SOUTH DAKOTA DIVISION OF INSURANCE
445 EAST CAPITOL AVE
PIERRE, SD 57501… 605-773-3563
BAIL BOND COMPANIES -- 2011 PREMIUM TAX
INSTRUCTIONS FOR SOUTH DAKOTA
Please note – Per SDCL 10-44-2, the tax return and the check/payment voucher must be postmarked ON OR BEFORE
March 1, 2012. Any postmark after that date will be subject to a penalty fee of 1.5% per month.
The check and payment voucher are mailed to a different address than the tax return. The two addresses are:
Mail the check and below payment voucher to:
South Dakota Remittance Center
OR
South Dakota Remittance Center
(ground delivery)
PO Box 5055
300 So. Sycamore Avenue STE #102
Sioux Falls, SD 57117-5055
Sioux Falls, SD 57110
Mail the Premium Tax Return, State Page, Schedule T and Bail Bond Supplement to:
South Dakota Division of Insurance
445 East Capitol Avenue
Pierre, SD 57501
Phone: 605-773-3563
NOTE: DO NOT send the Publication Statement with this mailing.
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PLEASE DETACH UPPER SECTION BEFORE MAILING
** PAYMENT VOUCHER FOR SOUTH DAKOTA **
2011 YEAR END PREMIUM TAX – POSTMARKED BY MARCH 1, 2012
_______________________________________________________________________________________________________________
ATTACH PAYMENT TO THIS VOUCHER AND MAIL TO:
SOUTH DAKOTA REMITTANCE CENTER
PO Box 5055 – Sioux Falls SD 57117
Or ground delivery: 300 S. Sycamore Ave, STE #102 - Sioux Falls, SD 57110
POSTMARKED NO LATER THAN MARCH 1, 2012
COMPANY NAME: _______________________________________________________________
NAIC # ___________________
CONTACT NAME: ____________________________________________________
PHONE: _______________________
$
AMOUNT SUBMITTED --
Round to nearest dollar