If you have a business and you're hiring employees, you'll need to start filing Form 2155 with the IRS. This form is used to report wages and withholding taxes for your employees. It's important to file this form on time and accurately, so that your business can stay in compliance with IRS regulations. In this blog post, we'll go over what information is required on Form 2155, and we'll provide some tips on how to complete it correctly.
The following are some particulars about form 2155. There, you will find the details about the PDF you want to fill out, which includes the approximate time for you to fill it out as well as other details.
| Question | Answer |
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| Form Name | Form 2155 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | 2155-Rev, recoverable, Swenson, Deductable |
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Partners Mutual Insurance Company |
APPLICATION FOR BOAT INSURANCE |
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20935 Swenson Drive |
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Waukesha, Wisconsin |
MAIL TO: |
o AGENT o INSURED |
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M U T U A L I N S U R A N C E |
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ITEM 1 |
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o Single |
o Widow(er) |
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Name __________________________________________________________________ Age _______ |
o Married |
o Divorced |
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Address __________________________________________________________________________________________________________________
Occupation ______________________________________________________________ Employer ________________________________________
(If housewife, state husband’s occupation)
ITEM 2 |
CPO Plan Requested |
o Yes |
o No |
o Yes |
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Term ___________________ Effective _____________ To |
_______________ |
Payable Annually? o No |
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Total Amount of Insurance $ _________________________ Rate _______________ Premium ____________________________________________
Type of Policy Desired: oFull Coverage |
o$25 Deductable |
o$50 Deductable o$100 Deductable |
o$250 Deductable |
o$500 Deductable |
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ITEM 3 - DESCRIPTION OF PROPERTY TO BE INSURED |
oOutboard |
oInboard/Outboard |
oInboard |
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oSail |
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Make of Motor |
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Purchased by Applicant |
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Model Year |
Make and Length |
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Horse |
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Model No., Serial No. and |
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New or |
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Amount of |
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Article |
Model Name |
of Boat |
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power |
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*Type of Starter |
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Month |
Year |
Used |
Cost |
Insurance |
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*Recoil, electric, or electromatic |
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ITEM 4 - UNDERWRITING INFORMATION |
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List Drivers Other Than Applicant |
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Married |
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Name |
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Age |
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Relation to Applicant |
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Percent of Use |
Yes |
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No |
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1. |
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2. |
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If |
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Explain YES answers |
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in REMARKS section |
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Is property ever loaned or rented to others? |
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oYes |
oNo |
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100% Direct Bill |
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oYes |
oNo |
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Send Policy To: |
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Has applicant sustained any losses in the last 5 years that would be recoverable under this policy? |
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oAgency |
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oYes |
oNo |
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Has applicant ever been refused this kind or similar kind of insurance? |
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oInsured |
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Is trailer designed to carry the boat and motor listed above? |
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oYes |
oNo |
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What are primary used of boat and motor? ______________________________________________________________________________________
In what waters is property used? ______________________________________________________________________________________________
Where is boat and motor kept in off season? _____________________________________________________________________________________
Policy numbers of present Partners Mutual Insurance held by applicant ________________________________________________________________
Loss payable clause to _____________________________________________________________ Mail address _____________________________
What is the auto driving record of operators of boat? _________________________ Birthdates ______________ |
License Nos. ________________ |
Name of agent or solicitor who solicited business? ___________________________________________________ |
Date: _______________________ |
Do you unqualifiedly recommend the applicant? __________________________________________________________________________________
ITEM 5 - REMARKS
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Warranted that the above are True Statements which are made on the basis of the contract, should a Policy be issued.
Agency _________________________________________________________ Date Completed __________________________________________
Address _________________________________________________________ Signature of Applicant _____________________________________
Form