Kentucky Department of Revenue

Kentucky Department of Revenue

Kentucky Department of Revenue

Kentucky Department of Revenue

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2011 Insurance Premium Tax/Surcharge Forms

Downloadable forms & instructions.

74A100 - 2011 Insurance Premiums Tax Return	340KB
74A101 - Insurance Premiums Tax Return Domestic Mutual, Domestic Mutual Fire or Cooperative & Assessment Fire Insurance Companies	67KB
74A105 - Unauthorized Insurance Tax Return	67KB
74A106 - Insurance Premiums Tax Return Captive Insurer	64KB
74A110 - 2012 KY Estimated Insurance Premiums Tax	296KB
74A117 - Monthly Insurance Surcharge Report Domestic Mutual, Cooperative & Assessment Fire Insurer	382KB
74A117A - Monthly Insurance Surcharge Report Domestic Mutual, Cooperative and Assessment Fire Insurer For Calendar Year 2011 Return Due January 20, 2012	377KB
74A118 - Monthly Insurance Surcharge Report (For Periods Beginning 4/1/2010 and After)	362KB
74A118 - Monthly Insurance Surcharge Report (2009 - For Periods Ending 3/31/2010)	73KB
74A118A - Monthly Insurance Surcharge Report For Calendar Year 2011 Return Due January 20, 2012	358KB

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	Note: These documents are in Adobe Acrobat Reader (.PDF) format. To download a free copy of the Abode Acrobat Reader click on the following icon.

Last Updated 12/21/2011

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