Form 207 Hcc - Health Care Center Tax Return

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FORM 207 HCC
HEALTH CARE CENTER TAX RETURN
SEE INSTRUCTIONS ON REVERSE BEFORE COMPLETING THIS FORM
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(For Department Use Only)
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Multiply Line 1 by 1.75% (.0175)
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attach Form CT-1120K
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(Subtract Line 3 from Line 2. If result is negative, enter 0)
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(Add Lines 5, 6 and 7)
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(Subtract Line 8 from Line 4)
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(Add Line 10 and Line 11)
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(Add Line 9 and Line 12)
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(Make check payable to: Commissioner of Revenue Services)
DECLARATION:
Health Care Center Tax Return
Sign Here
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