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Information for Informative Return of Insurance Premium for Taxable Year 2019

If you are an employer or self-employed individual, this is the information you need for the completion and submission of Form 480.7E.

The Law 40 of April 16, 2020, section 1063.16 was amended- Informative Declaration on Advertisements, Insurance Premiums, Telecommunications Services, Internet Access and Cable or Satellite Television – establishing for the 2019 tax period, in the case that a taxpayer wishes to take the deduction for purposes of determining the net income subject to alternate basic or minimum alternative withholding for the payments described herein, and does not request to present a report on Previously Agreed Procedures or audited financial statements, may, at their option, submit an annual informative declaration to the Secretary on or before the due date of your tax return, including the extension. The service provider entities described in this section, in our case Triple-S, will be obliged to provide clients with their name, address and employer identification number so that they can carry out this filing.

Insurer Name Triple-S Salud, Inc.
Postal address of the insurer PO Box 363628
San Juan, PR 00936-3628
Postal address of the insurer #1441 F.D. Roosevelt Ave.
San Juan, PR 00920
Employer Identification Number 660-555677