Section Rev 2303.02 - Form DP-153-ES, Medicaid Enhancement Tax Payment Non-binding Estimate(a) Hospitals subject to the medicaid enhancement tax shall complete and file Form DP-153-ES, "Medicaid Enhancement Tax Payment Non-binding Estimate", on or before January 15th in the taxable period.(b) An authorized representative of the hospital shall sign and date the Form DP-153-ES on the hospital's behalf in ink as provided in Rev 2904.04 or by electronic signature as provided in Rev 2904.05, and include the representative's name, title, and contact number.(c) Form DP-153-ES shall be filed electronically or by mailing the completed form to: NH Department of Revenue Administration
Administration Unit
109 Pleasant Street
P.O. Box 457
Concord, NH 03302-0457
N.H. Admin. Code § Rev 2303.02
Adopted byVolume XXXV Number 01, Filed January 8, 2015, Proposed by #10755, Effective 1/1/2015, Expires1/1/2025.Amended by Volume XXXIX Number 28, Filed July 11, 2019, Proposed by #12823, Effective 7/4/2019, Expires 7/4/2029.Amended by Volume XXXIX Number 46, Filed November 14, 2019, Proposed by #12907, Effective 10/23/2019, Expires 10/23/2029