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Rhode Island Free Printable 2023 T-71A for 2024 Rhode Island Surplus Line Broker Return of Gross Premiums

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Surplus Line Broker Return of Gross Premiums
2023 T-71A

State of Rhode Island Division of Taxation 2023 Form T-71A 23111799990101 Surplus Line Broker Return of Gross Premiums Name Federal employer identification number Address State or country of incorporation or organization Address 2 National producer number City, town or post office State ZIP code E-mail address Computation of Tax Tax and Payments Balance Due Refund 1 Gross premium charged.......................................................................... 1 2 Returned Premiums................................................................................. 2 3 Net Taxable Premium. Subtract line 2 from line 1....................................................................................... 4 SURPLUS LINE BROKER TAX. Rate: 4%. Multiply line 3 by the tax rate of 4% (0.04)............................ 5 Payments made on 2023 declaration of estimated tax ........................... 5 6 Net Tax Due. Subtract line 5 from line 4..................................................................................................... 7 8 9 10 11 3 4 6 7 Interest Due: (a) Late payment _____________ (b) Underestimating __________ ................................. Total Due with Return. Add lines 6 and 7.................................................................................................... 8 Overpayment. Subtract lines 4 and 7 from line 5....................................................................................... 9 10 Amount of overpayment to be applied to 2024 estimated tax..................................................................... Amount to be refunded. Subtract line 10 from line 9.................................................................................. 11 INSURANCE AGENCIES: Enter the Federal Identification Number of the Agency ONLY in the space provided above. Do NOT enter a broker’s social security number. You MUST complete page 2, LIST OF BROKERS, in order for the individual broker licenses to be renewed. If page 2 is not completed, license renewals may be delayed. You may submit as many copies of page 2 as needed. INDIVIDUALS: Enter your National Producer Number in the space provided above. Do NOT enter the insurance agency’s federal identification number. Skip page 2 and go directly to page 3. Line 1: Gross Premium Charged - From the Return Supplement on page 3, add the Premium Column Total to the Additional Premium Column Total. Line 2: Amount of Returned Premiums - From the Return Supplement on page 3, enter the amount from Return Premium Column Total. Line 3: Net Taxable Premium. Subtract line 2 from line 1. Line 4: Surplus Line Broker Tax. Multiply line 3 times rate of 4% (0.04). Line 5: Enter the amount of estimated tax paid for tax year 2023, plus any amounts applied from tax year 2022. Line 6: Net Tax Due. Subtract line 5 from line 4. Line 7: Interest Due: (a) Late payment interest: 12% per annum, 1.0% per month. (b) Underestimating interest - see Regulation 280-RICR-20-25-5. Enter the sum of lines (a) and (b) on line 7. Line 8: Total Due with Return. Add lines 6 and 7. Line 9: Overpayment. Subtract lines 4 and 7 from line 5. Line 10: Enter the amount from line 9 to be applied to 2024 Estimated Tax. Line 11: Subtract line 10 from line 9. This is the amount to be refunded. Submit Form T-71A and remit any payment due by April 1, 2024. Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, it is true, accurate and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Authorized officer signature Print name Date Telephone number Paid preparer signature Paid preparer address Print name City, town or post office Date State ZIP code Telephone number PTIN May the Division of Taxation contact your preparer? YES Rhode Island has an Electonic Mandate for filing a return and remitting a payment. See the Business Forms General Instructions for more information on the requirements and how to file and pay. Revised 08/2023 State of Rhode Island Division of Taxation 2023 Form T-71A 23111799990102 Surplus Line Broker Return of Gross Premiums Name Federal employer identification number Broker #1 First name National producer number Address Broker #2 SSN First name National producer number Address Broker #3 SSN First name National producer number Address Broker #4 SSN First name National producer number Address SSN First name National producer number Address SSN First name National producer number Address SSN First name National producer number Address SSN First name National producer number Address SSN First name National producer number Address SSN First name National producer number Address Broker #10 Broker #9 Broker #8 Broker #7 Broker #6 SSN Broker #5 This page must be completed by agencies/companies with individual licensees covered under this return to prevent a delay in renewing the licenses of those individuals. SSN/FEIN: Signature of broker: Licensee: Page 2 MI Last name MI Last name MI Last name MI Last name MI Last name MI Last name MI Last name MI Last name MI Last name MI Last name State of Rhode Island Division of Taxation 2023 Form T-71A IMAGEONLY Surplus Line Broker Return of Gross Premiums Name Federal employer identification number/social security number For policies invoiced from January 1, 2023 through December 31, 2023 NAIC# Carrier Name Company carrying the risk, not the Wholesale Broker Name of Insured Risk Location Invoice Date Premium totals - - - > SSN/FEIN: Signature of broker: Licensee: Page 3 Premium Return Premium Additional Premium
Extracted from PDF file 2023-rhode-island-form-t-71a.pdf, last modified April 2012

More about the Rhode Island Form T-71A Corporate Income Tax TY 2023

We last updated the Surplus Line Broker Return of Gross Premiums in January 2024, so this is the latest version of Form T-71A, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form T-71A directly from TaxFormFinder. You can print other Rhode Island tax forms here.

Other Rhode Island Corporate Income Tax Forms:

TaxFormFinder has an additional 78 Rhode Island income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form 7004 Extension Request
Form 1120V Payment Voucher
Form 1065V Partnership Income Tax Payment Voucher
Form 1065 Partnership Income Tax Return to be filed by LLCs, LLPs, LPs and Partnerships
Form BUS-EXT Business Tax Automatic Extension Request - For T-72 and T-74

Download all RI tax forms View all 79 Rhode Island Income Tax Forms


Form Sources:

Rhode Island usually releases forms for the current tax year between January and April. We last updated Rhode Island Form T-71A from the Division of Taxation in January 2024.

Show Sources >

About the Corporate Income Tax

The IRS and most states require corporations to file an income tax return, with the exact filing requirements depending on the type of company.

Sole proprietorships or disregarded entities like LLCs are filed on Schedule C (or the state equivalent) of the owner's personal income tax return, flow-through entities like S Corporations or Partnerships are generally required to file an informational return equivilent to the IRS Form 1120S or Form 1065, and full corporations must file the equivalent of federal Form 1120 (and, unlike flow-through corporations, are often subject to a corporate tax liability).

Additional forms are available for a wide variety of specific entities and transactions including fiduciaries, nonprofits, and companies involved in other specific types of business.

Historical Past-Year Versions of Rhode Island Form T-71A

We have a total of eleven past-year versions of Form T-71A in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2022 Form T-71A

Microsoft Word - Incentive and Credit Overview for DLT

2021 Form T-71A

Microsoft Word - Incentive and Credit Overview for DLT

2020 Form T-71A

Microsoft Word - Incentive and Credit Overview for DLT

2019 Form T-71A

Microsoft Word - Incentive and Credit Overview for DLT

2018 Form T-71A

Microsoft Word - Incentive and Credit Overview for DLT

2017 Form T-71A

Microsoft Word - Incentive and Credit Overview for DLT

2016 Form T-71A

2016 T-71A_08182016_Layout 1

2015 Form T-71A

2015 T-71A_Layout 1

Surplus Line Broker Return of Gross Premiums 2014 Form T-71A

T-71A_Layout 1

2012 Form T-71A

T-71A pg1.qxp


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