Form Ct-1040 Ext - Application For Extension Of Time To File Connecticut Income Tax Return For Individuals - 2014

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Department of Revenue Services
Form CT-1040 EXT
2014
State of Connecticut
Application for Extension of Time to File
(Rev. 12/14)
EXT
Connecticut Income Tax Return for Individuals
See the instructions before you complete this form. Complete this form in blue or black ink only.
Your fi rst name and middle initial
Last name
Your Social Security Number (SSN)
• •
• •
• •
• •
Spouse’s Social Security Number
If a joint return, spouse’s fi rst name and middle initial
Last name
• •
• •
• •
• •
Please
Important!
type or
Home address (number and street), apartment number, PO Box
You must enter your SSN(s) above.
print.
Daytime telephone number
(
)
City, town, or post offi ce
State
ZIP code
DRS use only
– 20
This is not an extension of time to pay your tax.
To request an extension of time to pay, fi le Form CT-1127,
Application for Extension of Time for Payment of Income Tax.
You must fi le this form by the due date of your original return or your request will be denied. See instructions. However, if
you expect to owe no additional Connecticut income tax for the 2014 taxable year, after taking into account any Connecticut
income tax withheld from your wages or any estimated Connecticut income tax payments you have made, or both, and
you have requested an extension of time to fi le your 2014 federal income tax return, you are not required to fi le
Form CT-1040 EXT. You will be subject to interest and may be subject to a penalty on any amount of tax not paid on or
before the original due date of your return.
I request a six-month extension of time to October 15, 2015, to fi le my Connecticut income tax return for the year beginning
January 1, 2014, and ending December 31, 2014.
If you are not a calendar year taxpayer, complete the following statement:
I request a six-month extension of time to ____________________________ , to fi le my Connecticut income tax return for
the year beginning __________________________ and ending
_____________________________ .
I have requested a federal extension on federal Form 4868, Application for Automatic Extension of Time to File U.S. Individual
Income Tax Return, for taxable year 2014.
Yes
No
If No, the reason for the Connecticut extension is __________________________________________________________
You will be notifi ed only if your extension request is denied.
1. Total income tax liability for 2014. You must enter an amount on Line 1. If you do not
00
expect to owe income tax, enter “0.” ........................................................................................ 1.
2. Total individual use tax liability for 2014. You must enter an amount on Line 2. If you do not
00
expect to owe use tax, enter “0.” .............................................................................................. 2.
00
3. Add Line 1 and Line 2. ............................................................................................................. 3.
00
4. Connecticut income tax withheld: Do not attach W-2s or 1099s ..... 4.
5. 2014 estimated Connecticut income tax payments including any
00
2013 overpayments applied to 2014 ................................................. 5.
00
6. Add Line 4 and Line 5 . ............................................................................................................ 6.
7. Connecticut income tax and use tax balance due: Subtract Line 6 from Line 3. If Line 6
 7.
00
is greater than Line 3, enter “0.” Amount due with this form ..............................................
Forms with payment, mail to:
Forms without payment:
Department of Revenue Services
Department of Revenue Services
PO Box 2977
PO Box 2976
Hartford CT 06104-2977
Hartford CT 06104-2976
Make your check payable to:
Do not mail this return if you do not owe
Commissioner of Revenue Services
any tax and you have requested an
extension of time to fi le your 2014 federal
To ensure proper posting, write your SSN (optional) and
“2014 Form CT-1040 EXT” on your check.
income tax return.

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