2010 Auto Theft Prevention Surcharge M29
IMPORTANT: Type in the required information while this form is on the screen and print a copy. A personalized scan
line will be printed on the voucher using the information you entered. To help ensure your payment is properly credited
to your account, verify that the period end date and Minnesota tax ID number are included in the scan line.
When you print this voucher, be sure to set the Page Scaling to “None” in your Print options. DO NOT check the “Auto-
rotate and center pages” or “Shrink to fit” boxes. If they are already checked, click on the box to uncheck them.
Companies licensed for auto insurance are for a Minnesota tax ID number” on the Pay by credit card
required to pay an auto theft prevention e-Services menu. If you don’t have Internet • Go to officialpayments.com, or
surcharge. To calculate the surcharge, multiply access, call 651-282-5225 or 1-800-657-3605. • Call 1-800-272-9829.
the number of insured vehicles with com-
prehensive insurance coverage by $0.50 per Pay electronically You will be charged a fee to use this service,
vehicle for six months of coverage. Include the • Go to www.taxes.state.mn.us, click “Login which goes directly to Official Payments
following types of vehicles: passenger automo- to e-File Minnesota” on the e-Services Corporation (a national company that
biles, pickup trucks, vans (but not commuter menu and follow the prompts for a busi- partners with federal, state and local gov-
vans), and motorcycles. ness to make an auto theft prevention ernments to provide credit card payment
surcharge payment, or services). The Department of Revenue does
If you have questions, call 651-297-1772. TTY not have any financial agreement with Of-
users: Call 711 for Minnesota Relay. • Call 1-800-570-3329 to pay by phone.
ficial Payments and does not receive any of
For both methods, you’ll need your Minne- its fees.
Due dates sota tax ID number, password and banking
Your quarterly payments are due May 1, information. When paying electronically, Pay by check
August 1, November 1 and February 1 of the you must use an account not associated with If you are not required to pay electroni-
following year. If there is zero surcharge for any foreign banks. cally, you may pay by check. Complete the
the period, there is nothing you need to do. voucher below and mail it with your check.
Note: If you’re using e-File Minnesota for the
When the due date falls on a Saturday, first time and you need a temporary pass- All information is required to process your
Sunday or legal holiday, payments elec- word, call our Business Registration Office at payment, including your Minnesota tax ID
tronically made or postmarked on the next 651-282-5225 or 1-800-657-3605. number.
business day are considered timely. When you pay by check, your check autho-
After you authorize the payment, you’ll re-
ceive a confirmation number. You can cancel rizes us to make a one-time electronic fund
Before a payment can be made a payment up to one business day before the transfer from your account, and you may
To ensure your payment is processed cor- not receive your canceled check.
rectly, you must have a Minnesota tax ID scheduled payment date, if needed.
number. To register, go to our website at Do not send in the voucher below unless
www.taxes.state.mn.us and click “Register you are paying by check.
(Rev. 12/10) Cut carefully along this line to detach.
If there is zero surcharge for the period, there is nothing you need to do. Do not send the voucher.
Auto Theft Prevention Surcharge Minnesota tax ID
Name of insurance company
Enter the last day of the period. Example:
If making a 2011 payment, enter 033111
City State Zip code
for Period 1; 063011 for Period 2; 093011
Period end date
for Period 3; or 123111 for Period 4.
Make check payable to Minnesota Revenue and mail to: AMOUNT
Minnesota Revenue, Mail Station 1780, St. Paul, MN 55145-1780 OF CHECK 00
w To help ensure your payment is properly credited to your account, be sure to verify that the scan line below includes the correct period end date and your Minnesota tax ID.