Kentucky Department of Revenue

Kentucky Department of Revenue

Kentucky Department of Revenue

Kentucky Department of Revenue

Home | Site Map | About Us | Contact Us | Calendar | Finance & Administration Cabinet

2009 Insurance Premium Tax/Surcharge Forms

Downloadable forms & instructions.

2009 Insurance Premium Tax/Surcharge Forms

Form Name	File Size

2009 Insurance Premiums Tax Return - Form 74A100	36K
Insurance Premiums Tax Return Domestic Mutual, Domestic Mutual Fire or Cooperative & Assessment Fire Insurance Companies - Form 74A101	70K

Unauthorized Insurance Tax Return - Form 74A105	67K
Insurance Premiums Tax Return Captive Insurer - Form 74A106	67K
2010 KY Estimated Insurance Premiums Tax - Form 74A110	36K
Monthly Insurance Surcharge Report Domestic Mutual, Cooperative & Assessment Fire Insurer-Form 74A117	77K
Monthly Insurance Surcharge Report - Form 74A118	18K

	Related Content
	DOR Contacts if you require forms not included in this list.

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

Last Updated 12/6/2012

Contact Us | Taxpayer Bill of Rights

Privacy | Security | Disclaimer | Accessibility Statement

Copyright © 2013 Commonwealth of Kentucky
All rights reserved.