Form Ct-1041v - Connecticut Electronic Filing Payment Voucher - 2016
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1Department of Revenue Services
Form CT-1041V
2016
State of Connecticut
2016 Connecticut Electronic Filing Payment Voucher
(Rev. 12/16)
Purpose: Complete CT-1041V if you fi led your Connecticut income tax return for trusts and estates electronically and
elect to make payment by check. You must pay the total amount of tax due on or before the fi fteenth day of the fourth
month following the close of the taxable year (April 15 for calendar year fi lers). Any unpaid balance will be subject to
penalty and interest.
Pay by Mail: Make check payable to Commissioner of Revenue Services. To ensure payment is applied to the
correct account, write “2016 CT-1041V e-fi le” and the trust or estate’s Federal Employer Identifi cation Number (FEIN),
optional, on the front of the check. Sign the check and clip it to the front of the voucher. Do not send cash. The
Department of Revenue Services (DRS) may submit the check to your bank electronically. Return the voucher below
with your payment.
Mail to:
Department of Revenue Services
State of Connecticut
PO Box 2979
Hartford, CT 06104-2979
Do not submit a paper copy of your Connecticut income tax return for Trusts and Estates with this voucher.
Other Payment Options
A. Pay Electronically: Visit to use the Taxpayer Service Center (TSC) to make a direct tax payment.
After logging into the TSC, select the Make Payment Only option and choose a tax type from the drop down box.
Using this option authorizes DRS to electronically withdraw a payment from your bank account (checking or savings)
on a date you select up to the due date. As a reminder, even if you pay electronically, you must still fi le your return
by the due date. Tax not paid on or before the due date will be subject to penalty and interest.
B. Pay by Credit Card or Debit Card: You may elect to pay your 2016 tax liability using a credit card (American
Express
®
, Discover
®
, MasterCard
®
, VISA
®
) or comparable debit card. A convenience fee will be charged by the
service provider. You will be informed of the amount of the fee and may elect to cancel the transaction. At the end of
the transaction, you will be given a confi rmation number for your records.
There are three ways to pay by credit card or comparable debit card:
•
Log in to your account in the TSC and select Make Payment by Credit Card;
•
Visit and select State Payments; or
•
Call Offi cial Payments Corporation toll-free at 800-487-4567.
Your payment will be effective on the date you make the charge.
Write FEIN of trust or estate (optional) and “2016 CT-1041V e-fi le” on your check.
Mail to: DRS, State of Connecticut, PO Box 2979, Hartford CT 06104-2979
Do not submit a paper copy of your Connecticut income tax return for Trusts and Estates with this voucher.
Department of Revenue Services
Form CT-1041V
2016
State of Connecticut
PO Box 2979
2016 Connecticut Electronic
(Rev. 12/16)
Hartford CT 06104-2979
Filing Payment Voucher
1041V 1216W 01 9999
Do not submit a paper copy of your Connecticut income tax return with this voucher.
Name of trust or estate
Federal Employer ID Number (FEIN)
Name and title of fi duciary
For DRS
Fiduciary’s address (number and street)
PO Box
Use Only
M M - D D - Y Y Y Y
City, town, or post offi ce
State
ZIP code
1. Payment amount
.00
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