Form 207 - Insurance Premiums Tax Return Domestic Companies - 2008 Page 2

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Form 207 Instructions
General Instructions
Line 16: Enter payment made with Form 207/207 HCC EXT, Application
for Extension of Time to File Domestic Insurance Premiums Tax Return
Complete this return in blue or black ink only.
or Health Care Center Tax Return. To request an extension of time to
Due Date: This return is due on or before March 1, 2009, for insurance
fi le Form 207, a company must fi le Form 207/207 HCC EXT and pay all
premiums tax liability for calendar year 2008.
the tax it expects to owe on or before March 1, 2009.
Attachments: Attach the following to this return:
Line 18: If Line 17 is greater than Line 13, subtract Line 13 from
A copy of Schedule T;
Line 17. This is the amount you overpaid.
Connecticut business page from the Annual Statement fi led with
Line 19: Your election to credit your overpayment to your 2009 estimated
the Connecticut Insurance Department;
insurance premiums tax, or to have your overpayment refunded to you,
2008 Schedule GAA, if applicable;
is irrevocable.
2008 Form 207I, if applicable; and
Line 19a: Enter the amount of overpayment you want credited to
2008 Form CT-1120K, if applicable.
your 2009 estimated insurance premiums tax. Your overpayment will
Rounding Off to Whole Dollars: You must round off cents to the nearest
be credited to your 2009 estimated insurance premiums tax as of
whole dollar on your return and schedules. If you do not round, the
March 1, 2009, or the date that this return is fi led, whichever is later.
Department of Revenue Services (DRS) will disregard the cents.
Therefore, if this return is fi led after March 15, 2009, your estimated
insurance premiums tax payment for March 15, 2009 will not be timely
Round down to the next lowest dollar all amounts that include 1 through
made.
49 cents. Round up to the next highest dollar all amounts that include
50 through 99 cents. However, if you need to add two or more amounts
Line 19b: Enter the amount of overpayment you want refunded to
to compute the amount to enter on a line, include cents and round off
you.
only the total.
Line 20: If Line 13 is greater than Line 17, subtract Line 17 from
Example: Add two amounts ($1.29 + $3.21) to compute the total ($4.50)
Line 13. This is the amount of tax you owe.
to enter on a line. $4.50 is rounded to $5.00 and enter on a line.
Line 21a: Late Payment Penalty: Multiply Line 17 by 10%. Enter the
Filing an Amended Return: If you make an error(s) on your return,
result or $50, whichever is greater.
you must correct the error(s) by fi ling an amended return using a new
Line 21b: Multiply Line 17 by 1% per month or fraction of a month from
Form 207. Complete Form 207 using the correct fi gures and information for
the original due date of the return to the date of payment.
the reporting period.
Line 22: If estimated tax was underpaid, complete and attach
You must fi le an amended return claiming a refund of taxes already paid
Form 207I, Underpayment of Estimated Insurance Premiums Tax
within three years of the original due date of the return and attach an
or Health Care Center Tax, and enter the amount from Line 22 of
explanation of the claim for refund to the amended return.
Form 207I.
Line Instructions
Line 23: Add the amounts from Lines 20, 21, and 22.
Line 1: Enter gross direct premiums (less return premiums, including
cancellations) received during the calendar year from policies written on
Make check payable to: Commissioner of Revenue Services.
property or risks located or resident in this state, but excluding annuity
DRS may submit your check to your bank electronically.
considerations and premiums received for reinsurance assumed from
Mail to: Department of Revenue Services
other companies.
State of Connecticut
Line 2: Enter dividends paid to policyholders on direct business. Do not
PO Box 2990
include any dividends paid on account of the ownership of stock.
Hartford CT 06104-2990
Line 5: The amount of tax credit(s) allowable against the insurance
Signature: The treasurer of the company, or an authorized agent or
premiums tax may not exceed 70% of the amount of insurance premiums
offi cer of the company, must sign Form 207.
tax due prior to the application of the credit(s). See Special Notice 2003(17),
Paid Preparer Signature: A paid preparer must sign and date
2003 Legislation Affecting the Insurance Premiums Tax, for more
Form 207. Paid preparers must also enter their Social Security Number
information.
(SSN) or Preparer Tax Identifi cation Number (PTIN), and their fi rm’s
Line 6: To claim the Insurance Department assessment credit, eligible
Federal Employer ID Number (FEIN) in the spaces provided.
companies must enter 80% of the assessment paid under Conn. Gen.
For Further Information: Call DRS during business hours, Monday
Stat. §38a-48 during the calendar year. A company is eligible if it is a local
through Friday:
domestic insurance company, as defi ned in Conn. Gen. Stat. §12-201,
1-800-382-9463 (Connecticut calls outside the Greater Hartford
and if its admitted assets do not exceed the thresholds established in
calling area only), or
Conn. Gen. Stat. §12-202.
860-297-5962 (from anywhere).
Line 7: Your company may be eligible to claim certain Connecticut
business tax credits. For more information on Connecticut business
TTY, TDD, and Text Telephone users only may transmit inquiries
tax credits that your company may be eligible to claim, see
anytime by calling 860-297-4911.
Informational Publication 2007(31), Guide to Connecticut Business
Forms and Publications: Forms and publications are available
Tax Credits. If your company claims Connecticut business tax credits,
anytime by:
Form CT-1120K, Business Tax Credit Summary, must be completed
Internet: Visit the DRS website at to preview and
and attached to this return.
download forms and publications.
Line 10 and Line 11: To claim CIGA and CLHIGA assessment credits,
Telephone: Call 1-800-382-9463 (Connecticut calls outside the
you must complete and attach a 2008 Schedule GAA, Insurance
Greater Hartford calling area only) and select Option 2 from a
Guaranty Association Credit.
touch-tone phone, or call 860-297-4753 (from anywhere).
Line 14: Enter prior year overpayment(s).
Line 15: Enter estimated payments made with Forms 207 ESA, ESB,
ESC, and ESD, Estimated Insurance Premiums Tax Payment Coupon
Domestic Insurance Companies.
Form 207 Back (Rev. 12/08)

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