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Get Insurance Payment Coupon Form

207F ESA - First Installment Estimated Insurance Premiums Tax Payment Coupon Foreign and Nonresident Insurance Companies Rev. 12/07 CT Insurance Premiums Tax Reg. No. 207F ESA Department of Revenue Services State of Connecticut PO Box 2990 Hartford CT 06104-2990 For Calendar Year Ending Enter amount from Schedule 1 Line 5 on back. Overpayment from prior year applied to estimated tax for current year. Who Must File This Coupon Each foreign or nonr.

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