11AR, Fire Insurance Tax (Retaliatory Schedule)

2018 Form M11AR

2018 M11AR, Fire Insurance Tax (Retaliatory Schedule)

2017 Form M11AR

2016 M11AR, Fire Insurance Tax (Retaliatory Schedule)

2016 Form M11AR

2016 M11AR, Fire Insurance Tax (Retaliatory Schedule)

2015 Form M11AR

2011 M11AR, Fire Insurance Tax (Retaliatory Schedule)

Fire Insurance Tax (Retaliatory Schedule) 2014 Form M11AR

2011 M11AR, Fire Insurance Tax (Retaliatory Schedule)

2013 Fire Insurance Tax (Retaliatory Schedule) 2013 Form M11AR

2011 M11AR, Fire Insurance Tax (Retaliatory Schedule)

2012 Form M11AR

2012 M11AR, Fire Insurance Tax (Retaliatory Schedule)


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