Looking for a Ct Tax Forms And Templates? Download it for free!

2002

Department of Revenue Services

Form 207

State of Connecticut

PO Box 2990

Underpayment of Estimated

Hartford CT 06104-2990

Insurance Premiums Tax or Health Care Center Tax

(Rev. 12/02)

For Calendar Year 2002

Connecticut Tax Registration Number

Company Name

See Instructions on Reverse Side Before Completing This Form

Part I: Required Annual Payment

1. Enter amount shown on 2002 Form 207, Line 9; 2002 Form 207F, Line 15; or 2002 Form 207HCC, Line 15

(If the amount is less than $1,000, do not complete this form) ....................................................................... 1

2. Multiply Line 1 by 90% (.90) ............................................................................................................................ 2

3. Enter amount shown on 2001 Form 207, Line 9; 2001 Form 207F, Line 15; or 2001 Form 207HCC, Line 15 3

4. Enter the lesser of Line 2 or Line 3 .................................................................................................................. 4

Part II: Calculate Your Underpayment and Interest for Each Calendar Quarter

3-15-02

6-15-02

9-15-02

12-15-02

5. Installment due dates .....................................................................................

6. Enter the amount from Line 4 in Columns A through D ...................................

.30

.20

7. Estimated installment rate ..............................................................................

8. Multiply Line 6 by Line 7 .................................................................................

9. Enter payments made or credits received on or before the installment

due date ........................................................................................................

10. Subtract Line 9 from Line 8 (If result is less than or equal to zero, enter “0”)

See instructions if credit is established ......................................................... 10

11. Enter date of additional payment or credit received after the installment

mm dd

yy mm dd

mm dd

due date. If no additional payment or credit, enter earlier of due date of

/ /

annual return or filing date of annual return ...................................................

12. Enter whichever is less: the number of months from the date on Line 5,

Columns A through D, to the payment date shown on Line 11, Columns A

through D; or 12 months for ESA; 9 months for ESB; 6 months for ESC;

3 months for ESD ........................................................................................... 12

13. Multiply the number of months on Line 12 by 1% (.01) .................................. 13

14. Interest due (Multiply Line 10 by Line 13) ...................................................... 14

15. Enter the amount of payment made or credit received on date shown on

Line 11, Columns A through D ....................................................................... 15

16. Subtract Line 15 from Line 10 ....................................................................... 16

17. Enter the date of the next additional payment or credit that meets the

mm dd

yy mm dd

mm dd

balance on Line 16, Columns A through D (If no additional payment or

/ /

credit, enter due date of annual return) ......................................................... 17

18. Enter the number of months from Line 11, Columns A through D, to date

shown on Line 17, Columns A through D ...................................................... 18

19. Multiply the number of months on Line 18 by 1% (.01) .................................. 19

20. Interest due (Multiply Line 16 by Line 19) ...................................................... 20

21. Total interest due (Add Line 14 and Line 20) ................................................. 21

22. Add Line 21, Columns A through D, and enter here and on the appropriate

Connecticut tax form (2002 Form 207, Line 18; 2002 Form 207F, Line 24; or 2002 Form 207HCC, Line 24) .. 22

Form 207i - Underpayment Of Estimated Insurance Premiums Tax Or Health Care Center Tax - 2002

Related Articles

Related forms

Related Categories