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Form 207F EXT

Instructions

Where to File

Complete this application in blue or black ink only.

Make check payable to Commissioner of Revenue

Use Form 207F EXT, Application for Extension of Time to

Services. To ensure payment is applied to your account,

File Insurance Premiums Tax Return Nonresident and Foreign

write

“2015

Form 207F EXT” and your Connecticut Tax

Companies, to request a 12-month extension to file your

Registration Number on the front of your check. Be sure to

Connecticut insurance premiums tax return.

sign your check and paper clip it to the front of your return.

Request for Extension

Do not send cash. DRS may submit your check to your

bank electronically.

A nonresident or foreign insurance company may request

a 12-month extension to file its Connecticut insurance

Mail to:

Department of Revenue Services

premiums tax return provided there is reasonable cause for

State of Connecticut

the request.

PO Box 2990

To request an extension of time to file a Connecticut

Hartford CT 06104-2990

nonresident and foreign insurance companies premiums tax

Failure to file or failure to pay the proper amount of tax

return, you must file Form 207F EXT and pay all the tax you

due will result in penalty and interest charges. It is to your

expect to owe on or before March 1, 2016.

advantage to file when your return is due whether or not you

Form 207F EXT only extends the time to file the insurance

are able to make full payment.

premiums tax return. Form 207F EXT does not extend the

Signature

time to pay the amount of tax due.

We will notify you only if the extension request is denied.

The treasurer of the company, or a principal officer of the

company, must sign Form 207F EXT.

Rounding Off to Whole Dollars

Paid Preparer Signature

You must round off cents to the nearest whole dollar on your

return and schedules. If you do not round, the Department of

A paid preparer must sign and date Form 207F EXT. Paid

Revenue Services (DRS) will disregard the cents.

preparers must also enter their Social Security Number (SSN)

or Preparer Tax Identification Number (PTIN) and their firm’s

Round down to the next lowest dollar all amounts that include

FEIN in the spaces provided.

1 through 49 cents. Round up to the next highest dollar all

amounts that include 50 through 99 cents. However, if you

Pay Electronically

need to add two or more amounts to compute the amount

Visit to use the Taxpayer

to enter on a line, include cents and round off only the total.

Service Center (TSC) to make a direct tax

Example: Add two amounts ($1.29 + $3.21) to compute the

payment. After logging into the TSC, select

total ($4.50) to enter on a line. $4.50 is rounded to $5.00

the Make Payment Only option and choose a tax type from

and entered on a line.

the drop down box. Using this option authorizes DRS to

electronically withdraw from your bank account (checking or

Interest and Penalties

savings) a payment on a date you select up to the due date.

In general, interest and penalty apply to any portion of the tax

As a reminder, even if you pay electronically you must still

not paid on or before the original due date of the return. If the

file your return on or before the due date. Tax not paid on or

tax is not paid when due, interest accrues at the rate of 1% per

before the due date will be subject to penalty and interest.

month or fraction of a month from the original due date of the

return until the tax is paid in full.

For More Information

Late Payment Penalty: If tax is due, the penalty for late

Call DRS during business hours, Monday through Friday:

payment is 10% of the tax due or $50, whichever is greater.

•

1-800-382-9463 (Connecticut calls outside the Greater

Late Filing Penalty: If no tax is due, the Commissioner of

Hartford calling area only); or

Revenue Services may impose a $50 penalty for the late filing

•

860-297-5962 (from anywhere).

of any return or report required by law to be filed.

TTY, TDD, and Text Telephone users only may transmit

Name, Address, and Tax Registration Number

inquiries anytime by calling 860-297-4911.

Enter the company’s name, address, Federal Employer

Forms and Publications

Identification Number (FEIN), and Connecticut Tax Registration

Number in the spaces provided.

Visit the DRS website at to download and

print Connecticut tax forms and publications.

207F EXT Back (Rev. 12/15)

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Form 207f Ext Draft - Application For Extension Of Time To File Insurance Premiums Tax Return Nonresident And Foreign Companies Page 2

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