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                                                                              ANNUAL REPORT OF FIRE PREMIUMS TAX                                                                                            2022
                                                  -FP
                                                                              UPON FOREIGN AND ALIEN INSURERS

                                 n   FINAL RETURN - DATE BUSINESS ENDED: _________________________             n                    AMENDED RETURN     Calendar year______________ 
                                     (Check this box if you have ceased operations in NYC) 
                                 n   INITIAL RETURN - DATE BUSINESS BEGAN: _________________________
                                   t PRINT OR TYPE t
                                   Name                                                                                             Name                             TAXPAYER’S EMAIL ADDRESS 
                                                                                                                                    Change  n           
                                   In Care of                                                                                                                                                    
                                                                                                                                                                                                 
                                   Address (number and street)                                                                      Address                          EMPLOYER IDENTIFICATION NUMBER 
                  *01312291*                                                                                                        Change  n
                                   City and State                                                Zip Code                           Country (if not US)

             SCHEDULE A                     Computation of Tax (See Instructions) 
                                                                                                                                                                                                 Payment Enclosed
  A.        Payment                Amount included with form - Make payable to: NYC Department of Finance ............  A.
  NOTE:       Amount of New York City premiums to be reported shall be                                                              COLUMN A                        COLUMN B*                    COLUMN C 
              computed before any deductions for any agents’ or brokers’ fees,                                                      NET NYC                         PERCENTAGE                  TAXABLE PREMIUMS 
              commissions or other expenses.                                                                                        PREMIUMS                         TAXABLE                    (COLUMN  AX COLUMN  )B
 1. Amount of          FIRE premiums: 
    a.       Direct - other than pool and syndicate ........................................................1a.                                                      100  % 
 
    b.       Pool or syndicate participation ....................................................................1b.                                                 100  % 
 2. Amount of          AUTO premiums: 
    a.       AUTO physical damage premiums, fully covered                (excluding collision) 
             (1 ) PERSONAL ..........................................................................................2a. (1)                                                                % 
 
             (2) COMMERCIAL........................................................................................2a. (2)                                                                  % 
 
    b.       AUTO physical damage premiums with deductible clauses (excluding collision) 
             (1) PERSONAL ...........................................................................................2b. (1)                                                                % 
             (2) COMMERCIAL........................................................................................2b. (2)                                                                  % 
 3. Amount of premiums on HOME OWNERS insurance........................................3.                                                                                                   % 
 4. Amount of premiums on COMMERCIAL MULTIPLE PERIL insurance..............4.                                                                                                               % 
 5. Amount of premiums on COMPREHENSIVE DWELLINGS                             ...............................5.                                                                             % 
 6. Amount of other reportable premiums in ANY TYPE POLICY 
    (not included in 1, 2, 3, 4 and 5).........................................................................6.                                                                           % 
 7. TOTAL TAXABLE PREMIUMS (add lines 1 through 6, column C) ......................................................................................... 7.
 8. Total Tax due 2% of line 7 ..................................................................................................................................................... 8.
 9. Total Tax due from Fair Plan Participants (Schedule B, line 5)................................................................................................ 9.
10. Interest      (see instructions) .......................................................................................................................................................10. 
11. Additional Charges (see instructions) .....................................................................................................................................11. 
12. TOTAL REMITTANCE DUE – (Sum of lines 8 to 11).............................................................................................................12.

                                     *Column B - Percentage of New York City premiums attributable to Fire Insurance 
                                     Note: Entries must be made in all appropriate columns including percentage taxable.
                                                   CERTIFICATION OF AN ELECTED OFFICER OF THE CORPORATION 
I hereby certify that this return, including any accompanying schedules or statements, has been examined by me and is,                       Firm’s Email Address 
to the best of my knowledge and belief, true, correct and complete.                                                                                                                                       
I authorize the Dept. of Finance to discuss this return with the preparer listed below. (see instructions)... n                     YES      _______________________________________________________ 
 SIGN 
 HERE:                                                                                                                                                                                          Preparer’s Social Security Number or PTIN
             Signature of officer                                       TITLE                               TELEPHONE NUMBER              Date 
                                                                                                                                                                                            
                                                                                                                                    Checkbox if Self-Employed
 PREPARER S  Preparer’s signature                                             DATE                                                                                                           Firm’s Employer Identification Number
 USE   
 ONLY
                Firm’s name (or yours, if self-employed)                Address                                                                            Zip Code                         
01312291                                                       SEE MAILING INSTRUCTIONS ON PAGE 2 OF THIS FORM                                                                                              NYC-FP 2022



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   Form NYC-FP - Annual Report of Fire Premiums Tax Upon Foreign and Alien Insurers                                                                                                              Page 2

   SCHEDULE B        Computation of NYC Fair Plan Distribution                                                                                                                                New York City

1. Fire Premiums.......................................................................................................................................................................1.     __________________________ 
2. Rate of Participation..............................................................................................................................................................2.      __________________________ 
3. Distributable Premiums .........................................................................................................................................................3.         __________________________ 
                                                                                                                                                                                              .02
4. Rate of Tax ............................................................................................................................................................................4. __________________________ 
5. Distributable Tax (line 3 X .02). Transfer to Schedule A, line 9  ...........................................................................................5.                            __________________________ 

                                  MAILING INSTRUCTIONS
                    REMITTANCES                                                     ALL RETURNS 

   PAY ONLINE WITH FORM NYC-200V                                                          
                    AT NYC.GOV/ESERVICES                                                  
                                                            NYC DEPARTMENT OF FINANCE 
                    OR                                                              P.O. BOX 5564 
   Mail Payment and Form NYC-200V ONLY to:  
                                                            BINGHAMTON, NY 13902-5564
   NYC DEPARTMENT OF FINANCE 
                    P.O. BOX 3933 
                    NEW YORK, NY 10008-3933

   To receive proper credit, you must enter your correct Employer Identification Number on your tax return and remittance. 
This return and all accompanying documents must be postmarked by March 1 following the close of the preceding tax year. 
                    Make remittance payable to the order of NYC DEPARTMENT OF FINANCE. 
                     Payment must be made in U.S. dollars, drawn on a U.S. bank

          *01322291*

   01322291



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 INSTRUCTIONS -  Form NYC-FP - Annual Report of Fire Premiums Tax Upon Foreign and Alien Insurers                              page 1 

GENERAL INFORMATION                                         WHEN AND WHERE TO FILE 
                                                            The report and all accompanying documents, including 
DEFINITIONS                                                 payment, must be filed and postmarked on or before March 
1. “Alien Insurer”  Any insurer incorporated or organ-      1, covering the preceding tax year from January 1 to 
 ized under the laws of any foreign nation, or of any       December 31.  
 province or territory not included under the defini-        
 tion of a foreign insurer.                                 All returns: NYC Department of Finance  
                                                                         P.O. Box 5564 
2. “Foreign Insurer”   Any insurer, except a mutual                      Binghamton, NY 13902-5564 
 insurance company taxed under the provisions of             
 Section 9105 of the Insurance Law, incorporated or         Remittances: Pay online with Form NYC-200V at 
 organized under the laws of any state, as herein                        nyc.gov/eservices 
 defined, other than this state.                             
                                                            OR            Mail payment and Form NYC-200V only to: 
3. “Fire insurance corporation, association or indi-
                                                                         NYC Department of Finance 
 viduals”  Any insurer, regardless of the name, desig-
                                                                         P.O. Box 3933 
 nation or authority under which it purports to act, 
                                                                         New York, NY  10008-3933 
 which insures property of any kind or nature against 
                                                             
 loss or damage by fire. 
                                                            PLACE OF BUSINESS TO BE REPORTED 
 
                                                            Any change in principal place of business or termination 
4. “Loss or damage by fire”  Loss or damage by fire, 
                                                            of any office or place of business in New York City must 
 lightning, smoke, or anything used to combat fire, 
                                                            be reported within 15 days after the change or termination. 
 regardless of whether such risks or the premiums            
 therefore are stated or charged separately and apart        
 from any other risk or premium.                            SPECIFIC INSTRUCTIONS 
                                                             
5. “State” Any state of the United States and the           Fair Plan Filers 
 District of Columbia.                                      Participants in the New  York State Department of 
                                                            Financial Services’ “Fair Plan” program, complete 
REQUIREMENTS FOR FILING                                     Schedule B based on the information contained in 
Every foreign and alien insurer is required, pursuant to    their annual Fair Plan Tax Distribution Report, and 
the provisions of  Title 11, Chapter 9 of the NYC           transfer the distributable tax amount to Schedule A, 
Administrative Code, to pay to the Department of            line 9.  Attach a copy of the Fair Plan Distribution 
Finance on or before March 1 following the close of the     Report to this return. 
previous tax year (January 1 to December 31) the amount      
of 2% of net New York City premiums (all New York           NOTE:   Page 2 of Form NYC-FP which formerly 
City premiums, less return premiums) received or writ-      required each filer to list complete names, principal busi-
ten from January 1 to December 31 for any insurance         ness addresses and employer identification numbers for all 
against loss or damage by fire on real or personal prop-    members of a  group and the amount of tax paid has been 
erty in the City of New York (including that portion of     deleted because EACH INSURER IS REQUIRED TO 
fire premiums in automobile and multiple peril policies     FILE ITS OWN FORM SEPARATELY. Thus,  each 
which insures against loss or damage by fire) and to file   member of a group must file a separate return. 
                                                             
with the Department of Finance, at the time of paying the 
                                                            SCHEDULE A - COMPUTATION OF TAX 
tax, a verified report setting forth the net New York City 
                                                            LINES 1  THROUGH 6 - NET PREMIUMS/TAX-
premiums upon which the tax is payable.  If no premiums 
                                                            ABLE PREMIUMS 
were received during the tax year, a letter to that effect, 
                                                            1. Enter on line 1 through line 6, in column A, the New 
signed by an official of the insurer, is to be submitted.  
                                                               York City net premiums (all New York City premi-
Any insurer engaged solely in reinsurance is required to 
                                                               ums, less return premiums) received or written from 
submit an affidavit stating that its transactions are 
                                                               January 1 to December 31 in the year preceding the 
restricted to reinsurance and that it has not issued any 
                                                               due date of the return for any insurance against loss 
direct policies in the City of New York. 



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 INSTRUCTIONS -  Form NYC-FP - Annual Report of Fire Premiums Tax Upon Foreign and Alien Insurers                              page 2 

   or damage on real or personal property in the City of     LINE 12 - TOTAL REMITTANCE DUE 
   New York, including any automobile and multiple           Enter on line 12, column C, the total of lines 8, 9, 10 and 
   peril policies which insure against loss or damage.       11, column C. Enter the amount of payment remitted 
                                                             with this return on line  A, in the space provided. 
2. Enter on line 1 through line 6, column B, the per-        Payment must be made in U.S. dollars, drawn on a U.S. 
   centages of the net New York City premiums attrib-        bank. Make remittance payable to the order of: 
   utable to fire insurance and to be applied to column       
   A in order to arrive at the taxable premiums, line 1         NYC DEPARTMENT OF FINANCE 
                                                                                          
   through line 6, column C. 
                                                             NOTE: All books and records, schedules and working 
LINE 7 - TOTAL TAXABLE PREMIUMS                              papers used in the preparation of the return must be 
Enter on line 7, column C, the total taxable premiums        retained and made available for inspection upon demand 
(the sum of line 1 through line 6, column C).                by the Department of Finance.  A notice “Records 
                                                             Required for Audit of Tax on Premiums on Policies of 
LINE 8 - TOTAL TAX DUE                                       Foreign and Alien Insurers” (Form FP-I) will be mailed 
Enter on line 8, column C, the total tax due (2 % of line    upon request. 
7, column C).                                                 
                                                             For further information, call 311.  If calling from outside 
LINE 10 - INTEREST                                           of the five NYC boroughs, please call 212-NEW-YORK 
If the tax is not paid on or before the due date (determined (212-639-9675). 
without regard to any extension of time), interest must be    
paid on the amount of the underpayment from the due date     Preparer Authorization:  If you want to allow the 
to the date paid.  For information as to the applicable rate Department of Finance to discuss your return with the 
of interest, call 311.  If calling from outside of the five  paid preparer who signed it, you must check the “yes” 
NYC boroughs, please call 212-NEW-YORK (212-639-             box in the signature area of the return. This authorization 
9675).  Interest amounting to less than $1 need not be paid. applies only to the individual whose signature appears in 
                                                             the “Preparer’s Use Only” section of your return. It does 
LINE 11 - ADDITIONAL CHARGES/PENALTIES                       not apply to the firm, if any, shown in that section. By 
a) If you fail to file a return when due, add to the tax     checking the “Yes” box, you are authorizing the 
   (less any payments made on or before the due date or      Department of Finance to call the preparer to answer any 
   any credits claimed on the return) 5% for each month      questions that may arise during the processing of your 
   or partial month the return is late, up to 25%, unless    return. Also, you are authorizing the preparer to: 
   the failure is due to reasonable cause.                    
                                                                  Give the Department any information missing from 
                                                             
                                                              
b) If the return is filed more than 60 days late, the min-      your return, 
                                                              
   imum late filing penalty will not be less than the 
                                                                  Call the Department for information about the pro-
   lesser of a) $100 or b) 100% of the amount required       
                                                                cessing of your return or the status of your refund or 
   to be shown as tax due on the return (less any pay-
                                                                payment(s), and 
   ments or credits claimed).                                 
 
                                                                Respond to certain notices that you have shared with 
c) If you fail to pay the tax shown on the return by the     
                                                                the preparer about math errors, offsets, and return 
   prescribed filing date, add to the tax (less any pay-
                                                                preparation. The notices will not be sent to the preparer. 
   ments made or any credits claimed on the return) 1/2%      
   for each month or partial month the payment is late up    You are not authorizing the preparer to receive any 
   to 25%, unless the failure is due to reasonable cause.    refund check, bind you to anything (including any addi-
 
                                                             tional tax liability), or otherwise represent you before the 
d) The total of the additional charges in a) and c) may not 
                                                             Department. The authorization cannot be revoked, how-
   exceed 5% for any one month except as provided for in b). 
                                                             ever, the authorization will automatically expire no later 
If you claim not to be liable for these additional charges,  than the due date (without regard to any extensions) for 
attach a statement to your return explaining the delay in    filing next year's return. Failure to check the box will 
filing, payment or both.                                     be deemed a denial of authority.






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