Surplus Line Tax Statements
Semi-Annual Surplus Line Tax Statements for January -
June are mailed to licensees at the end of June or beginning of July. Unless
you contact us and instruct us differently,
they are mailed to the surplus line license address you
reported to NIPR. Sometimes, this is the licensee's home
address. Look for the tax statements in the mail and file
them by the due date - EVEN IF NO TAX IS DUE.
DO NOT ALTER THE NUMBERS ON
THE TAX STATEMENT
taxes are due
based on filings with the Surplus Line Association of
Illinois. The numbers on this tax form reflect those
filings. DO NOT CHANGE THESE NUMBERS without
first contacting the Association. Your check must match
the amount preprinted on this form and should be
made payable to "Illinois State Treasurer, Department of
THESE TAX STATEMENTS MUST BE
... EVEN IF NO TAX IS DUE.
Failure to file by the due date (August 1) will result
in a penalty of at least $400!!
KEEP ONE COPY FOR YOUR FILE
... and send the other copy with
your payment to the
INSURANCE at the
address shown on
the form. DO NOT mail these forms to the
PROOF OF MAILING/DELIVERY
There is nothing in
the surplus line statute that requires you to obtain proof of mailing or proof of
delivery for your tax forms. However, since failure to file by the due date could
subject a licensee to substantial fines and penalties, it is prudent and advisable
to use a delivery system that can provide proof of
COMPLYING WITH DUE DATE REQUIREMENTS
Section 412 of the Illinois Insurance
Code states, "A tax return or report shall be deemed received as of the date mailed as
evidenced by a postmark, proof of mailing on a recognized United States Postal Service form or a
form acceptable to the United States Postal Service or other commercial mail delivery service, or
other evidence acceptable to the Director."
The Department of Insurance has indicated in the past that the date imprinted from a postage meter is not an acceptable proof of mailing.
If you did not receive, or cannot find, your tax statements,
send an email to
and we'll be happy to send/email duplicates.