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 fi 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 |
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 |
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. |
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. |