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Fill Your Texas 25 104 Form

The Texas 25-104 form is a tax report required for surplus lines agents and purchasing groups registered in Texas. This form facilitates the reporting of insurance premiums and ensures compliance with state tax laws. If you need to fill out the Texas 25-104 form, please click the button below.

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Dos and Don'ts

When filling out the Texas 25-104 form, here are six important things to do and avoid:

  • Do: Ensure all preprinted information is accurate and up to date.
  • Do: Clearly indicate any changes to your mailing address.
  • Do: Report all Texas premiums accurately, including those from policies effective before and after July 21, 2011.
  • Do: Choose the correct tax base option based on your reporting method.
  • Do: File the report and payment by the due date of March 1 of the following year.
  • Do: Keep copies of all submitted documents for your records.
  • Don't: Ignore the instructions for reporting non-taxable premiums.
  • Don't: Leave any sections blank; fill in all required fields.
  • Don't: Assume that previous filings are sufficient; verify current information each year.
  • Don't: Submit the form without double-checking for errors or omissions.
  • Don't: Delay payment; penalties and interest can accumulate quickly.
  • Don't: Forget to include your contact information in case of follow-up questions.

Sample - Texas 25 104 Form

25-104 (Rev.1-14/21)

a. T Code

71120

c. Taxpayer number

b.

under Chapters 552 and 559, Government Code, to review, request and correct inf rmati n we have on file about you. Contact us at the address or phone number listed on this form.

d. Fili peri d

e.

 

f. Due date

 

 

 

 

Taxpayer name and tax

mailing addr (Make neces ary name and address chang s b low)

g.

h. IMPORTANT

Blacken this ox if your mailing

 

address has changed. Show changes

1.

esi e the preprinted information.

 

 

 

 

i.

j.

SECTION I -

A. Texas premiums

A.

 

 

B. Texas premiums

B.

 

 

C. Non-taxable premiums

C.

 

 

D. Other states' premiums

D.

Not subject to LSOT repor ing

 

 

 

E. Non-taxable premiums

E.

 

 

F. Other states' premiums

F.

 

 

Total premium as ag nt of record

G. $

 

 

 

 

SECTION II - Tax Ba Elect on

 

 

 

 

 

 

 

Pr mium-wri ten basis

2

 

Premium-received basis

SECTION III -

 

 

 

 

 

 

 

The premiums eported

his se

will

ot nece rily m ch the premiums shown SECTION I. SECTION III premiums should refl the premiums subject to tax on

 

the basis of taxation method

d, .e.,

emium-received or prem -writ en.

 

1.

Texas premiu

s

 

 

1.

 

 

 

2.

Texas return

d pr

m s

 

2.

 

 

 

3.

Taxable p emiums

 

 

3.

 

 

 

4.

Premium tax due

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

SECTION IV -

 

 

 

 

 

 

 

5.

Texas premiu

s

 

 

5.

 

 

 

6.

Texas return

d pr

 

 

6.

 

 

 

7.

Taxable premiums

 

 

7.

 

 

 

8.

Premium tax due

 

 

8.

 

 

 

 

 

 

 

 

 

 

9. Total taxes due

 

 

 

9.

 

 

10. Prepayment amount

 

 

10.

 

 

11. Total amount due

 

 

 

11.

 

 

Form 25-104 (Rev.1-14/21)

12.Penalty and interest

13.TOTAL AMOUNT DUE AND PAYABLE

Taxpayer name

12.

13.

k.

l.

T Code

Taxpayer number

Period

Make the amount in Item 13

Mail to: COMPTROLLER OF PUBLIC ACCOUNTS

payable to:

P.O. Box 149356

STATE COMPTROLLER

Austin, TX 78714-9356

 

 

I declare that the information in this document and all attachments is true and correct to the best of my knowledge and belief.

Authorized agent

Preparer's name (Type or print.)

Daytime phone

Date

(Area code & number)

 

 

 

For information about Insurance Tax, call 1-800-252-1387 . Details are also available online at www.window.state.tx.us.

Form 25-104 (Back)(Rev.1-14/21)

Inst uctio

f r Completing the Texas Annual Insurance T x Report

Who Must File

 

All surpl lines ag ts licen ed Texas and a

purchasi gr ups registered in Texas must file this report, even if no tax is due.

When to File

he report and payment are d on March 1 of the year following the tax year.

Section I

he Non-admitted and Rein urance form Act of 2010 went into effect July 21, 2011. This Act created a split year for tax-reporting purposes to reflect busine s under T xas law rior to July 21 and changes in Texas law to comply with the federal law for policies effective on or after July 21, 2011.

Item A - Texas Pr miums - Enter the total Texas premiums for policies that were effective prior to July 21, 2011 (net of return premiums) that were reported to the SLSOT during the tax year. Enter the total amount of premiums for policies that were effective on or after July 21, 2011 (net of return premiums) that have been reported to the SLSOT where Texas is the home tate of the insured.

Item - Texas Pr miums - Enter the total Texas premiums for policies that were effective prior to July 21, 2011 (net of return premiums) that have NOT YET been reported to the SLSOT during the tax year. Ent r he total amount of premiums for policies that were effective on or after July 21, 2011 (net of return premiums) that have NOT YET been reported to the SLSOT where Texas is the home state of the insured.

Item C - Non-taxable Premiums - Enter the total non-taxable premiums for policies that were effective prior to July 21, 2011 (net of return premiums) that cover a risk located

entirely Texas and the non-taxable Texas premiums for a multi-state policy. Both of these categories must be reported to the SLSOT. Enter the total amount of remiums for polices that were effective on or after July 21, 2011 (net of return premiums) where Texas is the home state of the insured and that are non-taxable: either

the premiums are exem t from taxation or are preempted from taxation.

Item D - Oth r States' Premi ms - Enter the total premiums for policies that were effective prior to July 21, 2011 (net of return premiums) allocated to all other states from a multi-state policy that includes coverage for Texas. This category must be reported to the SLSOT. For multi-state policies in which Texas is the home state of the ins r d that have an effective date on or after July 21, 2011, report the total policy premium as Texas premium in Item A. Report to the SLSOT the amount of the policy remium that is applied to risks located outside of Texas, using the new category called "Breakdown of States Summary." This will ensure that Texas tax is charged on

100% of the policy premium, but also allows the monitoring of the amount of non-Texas premium for multi-state policies when Texas is the home state of the insured. Item E - Non-taxable Premiums - This category does not apply to policies that are effective on or after July 21, 2011. For policies that are effective prior to July 21, 2011,

enter the premiums (net of return premium ) that are 100% exempt or pre-empted and cover risks entirely in states other than Texas.

Item F - Oth r States' Premi ms - This category does not apply to policies that are effective on or after July 21, 2011. For policies that are effective prior to July 21, 2011, enter the to al taxable premiums (net of return premiums) allocated to other states for policies that exclusively cover states other than Texas.

Section II

lines agents who received a license during the reporting year must elect one of the tax base options shown.

Rle 34 TAC, Sec. 3.822, provides specific information on the requirements for reporting surplus lines tax. Agents have the option of reporting tax using a premium-written or premium-receiv d basis and may change their election every four years. An agent who changes from a premium-received to a premium-written basis will owe taxes on all outstanding rec ivables as of January 1 of the year of the change. If an agent fails to file the election, the agent will be subject to tax on a premium-written basis.

Section III

These premiums will not necessarily match the premiums shown in Section I, because they are based on the reporting method chosen. The term "premium" includes all

premiums, premi m deposits, membership fees, registration fees, assessments, dues and any other consideration for surplus lines insurance. Texas premiums include: premiums written or received for policies that are effective prior to July 21, 2011 that cover risks in this state;

premiums written or received for new or renewal Texas or multi-state policies that are effective on or after July 21, 2011 when Texas is the home state of the insured and any endorsements on these policies.

Exempt premiums are premiums for a surplus lines policy that covers risks or exposures that are properly allocated to federal waters, international waters, or risks or exposures that are under the jurisdiction of a foreign government. Effective Jan. 1, 2014, premiums on risks or exposures under ocean marine insurance coverage of sto ed or -transit baled cotton for export are exempt from surplus lines premium tax.

Feder l preemptions to state taxation for surplus lines insurance include premiums for policies that are issued to the following entities:

the Federal Deposit Insurance Corporation (FDIC), when it acts as the receiver of a failed financial institution that holds the property being insured; the National Credit Union Administration;

a federally chartered credit union; and

Indian Tribal Nations (see Publication 94-142).

Texas returned premiums - Report the unearned portion of the premium that is credited or refunded to a policyholder as a result of cancellation or premium adjustment prior to the policy expiration. An age t reporting on the premium received basis will not have returned premiums.

Endorsements and audits on surplus lines insurance policies must be reported based on the date of the endorsement or audit, not the date of the original policy. The tax for endorsements and audits that generate return premiums due a policyholder must be calculated using the tax rate that was originally charged.

Section IV

Purchasing groups obtaining coverage from insurers licensed in Texas or surplus lines agents licensed in Texas do NOT owe tax on this report, but must a zero report. Purchasing groups obtaining coverage independently through negotiations and procurement occurring outside Texas are subject to tax on the premiums paid for coverage of their members located in Texas.

Check this box if insurance was obtained from a licensed insurance company or a licensed or registered risk retention group.

Check this box if insurance was obtained from a surplus lines agent licensed in Texas.

Specific Instructions

Item 12 - Penalty and interest

If tax is paid 1-30 days late: Enter penalty of 5% (.05) of Item 11.

If tax is paid 31-60 days late: Enter penalty of 10% (.10) of Item 11.

If tax is paid over 60 days late: Enter penalty of 10% (.10) of Item 11 plus interest. Calculate interest at the rate published online at www.window.state.tx.us or call the Comptroller at 1-877-447-2834 for the applicable interest rate.

Electronic reporting nd payment options are available 24 hours day, 7 days a week. Have this form available when you log on.

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Documents used along the form

When dealing with the Texas 25-104 form, there are several other documents that often accompany it. Each of these forms plays a crucial role in ensuring compliance with Texas tax laws, especially for surplus lines agents. Understanding these documents can help streamline the filing process and avoid potential pitfalls.

  • Texas 25-105 Form: This form is used to report the Texas surplus lines tax for policies written in the previous year. It captures detailed information about premiums and is essential for agents to accurately report their tax obligations.
  • Texas 25-106 Form: This document is necessary for agents who need to report a change in their business structure or ownership. It ensures that the Texas Comptroller's office has up-to-date information regarding the agent's status and operations.
  • Texas 25-107 Form: This form is utilized for requesting a refund of overpaid surplus lines taxes. Agents must provide proof of the overpayment and relevant details about the policies in question to facilitate the refund process.
  • Texas 25-108 Form: This is the application for a surplus lines agent license. New agents must complete this form to obtain their license, which allows them to operate legally in the state and write surplus lines insurance.
  • Taxpayer Information Update Form: When there are changes to the taxpayer's information, such as name or address, this form is critical for keeping records accurate. It helps ensure that all correspondence and tax documents are sent to the correct location.

Filing the Texas 25-104 form and its accompanying documents accurately and on time is vital for compliance with state regulations. Each of these forms serves a specific purpose, and understanding their roles can lead to smoother operations for surplus lines agents in Texas.

Common mistakes

Filling out the Texas 25-104 form can be a straightforward process, but many individuals make common mistakes that can lead to delays or issues with their submissions. One of the most frequent errors is failing to update the taxpayer's mailing address. If there has been a change, it is crucial to blacken the box indicating the new address and provide the updated information. Neglecting this step can result in important correspondence being sent to the wrong location.

Another common mistake involves the misreporting of Texas premiums. Taxpayers often confuse the effective dates of policies. For instance, premiums for policies effective before July 21, 2011, must be reported differently than those effective after this date. It is essential to accurately categorize these premiums to avoid discrepancies in tax calculations.

Moreover, individuals frequently overlook the section regarding non-taxable premiums. This section requires careful attention, as it includes specific criteria for what qualifies as non-taxable. Failing to report these correctly can lead to unnecessary tax liabilities. It is vital to ensure that all non-taxable premiums are clearly identified and documented.

Section II of the form can also be a source of confusion. Taxpayers must choose between a premium-written basis or a premium-received basis for reporting. Many fail to make this election or do not understand the implications of their choice. If an agent does not file the election, they will automatically be subject to a premium-written basis, which may not be the most beneficial for their situation.

Another mistake occurs when individuals do not accurately calculate their total taxable premiums. It is important to ensure that all figures are correct and that the total reflects the premiums subject to tax. Double-checking these calculations can prevent potential penalties and interest from accruing due to underreporting.

Additionally, some taxpayers mistakenly believe that they do not need to file if no tax is due. This is incorrect; all surplus lines agents licensed in Texas must file the report, regardless of whether tax is owed. Failing to submit a report can result in penalties and complications with future filings.

Late payments also lead to common errors. Taxpayers often miscalculate the penalties and interest due when payments are not made on time. Understanding the timeline for penalties—5% for 1-30 days late and 10% for 31-60 days late—can help avoid unexpected fees.

Lastly, individuals sometimes forget to sign and date the form. This final step is crucial, as an unsigned form is considered incomplete and may be rejected. Ensuring that all required signatures are in place can help facilitate a smoother processing of the submission.

Misconceptions

  • Misconception 1: Only agents with taxable premiums need to file the Texas 25 104 form.
  • In reality, all surplus lines agents licensed in Texas must file this report, regardless of whether any tax is due. This includes agents who have no taxable premiums to report.

  • Misconception 2: The due date for filing is flexible.
  • The due date for the report and payment is strictly March 1 of the year following the tax year. Missing this deadline can result in penalties.

  • Misconception 3: The form is only relevant for policies effective after July 21, 2011.
  • This form applies to all policies, including those effective prior to that date. It is important to report premiums accurately for both time periods.

  • Misconception 4: Non-taxable premiums do not need to be reported at all.
  • Even non-taxable premiums must be reported on the form. Agents should ensure they accurately categorize these premiums to avoid issues.

  • Misconception 5: Agents can only choose one reporting method for the entire duration of their license.
  • Agents have the option to elect between a premium-written or premium-received basis. They can change their election every four years, providing flexibility in reporting.

  • Misconception 6: Returned premiums do not affect tax calculations.
  • Returned premiums, or the unearned portion credited to policyholders, must be reported. They can significantly impact the total taxable amount.

  • Misconception 7: Filing a zero report is unnecessary if no tax is owed.
  • Purchasing groups that obtain coverage from licensed insurers or surplus lines agents in Texas must still file a zero report. This keeps records accurate and ensures compliance.

Key takeaways

Filling out the Texas 25-104 form can be a crucial task for surplus lines agents and purchasing groups. Here are some key takeaways to consider:

  • Who Must File: All surplus lines agents licensed in Texas and purchasing groups registered in Texas are required to file this report, even if no tax is due.
  • Filing Deadline: The report and payment are due by March 1 of the year following the tax year.
  • Understanding Sections: The form consists of several sections, including Texas premiums, non-taxable premiums, and other states' premiums. Each section requires careful attention to detail.
  • Reporting Methods: Agents can choose between reporting on a premium-written basis or a premium-received basis. This choice can be changed every four years.
  • Returned Premiums: Any unearned portion of the premium credited or refunded to a policyholder due to cancellation or adjustment must be reported accurately.
  • Penalties for Late Payment: If tax payments are late, penalties will apply. For instance, a 5% penalty is incurred if paid 1-30 days late, and a 10% penalty applies for 31-60 days late.
  • Zero Reports: Purchasing groups that obtain coverage from licensed insurers or surplus lines agents must file a zero report, indicating no tax is owed.

By keeping these points in mind, individuals can navigate the complexities of the Texas 25-104 form with greater ease and accuracy.

File Characteristics

Fact Name Description
Governing Laws The Texas 25-104 form is governed by Chapters 552 and 559 of the Texas Government Code, which outline the requirements for reviewing, requesting, and correcting information related to taxpayer data.
Filing Requirement All surplus lines agents licensed in Texas and purchasing groups registered in Texas must file the 25-104 form annually, regardless of whether any tax is due.
Filing Deadline The report and payment must be submitted by March 1 of the year following the tax year to ensure compliance with state regulations.
Tax Calculation Premiums reported on the form must reflect the method of taxation chosen, either premium-received or premium-written basis, which can be changed every four years.
Penalty for Late Payment If the tax payment is late, penalties apply: 5% for 1-30 days late, 10% for 31-60 days late, and an additional 10% plus interest for payments over 60 days late.

How to Use Texas 25 104

Completing the Texas 25-104 form requires careful attention to detail. This form is essential for reporting insurance premiums and calculating any taxes owed. Follow the steps below to ensure accurate submission.

  1. Obtain the Texas 25-104 form from the Texas Comptroller's website or your local office.
  2. Fill in the taxpayer number in the designated field, ensuring it is accurate.
  3. Provide your name and tax mailing address. If your mailing address has changed, blacken the box indicating a change and show the new address below.
  4. In Section I, enter the total Texas premiums for policies effective prior to July 21, 2011, and those effective on or after that date.
  5. Report non-taxable premiums in Section I, Item C, for both time periods specified.
  6. For other states' premiums, complete Item D and Item F as applicable, ensuring you include the correct amounts.
  7. Calculate the total premium as the agent of record and enter it in the designated field.
  8. In Section II, select your tax base option: premium-written or premium-received basis.
  9. Proceed to Section III and report the premiums based on your chosen method, ensuring accuracy.
  10. In Section IV, indicate if you are filing a zero report or if tax is owed based on the coverage obtained.
  11. Calculate any penalties or interest due in Item 12 based on the payment timeline.
  12. Sum the total amount due in Item 13 and ensure it is correct.
  13. Sign and date the form, providing the name and daytime phone number of the authorized agent or preparer.
  14. Mail the completed form and payment to the address provided on the form, ensuring it is sent before the due date.

After submitting the form, retain a copy for your records. Ensure to check for any updates or changes in tax regulations that may affect future filings. For additional assistance, you can contact the Texas Comptroller's office or visit their website for more information.