Insurance Premium Tax (Surplus Lines Purchasing Groups) 2026

1. Click ‘Get Form’ to open the Insurance Premium Tax (Surplus Lines Purchasing Groups) in the editor.
2. Begin by filling in your name as the Surplus Lines Broker and your agency name. Ensure you provide a valid Minnesota Tax ID number, as this is required.
3. Indicate the period for which you are filing by checking either 'Jan. 1 - June 30' or 'July 1 - Dec. 31'.
4. Complete the contact information section, including your mailing address, email, and daytime phone number.
5. On page 2, enter details for each policy under columns A through J, ensuring all premiums and fees are accurately reported.
6. Calculate the total amount due by following the instructions on page 1, ensuring to include any penalties or interest if applicable.
7. Finally, sign and date the form before submitting it electronically or via mail to ensure timely processing.

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