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Department of Revenue Services

Form CT-W3 (DRS/P)

2007

State of Connecticut

PO Box 2930

Connecticut Annual Reconciliation of Withholding

Hartford CT 06104-2930

for Household Employers

(Rev. 12/07)

Line Instructions

General Instructions

Line 1

Complete this return in blue or black ink only.

Enter the total amount of Connecticut income tax withheld

Annual Reconciliation: Form CT-W3 (DRS/P), Connecticut

from wages during the 2007 calendar year. (This should equal

Annual Reconciliation of Withholding for Household

the Total line on the back of this return.)

Employers, is due the last day of February.

Line 2

No payment is to be made with this return. Household

Enter the gross Connecticut wages paid during the 2007

employers must file every Copy 1 of federal Form W-2, Wage

calendar year. Connecticut wages are all wages paid to

and Tax Statement, with the annual reconciliation even if

employees who are residents of Connecticut, even if those

no Connecticut income tax was withheld.

wages are paid for work performed outside Connecticut by those

Rounding Off to Whole Dollars: You must round off cents

resident employees, and wages paid to employees who are

to the nearest whole dollar on your returns and schedules.

nonresidents of Connecticut, if those wages are paid for work

Round down to the next lowest dollar all amounts that include

performed in Connecticut by those nonresident employees.

1 through 49 cents. Round up to the next highest dollar all

Line 3

amounts that include 50 through 99 cents. However, if you

Indicate the number of W-2 forms submitted with this return.

need to add two or more amounts to compute the amount to

enter on a line, include cents and round off only the total. If

Household Employer

you do not round Department of Revenue Services (DRS) will

A household employer not registered with DRS for Connecticut

disregard the cents.

income tax withholding purposes should enter the words

Example: Add two amounts ($1.29 + $3.21) to compute the

“HOUSEHOLD EMPLOYER” in the space reserved for the

total ($4.50) to enter on a line. $4.50 is rounded to $5.00 and

Connecticut Tax Registration Number on this return.

entered on the line.

Visit the DRS website at for new information

Be sure to complete all requested information on the back of

regarding electronic filing requirements.

this return.

For Further Information: Call DRS during business hours,

Do not send a payment with this return.

Monday through Friday:

All payments must be made using Form CT-941 (DRS/P),

•

1-800-382-9463 (Connecticut calls outside the Greater

Connecticut Reconciliation of Withholding for Household

Employers, or Form CT-941X, Amended Connecticut

Hartford calling area only); or

Reconciliation of Withholding.

•

860-297-5962 (from anywhere).

Sign and date the return in the space provided.

TTY, TDD, and Text Telephone users only may transmit

Taxpayers who file 25 or more Forms W-2 reporting

Connecticut wages paid are required to file Form CT-W3

inquiries anytime by calling 860-297-4911.

and every Copy 1 of federal Form W-2 electronically. You

Where to File: Mail your completed return, including W-2

may request a waiver of the electronic filing requirements

forms, to: Department of Revenue Services, State of

by completing Form CT-8508 no later than January 15,

Connecticut, PO Box 2930, Hartford CT 06104-2930.

2008. Taxpayers who file 24 or fewer Forms W-2 reporting

Forms and Publications: Forms and publications may be

Connecticut wages paid, are encouraged to file

obtained by visiting the DRS website at or

electronically but may use paper forms and do not need to

by calling the DRS Forms Unit at 860-297-4753.

file a waiver request.

Separate Here and Mail Coupon to DRS. Keep a Copy for Your Records.

CT-W3 (DRS/P) Connecticut Annual Reconciliation of Withholding for Household Employers

2007

Connecticut Tax Registration Number

Federal Employer ID Number

Due Date

February 29, 2008

1. Connecticut tax withheld from

Enter name and address below. Please print or type.

wages: See instructions.

2. Total Connecticut wages reported

1 2 3 4 5 6 7 8 9 0 1 2 3 4

3. Number of W-2s submitted

1 2 3 4 5 6 7 8 9 0 1 2 3 4

Note: Do not send a payment with this return.

Department of Revenue Services

State of Connecticut

PO Box 2930

Check if you are a household employer and

Hartford CT 06104-2930

you withhold Connecticut income tax from the

wages of household employees.

I declare under penalty of law that I have examined this return (including any accompanying

schedules and statements) and, to the best of my knowledge and belief, it is true, complete,

Check if you are a household employer and

and correct. I understand the penalty for willfully delivering a false return or document to DRS

you do not withhold Connecticut income tax

is a fine of not more than $5,000, or imprisonment for not more than five years, or both.

from the wages of household employees.

Signature __________________________________________________________

Title ______________________________________

Date __________________

Form Ct-W3 (Drs/p) - Connecticut Annual Reconciliation Of Withholding For Household Employers - 2007

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