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DEPARTMENT OF INSURANCE

Local Gov Premium Tax Forms and Documents

Annual Reconciliation Electronic Submission

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

Annual Reconciliation FTP Text File Example for Companies - 6K

COT Guidance on Accessing Boundary Data - 84K

General Documents (LGPT)

Model Local Government Premium Tax Ordinance - 166K

Tax Forms and Instructions (2026 - 2027)

2026-2027 Bulletin LGPT - 305K

2026 - 2027 Local Government Premium Tax Code Descriptions - 49K

2026 - 2027 Local Government Premium Payees and Addresses - 43K

2026 - 2027 Local Government Premium Tax Schedule - 108K

2026 - 2027 Local Government Premium Payees and Addresses - 107K

2026 - 2027 Local Government Premium Tax Code Descriptions - 77K

2026 - 2027 Local Government Premium Tax Schedule - 105K

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

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

LGT - 141 Quarterly Tax Return Instructions - 116K

LGT - 141 Quarterly Tax Return - 16K

LGT - 140 Annual Reconciliation Form - 24K

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 - 43K

2025 - 2026 Local Government Premium Payees and Addresses - 184K

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 --

2024 - 2025 Local Government Premium Tax Schedule - 104K

2024 - 2025 Local Government Premium Tax Code Descriptions --

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

2024 - 2025 Local Government Premium Payees and Addresses --

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

Tax Forms and Instructions (2023 - 2024)

2023 - 2024 Local Government Premium Tax Bulletin --

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

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

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

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 --

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

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

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

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

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

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

Verification Software Documents

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

Application for Verification of a Risk Location System - 245K

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

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

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

LGPT Risk Location Chart - 459K

Local Government Premium Tax: Frequently Asked Questions - 106K

Local Government Premium Tax: HB524 - Verified Software Vendors

Verification Data Manual - 368K

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