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Accounting Division Phone: (501) 371-2605 Fax: (501) 682-6679 |
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************************************************************************************TO FILE BY EFTCLICK THE APPROPRIATE LINK BELOWEFT PAYMENT & ONLINE FORMS MUST BE SENT AT THE SAME TIME. IF YOU FILE THE FORM BY EFT, YOU MUST SEND MONEY BY EFT.QUARTERLY FILINGSANNUAL FILINGSIf you need to see prior eft filings, please click on the link below and fill in your naic number and password. This is the same password you use to file by eft.ONLY THE PERSON WHO DOES THE EFT FILINGS WILL HAVE ACCESS. DO NOT CONTACT US FOR ACCESS.https://a5w.insurance.arkansas.gov/eft_print_forms/eft_login.a5w************************************************************************************TO FILE BY HARD COPY WITH A CHECKCLICK THE APPROPRIATE LINK BELOW2009 QUARTERLY PREMIUM TAX FORMS
EST-Q ESTIMATED INSURANCE PREMIUM TAX (FOR USE BY ALL INSURERS THAT FILE QUARTERLY)
If an insurer is writing no business in the State of Arkansas, you may file all 3 quarters with the annual premium tax form or with the 1st quarter when due (5/15), meaning there must be 1 original form for each quarter for each insurer. Photocopied signatures not allowed.
FPRF-Q ESTIMATED FPRF PREMIUM TAX (FOR USE BY PROPERTY/CASUALTY INSURERS ONLY)
If an insurer is writing no business in the State of Arkansas, you may file all 3 quarters with the annual premium tax form or with the 1st quarter when due (5/15), meaning there must be 1 original form for each quarter for each insurer. Photocopied signatures not allowed.
Forms & payments are due: 1st Quarter: Due May 15 2nd Quarter: Due August 15 3rd Quarter: Due November 15
Mail form & payment to: Arkansas Insurance Department Accounting Division 1200 West Third Street Little Rock AR 72201-1904
2008 ANNUAL PREMIUM TAX FORMS
Forms & payments are due by March 1st each year.
Mail form & payment to: Arkansas Insurance Department Accounting Division 1200 West Third Street Little Rock AR 72201-1904
LD-T INSTRUCTIONS & FORM FOR FOREIGN LIFE & ACCIDENT & HEALTH INSURERS
PC-T INSTRUCTIONS & FORM FOR FOREIGN PROPERTY & CASUALTY INSURERS
FPRF FORM FOR P&C INSURERS FOR THE FPRF PREMIUM TAX FUND
PC-T(D) INSTRUCTIONS & FORM FOR DOMESTIC PROPERTY & CASUALTY INSURERS
LD-T(D) INSTRUCTIONS & FORM FOR DOMESTIC LIFE & ACCIDENT & HEALTH INSURERS
HMO-T INSTRUCTIONS & FORM FOR HEALTH MAINTENCE ORGANIZATIONS
FMAA-T INSTRUCTIONS & FORM FOR FARMERS MUTUAL AID ASSOCIATIONS
HM-T INSTRUCTIONS & FORM FOR HOSPITAL/MEDICAL SERVICE CORPORATIONS
TI-T INSTRUCTIONS & FORM FOR TITLE & AVIATION TITLE INSURANCE COMPANIES
CI-T INSTRUCTIONS & FORM FOR CAPTIVE INSURERS
RRG-T INSTRUCTIONS & FORM FOR REGISTERED RISK RETENTION GROUPS 2008 ANNUAL CONTINUATION FEES
Forms & payments are due by March 1st each year.
Mail form & payment to: Arkansas Insurance Department Accounting Division 1200 West Third Street Little Rock AR 72201-1904
FBS INSTRUCTIONS & FORM FOR LICENSED FRATERNAL BENEFIT SOCIETIES
SLI-T INSTRUCTIONS & FORM FOR APPROVED FOREIGN SURPLUS LINES INSURANCE COMPANIES
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