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It simply means "hell naw", but it really means "no."
It's used to describe surprise and opposition towards a comment and/or situation. usually in a major way
WOMAN: I need a huge favor.
MAN: What.
WOMAN: Will you pay my rent and bills? I'll give you something to make it worth your while.
MAN: HELL TO THE NAW!!!!!!!! You just gonna use me, then set me up.
by Mr. Terrence L. Trezvant May 21, 2005
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