DEPARTMENT OF INSURANCE

Local Gov Premium Tax Forms and Documents

Annual Reconciliation Electronic Submission

COT Guidance on Accessing Boundary Data - 84K

Annual Reconciliation FTP Text File Example for Surplus Lines Brokers - 6K

Annual Reconciliation FTP Text File Example for Companies - 6K

Verification Software Documents

Verification Data Manual - 1M

Local Government Premium Tax: HB524 - Verified Software Vendors

Local Government Premium Tax: What You Need To Know - 122K

Application for Verification of a Risk Location System - 245K

Local Government Premium Tax: Frequently Asked Questions - 106K

HB 524 Implementation Update (10/08/2008) - 140K

HB 524 Implementation Update (12/01/09) - 305K

LGPT Risk Location Chart - 459K

HB 524 Implementation Update (01/05/2009) - 149K

HB 524 Implementation Update (02/20/09) - 120K

General Documents (LGPT)

Model Local Government Premium Tax Ordinance - 166K

Tax Forms and Instructions (2025 - 2026)

2025-2026 LGPT Bulletin - 315K

2025 - 2026 Local Government Premium Tax Schedule - 105K

2025 - 2026 Local Government Premium Tax Schedule - 104K

2025 - 2026 Local Government Premium Tax Code Descriptions - 78K

2025 - 2026 Local Government Premium Tax Code Descriptions - 53K

2025 - 2026 Local Government Premium Payees and Addresses - 107K

2025 - 2026 Local Government Premium Payees and Addresses - 43K

LGT - 142 City Credit Against County Taxes Form - 26K

LGT - 142 City Credit Against County Taxes Form Instructions - 116K

LGT - 141 Quarterly Tax Return - 16K

LGT - 140 Annual Reconciliation Form - 24K

LGT - 141 Quarterly Tax Return Instructions - 116K

Tax Forms and Instructions (2024 - 2025)

2024 - 2025 Local Government Premium Tax Bulletin - 302K

2024 - 2025 Local Government Premium Tax Schedule - 105K

2024 - 2025 Local Government Premium Tax Schedule - 104K

2024 - 2025 Local Government Premium Tax Code Descriptions - 77K

2024 - 2025 Local Government Premium Tax Code Descriptions - 53K

2024 - 2025 Local Government Premium Payees and Addresses - 107K

2024 - 2025 Local Government Premium Payees and Addresses - 43K

Tax Forms and Instructions (2023 - 2024)

2023 - 2024 Local Government Premium Tax Bulletin - 342K

2023 - 2024 Local Government Premium Tax Schedule (PDF) - 105K

2023 - 2024 Local Government Premium Tax Schedule (Excel) - 104K

2023 - 2024 Local Government Premium Tax Code Descriptions (PDF) - 77K

2023 - 2024 Local Government Premium Tax Code Descriptions (Excel) - 53K

2023 - 2024 Local Government Premium Tax Payees and Addresses (PDF) - 107K

2023 - 2024 Local Government Premium Tax Payees and Addresses (Excel) - 43K

Tax Forms and Instructions (2022 - 2023)

LGPT Bulletin 2022-2023 - 69K

2022- 2023 Local Government Premium Tax Schedule (PDF) - 105K

2022- 2023 Local Government Premium Tax Schedule (Excel) - 103K

2022 - 2023 Local Government Premium Tax Code Descriptions (PDF) - 75K

2022 - 2023 Local Government Premium Tax Code Descriptions (Excel) - 43K

2022 - 2023 Local Government Premium Tax Code Payees and Addresses (PDF) - 106K

2022 - 2023 Local Government Premium Tax Code Payees and Addresses (Excel) - 43K

Form LGT 140 - Annual Reconciliation - 24K

Form LGT 141 - Quarterly Tax Return - 16K

Form LGT 141 - Quarterly Tax Return Instructions - 116K

Form LGT 142 - City Credit Against County Taxes - 26K

Form LGT 142 - City Credit Against County Taxes Instructions - 116K

Tax Forms and Instructions (2021-2022)

Bulletin 2021-01 - 2021-2022 Kentucky Local Government Premium Tax Updates - 302K

2021 – 2022 Local Government Premium Tax Schedule (Excel Version) - 37K

2021 – 2022 Local Government Premium Tax Code Descriptions (Excel Version) - 81K

2021 – 2022 Local Government Premium Tax Payees and Addresses (Excel Version) - 43K

2021 – 2022 Local Government Premium Tax Schedule (PDF Version) - 105K

2021 – 2022 Local Government Premium Tax Code Descriptions (PDF Version) - 75K

2021 – 2022 Local Government Premium Tax Payees and Addresses (PDF Version) - 107K

Form LGT 140 - Annual Reconciliation - 24K

Form LGT 141 - Quarterly Tax Return - 16K

Form LGT 141 - Quarterly Tax Return Instructions - 116K

Form LGT 142 - City Credit Against County Taxes - 26K

Form LGT 142 - City Credit Against County Taxes Instructions - 116K

Tax Forms and Instructions (2020-2021)

Form LGT142 - City Credit Against County Taxes Instructions - 116K

Form LGT141 - Quarterly Tax Return Instructions - 116K

2020 – 2021 Local Government Premium Tax Schedule (PDF Version) - 100K

2020 – 2021 Local Government Premium Tax Code Descriptions (PDF Version) - 74K

2020 – 2021 Local Government Premium Tax Schedule (Excel Version) - 32K

Complaint Forms

Form LGT140 - Annual Reconciliation - 24K

Form LGT141 - Quarterly Tax Return - 16K

Form LGT142 - City Credit Against County Taxes - 26K

Bulletin 2020 - 03 - 2020-2021 Kentucky Local Government Premium Tax Updates to Forms and Documents - 490K

2020 – 2021 Local Government Premium Tax Payees and Addresses (Excel Version) - 48K

2020 – 2021 Local Government Premium Tax Payees and Addresses (PDF Version) - 104K

Tax Forms and Instructions (2019-2020)

Form LGT142 - City Credit Against County Taxes - 26K

Form LGT141 - Quarterly Tax Return Instructions - 116K

Form LGT142 - City Credit Against County Taxes Instructions - 116K

Form LGT140 - Annual Reconciliation Instructions - 247K

2019 – 2020 Local Government Premium Tax Code Descriptions (Excel Version) - 8K

2019 – 2020 Local Government Premium Tax Schedule (Excel Version) - 122K

2019 – 2020 Local Government Premium Tax Payees and Addresses (Excel Version) - 42K

2019 – 2020 Local Government Premium Tax Bulletin (PDF Version) - 496K

2019 – 2020 Local Government Premium Tax Schedule (PDF Version) - 95K

2019 – 2020 Local Government Premium Tax Payees and Addresses (PDF Version) - 94K

2019 – 2020 Local Government Premium Tax Code Descriptions (PDF Version) - 75K

Form LGT140 - Annual Reconciliation - 24K

Form LGT141 - Quarterly Tax Return - 16K

Tax Forms and Instructions (2018-2019)

2018 – 2019 Local Government Premium Tax Bulletin - 633K

Form LGT140 - Annual Reconciliation Instructions - 247K

2018 – 2019 Local Government Premium Tax Payees and Addresses (Excel Version) - 158K

Form LGT142 - City Credit Against County Taxes Instructions - 116K

Form LGT142 - City Credit Against County Taxes - 26K

2018 – 2019 Local Government Premium Tax Payees and Addresses (PDF Version) - 94K

Form LGT140 - Annual Reconciliation - 24K

2018 – 2019 Local Government Premium Tax Schedule (Excel Version) - 121K

2018 – 2019 Local Government Premium Tax Schedule (PDF Version) - 102K

Form LGT141 - Quarterly Tax Return - 16K

2018 – 2019 Local Government Premium Tax Code Descriptions - 63K

Form LGT141 - Quarterly Tax Return Instructions - 116K

Tax Forms and Instructions (2017-2018)

Form LGT142 - City Credit Against County Taxes - 26K

Form LGT141 - Quarterly Tax Return - 16K

Form LGT140 - Annual Reconciliation - 24K

2017 – 2018 Local Government Premium Tax Bulletin - 209K

2017 – 2018 Local Government Premium Tax Schedule (Excel Version) - 128K

2017 – 2018 Local Government Premium Tax Schedule (PDF Version) - 101K

2017 – 2018 Local Government Premium Tax Payees and Addresses (Excel Version) - 146K

2017 – 2018 Local Government Premium Tax Code Descriptions - 64K

Form LGT141 - Quarterly Tax Return Instructions - 116K

Form LGT142 - City Credit Against County Taxes Instructions - 116K

Form LGT140 - Annual Reconciliation Instructions - 247K

2017 – 2018 Local Government Premium Tax Payees and Addresses (PDF Version) - 89K