Fillable Form 207 - Insurance Premium Tax Return For Domestic Companies (Page 2 of 2) in pdf

If you claim a credit on Line 6 for Connecticut Business

Tax paid: A copy of page 12 from the Annual Report of the

Each domestic insurance company authorized to do business

Connecticut Insurance Department (the Analysis of Assets page)

in Connecticut must file Form 207.

must accompany this return.

If you claim a credit on line 7 for the Insurance Department

Assessment: A copy of page 12 of the Annual Report to the

A return for the calendar year ending December 31 must be filed

Connecticut Insurance Department (the Analysis of Assets page)

not later than March 1 of the following year.

and a copy of the Insurance Assessment must be filed with this

return.

For an extension of time to file your annual return, you must file

If you claim a Neighborhood Assistance Act Credit: A copy

Form 207/207F EXT, Application for Extension of Time to File

of documentation from the Department of Revenue Services

Insurance Premium Tax Return , by March 1.

approving the proposal and stating the maximum credit allowable

must accompany this return.

If you claim an Employer-Assisted Housing Credit: A copy

All companies whose expected liability is $1000 or more must

of documentation from the Connecticut Housing Finance Authority

pay estimated tax. Refer to general instructions on Forms 207

(CHFA) approving said credit must accompany this return.

ESA, ESB, ESC, ESD, Estimated Premium Tax Returns.

If you claim a Housing Program Contribution Credit: A copy

of the tax credit voucher issued by the CHFA must accompany

Compute any interest due on the underpayment of the estimated

this return.

tax on Form 207 I, Underpayment of Estimated Tax.

If you claim a Child Day Care Credit Carryforward: Proof of

the approved credit by the Commissioner of Social Services must

accompany this return.

Late Payment Penalty: The penalty for late payment is 10% of

If you claim an Electronic Data Processing Equipment

the tax due or $50, whichever is greater.

Property Tax Credit: In addition to attaching a copy of Form

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

CT-1120K, attach Form CT-1120 EDPC, Form M-15 and the

Revenue Services may impose a $50 penalty for failure to file

applicable property tax bill. Note: The allowable Electronic Data

any return that is required by law to be filed.

Processing Equipment Property Tax Credit must first be applied

A return must be filed even if no additional tax is due.

against Connecticut Corporation Business Tax. The remaining

credit may be applied hereto.

If interest is reported on Line 22: A copy of Form 207 I must

Interest accrues at the rate of 1% (.01) per month or fraction thereof

be attached to this return.

from the original due date of the return through the date of

payment. Interest due on the underpayment of estimated tax is

computed using Form 207I, Underpayment of Estimated Tax.

For information about Connecticut business tax credits, see the

Department of Revenue Services publication IP 95 (2.1), Guide

Any person willfully filing a tax return known by that person to

to Connecticut Corporation Business Tax Credits . If you need

be fraudulent or false in any material matter may be fined up

this publication, additional forms or supporting schedules, visit

to $5000 or imprisoned between one and five years, or both.

our Web site at , or call 1-800-382-9463

(in-state) or 860-297-4753 (Voice Mail available 24 hours).

If credit is taken on Line 5 for the Connecticut Life and Health

Insurance Guaranty Association Assessment, a copy of the

Mail to: Department of Revenue Services

assessment and cancelled check showing the payment made

PO Box 2990

during the calendar year must accompany this return.

Hartford CT 06104-2990

I declare under the penalties of false statement that I have examined this application and to the best of my knowledge and belief

it is true, complete and correct. Declaration of preparer (other than the taxpayer) is based on all information of which preparer has any knowledge.

Signature of Principal Officer

Title

Date

Telephone Number

(

)

Paid Preparer’s Signature

Date

Keep a copy

of this return

Firm Name and Address

Federal Employer Identification Number

for your

records

Form 207 Back (Rev. 12/98)

Form 207 - Insurance Premium Tax Return For Domestic Companies Page 2

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