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Vermont Annual Statement Filing Instructions for Domestic Sponsored Captive Insurance Companies

  SUBMISSION FORMAT DUE DATE
DELIVERY ADDRESS    

Hard copy mail to : Department of Financial Regulation,
89 Main Street, Montpelier, VT 05620-3101

Electronic Address: CaptiveMail@state.vt.us

   
     
VERMONT CAPTIVE ANNUAL REPORT    
Annual Report  (Copy of tax return to be included with the annual report filing) Hard Copy 
 (8 ½ " x 14")
Prior to 3/1
     
AUDITED FINANCIAL STATEMENT    
Audited Financial Statement Electronic 6/30
Report of Evaluation of Internal Controls Electronic 6/30
Accountant's Letter Electronic 6/30
Certification of Review of Audit Work Papers Electronic 6/30
     
CERTIFICATION OF LOSS RESERVES AND LOSS EXPENSE RESERVES     
Statement of Actuarial Opinion Electronic 6/30
     
OTHER REQUIRED FILINGS    
Separate Balance Sheet and Income Statement for each cell to be filed with Annual Report Hard Copy Prior to 3/1

Premium tax return and payment mailed to:
Vermont Department of Taxes
Miscellaneous Tax Division
133 State Street 
P.O. Box 547
Montpelier, VT 05601-0547
802-828-2551
tax-corpincome@state.vt.us

Premium tax checks payable to:
The Vermont Department of Taxes

*Note: Copy of tax return to be included with the annual report filing to the Department.

  2/28
     

License Renewal Fees of $500 payable to:
The Department of Financial Regulation

  4/1

 

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