Form DP-153-ACH Medicaid Enhancement Tax Authorization Agreement for Electronic Payments - New Hampshire

Form DP-153-ACH Medicaid Enhancement Tax Authorization Agreement for Electronic Payments - New Hampshire

What Is Form DP-153-ACH?

This is a legal form that was released by the New Hampshire Department of Revenue Administration - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DP-153-ACH?
A: Form DP-153-ACH is an authorization agreement for electronic payments related to the Medicaid Enhancement Tax in New Hampshire.

Q: What is the Medicaid Enhancement Tax?
A: The Medicaid Enhancement Tax is a tax imposed on certain healthcare providers in New Hampshire to help fund the state's Medicaid program.

Q: Why do I need to complete Form DP-153-ACH?
A: You need to complete Form DP-153-ACH in order to authorize electronic payments for the Medicaid Enhancement Tax.

Q: What information is required on Form DP-153-ACH?
A: Form DP-153-ACH requires you to provide your business information, banking details, and authorization for electronic payments.

Q: Are there any fees associated with electronic payments?
A: No, there are no additional fees for electronic payments. However, your bank may have its own charges for processing the transactions.

Q: When is the deadline for submitting Form DP-153-ACH?
A: The deadline for submitting Form DP-153-ACH may vary. It is important to check the instructions provided by the New Hampshire Department of Revenue Administration.

Q: What should I do if I have additional questions or need assistance with Form DP-153-ACH?
A: If you have additional questions or need assistance with Form DP-153-ACH, you should contact the New Hampshire Department of Revenue Administration directly.

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Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the New Hampshire Department of Revenue Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DP-153-ACH by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Revenue Administration.

Download Form DP-153-ACH Medicaid Enhancement Tax Authorization Agreement for Electronic Payments - New Hampshire

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