Form DP-153-ES Medicaid Enhancement Tax Payment Non-binding Estimate - New Hampshire

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form DP-153-ES for the current year.

Form DP-153-ES Medicaid Enhancement Tax Payment Non-binding Estimate - New Hampshire

What Is Form DP-153-ES?

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-ES?
A: Form DP-153-ES is a Medicaid Enhancement Tax Payment Non-binding Estimate form.

Q: What is the purpose of Form DP-153-ES?
A: The purpose of Form DP-153-ES is to estimate Medicaid Enhancement Tax payments in New Hampshire.

Q: Who needs to fill out Form DP-153-ES?
A: This form must be filled out by entities subject 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 fund the state's Medicaid program.

Q: Is Form DP-153-ES a binding document?
A: No, Form DP-153-ES is a non-binding estimate and is used for informational purposes only.

ADVERTISEMENT

Form Details:

  • Released on November 1, 2020;
  • 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-ES by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Revenue Administration.

Download Form DP-153-ES Medicaid Enhancement Tax Payment Non-binding Estimate - New Hampshire

4.5 of 5 (21 votes)
  • Form DP-153-ES Medicaid Enhancement Tax Payment Non-binding Estimate - New Hampshire, Page 1
ADVERTISEMENT