S.D. Admin. R. 20:06:16:01

Current through Register Vol. 50, page 159, June 17, 2024
Section 20:06:16:01 - Claim form

The form to be used for requesting a premium tax refund shall be provided by the division and shall contain the following information:

(1) The date of the application;
(2) The name of the company requesting the refund;
(3) The address of the company requesting the refund;
(4) The period of time for which the refund is claimed;
(5) The amount of the claim;
(6) The basis for the claim;
(7) The signature and title of the person entitled to make the claim; and
(8) An attestation of the signature by a notary public.

S.D. Admin. R. 20:06:16:01

9 SDR 20, effective 8/22/1982; 12 SDR 151, 12 SDR 155, effective 7/1/1986; 39 SDR 219, effective 6/26/2013.

General Authority: SDCL 10-44-1.1.

Law Implemented: SDCL 10-44-2.