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Click ‘Get Form’ to open the taxes compensation document in the editor.
Begin by entering the 'Carrier Name' and 'Date Prepared' at the top of the form. This information is essential for identifying your submission.
In Section 1, input the total workers' compensation premiums collected during the year. Ensure accuracy as this forms the basis for your tax calculation.
Proceed to Section 2, where you will list any deductions from premiums, such as cancellations and refunds. Subtract these from your total premiums to calculate your net taxable premiums in Section 3.
Calculate the Administrative Fund tax by multiplying the net taxable premiums (from Section 3) by 3.00%. Enter this amount in Section 4.
In Section 5, record any quarterly payments made during the year. This will help determine your total tax due in Section 6.
Finally, review all entries for accuracy before signing and dating at the bottom of the form. Attach any required documents and submit it by March 1.
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