State of indiana quarterly premium tax form 2026

1. Click ‘Get Form’ to open the state of Indiana quarterly premium tax form in the editor.
2. Begin by entering the quarter ending date and year at the top of the form. This is crucial for accurate record-keeping.
3. Fill in your State of Incorporation and NAIC Number, ensuring all information is accurate and typewritten as required.
4. Provide your company name, contact address, and details of the contact person including phone number and email address.
5. In Section 1, calculate your total Indiana Premium and Associated Tax from the previous year. Enter this value in Line 1A.
6. For Section 2, determine your estimated premium tax installment due. Choose between one-fourth of last year's total or one-fourth of 80% of this year's actual premium.
7. Complete Section 3 by calculating your net premium tax payment, considering any prior year overpayments if applicable.
8. Finally, certify the accuracy of your calculations by filling in the preparer's name, title, authorized officer's name, signature, and date signed before submitting.

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