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Form 207

Instructions

General Instructions

Line 10: If a credit is established, it should be applied to the

earliest underpaid installment.

Complete this form in blue or black ink only.

Line 11: Payments accompanying estimated installments are

Use Form 207

, Underpayment of Estimated Insurance

applied against underpaid required installments in the order in

Premiums Tax or Health Care Center Tax, to calculate the

which the installments must be paid.

interest due on the underpayment of estimated insurance

premiums tax or estimated health care center tax. Companies

Enter the date of the next additional payment or credit received

subject to a tax imposed under Chapter 207 of the Connecticut

after the intended installment due date. If there are no additional

General Statutes are required to make estimated tax payments.

payments or credits, enter the earlier of the due date of the

See Conn. Gen. Stat. §12-204c.

annual tax return or the ﬁ ling date of that return.

If the company has made timely estimated tax payments and

Lines 12 through 14: These lines are to calculate interest due

has paid at least 90% of the tax shown on the return for the

on late payments and underpayments of the required estimated

current year, or at least 100% of the tax shown on the return

installments. The interest due is calculated at the rate of 1%

for the prior year, at the required installment rate, the taxpayer

per month or fraction of a month.

is not subject to interest on unpaid installments of estimated

Line 15: Enter the amount of payment made or credit received

tax and does not have to complete this form.

from each date indicated on Line 11, Columns A through D.

If the tax shown on the return for the current year is less than

Line 17: Enter the date of the next additional payment or credit.

$1,000, it is not necessary to complete this form.

If the taxpayer has multiple payments or credits, additional

Timely estimated payments must be made using the

computations are required. Complete a worksheet or schedule

appropriate form listed below:

and enter the result on Line 21, Columns A through D. Attach

a copy of the worksheet or schedule to this form.

•

Form 207 ESA, ESB, ESC, and ESD, Estimated Insurance

Premiums Tax Payment Coupon, Domestic Insurance

Lines 18 through 20: These lines are to calculate interest due

Companies;

when the taxpayer makes payments or has credits after the

intended installment date.

•

Form 207F ESA, ESB, ESC, and ESD, Estimated

Insurance Premiums Tax Payment Coupon, Nonresident

Attach the completed 2014 Form 207

to the 2014:

and Foreign Insurance Companies; or

•

Form 207;

•

Form 207 HCC ESA, ESB, ESC, and ESD, Estimated

•

Form 207F; or

Health Care Center Tax Payment Coupon.

•

Form 207 HCC.

Part I: Required Annual Payment

Pay Electronically

Line 1: Enter the amount of tax shown on your 2014:

Visit to pay make a direct

tax payment electronically. Using this option

•

Form 207, Insurance Premiums Tax Return Domestic

authorizes DRS to electronically withdraw a

Companies, Line 9;

payment from your bank account (checking or

•

Form 207F, Insurance Premiums Tax Return Nonresident

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

and Foreign Companies, Line 16; or

electronically you must still ﬁ le your return on or before the

•

Form 207 HCC, Health Care Center Tax Return, Line 15.

due date.

Do not subtract estimated payments.

For More Information

Line 3: Enter the amount of tax shown on your 2013:

Call DRS during business hours, Monday through Friday:

•

Form 207, Line 9;

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

•

Form 207F, Line 16; or

Hartford calling area only); or

•

Form 207 HCC, Line 15.

• 860-297-5962 (from anywhere).

TTY, TDD, and Text Telephone users only may transmit

Part II: Calculate Your Underpayment and Interest

inquiries anytime by calling 860-297-4911.

Interest on underpaid installments is calculated under Conn.

Gen. Stat. §12-204c.

Forms and Publications

Line 9: Enter any payment made or credit claimed with intended

Visit the DRS website at to download and

installment and not previously entered in prior columns. The

print Connecticut tax forms and publications.

payment must be made or credit established on or before the

due date of the intended installment.

Form 207

Back (Rev. 12/14)

Form 207 - Underpayment Of Estimated Insurance Premiums Tax Or Health Care Center Tax - 2014 Page 2

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