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Form 211 CCV

Instructions

Complete this return in blue or black ink only.

Line 10: Interest: If all or a portion of the tax is paid late, interest

accrues on the tax paid late at the rate of 1% per month or

Address Change

fraction of a month until the tax is paid in full. To compute

interest due, multiply Line 6 by the number of months or

To change your company’s address, check the Change of Address

fraction of a month late, then by 1%.

box on the front of this return. Draw a line through the incorrect

information and clearly print the new information.

Signature

Rounding Off to Whole Dollars

The treasurer of the company, or an authorized agent or officer of

the company, must sign Form 211 CCV.

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

returns and schedules. Round down to the next lowest dollar all

Paid Preparer Signature

amounts that include 1 through 49 cents. Round up to the next

highest dollar all amounts that include 50 through 99 cents.

A paid preparer must sign and date Form 211 CCV. Paid preparers

However, if you need to add two or more amounts to compute the

must also enter their Social Security Number (SSN) or Preparer

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

Tax Identification Number (PTIN), and their firm’s Federal

total. If you do not round, the Department of Revenue Services

Employer Identification Number (FEIN) in the spaces provided.

(DRS) will disregard the cents.

Where to File Return

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

Mail to: Department of Revenue Services

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

State of Connecticut

on the line.

PO Box 2990

Hartford CT 06104-2990

Line Instructions

Line 1: Enter the total amount of gross earnings during the

Make check payable to: Commissioner of Revenue Services. To

calendar quarter from transmitting video programming by Certified

ensure payment is applied correctly to your account, write your

Competitive Video Providers to subscribers, both inside and

Connecticut Tax Registration Number on the front of the return.

outside Connecticut. Do not deduct commissions, rebates, or

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

other payments (except refunds arising from errors or

electronically.

overcharges).

Taxpayer Service Center

Line 2: Enter the average number of subscribers in Connecticut

during the calendar quarter. The average is determined by adding

The DRS electronic Taxpayer Service Center

for business taxes (TSC-BUS) allows

the number of subscribers in Connecticut on the first day of the

taxpayers to electronically file, pay, and

calendar quarter and the number of subscribers in Connecticut

manage state tax responsibilities. To make

on the last day of the calendar quarter, and dividing the total by

two.

electronic transactions or administer your tax account online visit

the DRS website at and select the TSC logo in

Line 3: Enter the average number of subscribers, both inside

the left tool bar.

and outside Connecticut, during the calendar quarter. The average

is determined by adding the number of subscribers both inside

For Further Information

and outside Connecticut on the first day of the calendar quarter

Call DRS during business hours, Monday through Friday:

and the number of subscribers both inside and outside

Connecticut on the last day of the calendar quarter, and dividing

•

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

the total by two.

Hartford calling area only), or

Line 7: Your company may be eligible to claim certain

•

860-297-5962 (from anywhere).

Connecticut business tax credits. For information on Connecticut

TTY, TDD, and Text Telephone users only may transmit inquiries

business tax credits that your company may be eligible to claim,

anytime by calling 860-297-4911.

see Informational Publication 2006(15), Guide to Connecticut

Business Tax Credits. If your company claims Connecticut

Forms and Publications

business tax credits, Form CT-1120K, Business Tax Credit

Summary, must be completed and attached to this return.

Forms and publications are available anytime by:

Line 9: Late Payment Penalty: The penalty for paying all or a

•

Internet: Visit the DRS website at to

portion of the tax late is 10% of the tax due or $50,

download and print Connecticut tax forms; or

whichever is greater.

•

Telephone: Call 1-800-382-9463 (Connecticut calls outside

Late Filing Penalty: If no tax is due, DRS may impose a

the Greater Hartford calling area only) and select Option 2

$50 penalty for the late filing of any return or report

from a touch-tone phone, or 860-297-4753 (from anywhere).

required by law to be filed. Form 211 CCV, Certified

Competitive Video Service Companies Gross Earnings

Tax Return, must be filed even if no tax is due.

Form 211 CCV Back (New 12/07)

Form 211 Ccv - Certified Competitive Video Service Companies Gross Earnings Tax Return Form Page 2

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