Form Ct-1127 - Application For Extension Of Time For Payment Of Income Tax - 2007
Download a blank fillable Form Ct-1127 - Application For Extension Of Time For Payment Of Income Tax - 2007 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Ct-1127 - Application For Extension Of Time For Payment Of Income Tax - 2007 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Department of Revenue Services
RESET FORM
2007
State of Connecticut
Form CT-1127
25 Sigourney Street
Hartford CT 06106-5032
Application for Extension of Time for Payment of Income Tax
(Rev. 12/07)
Place this form on top of your completed Connecticut income tax return. Complete in blue or black ink only.
Your First Name and Middle Initial
Last Name
Your Social Security Number
• •
• •
• •
• •
__ __ __ __ __
__ __ __ __
If a Joint Return, Spouse’s First Name and Middle Initial
Last Name
Spouse’s Social Security Number
Taxpayer
• •
• •
__ __ __ __ __
• •
• •
__ __ __ __
Please type
Name of Estate, Trust, Partnership, or Entity
Federal Employer Identification Number
• •
or print.
• •
__ __
__ __ __ __ __ __ __
Mailing Address (number and street), apartment number, PO Box
Daytime Telephone Number
(
)
DRS Use Only
City, Town, or Post Office
State
ZIP Code
–
– 20
Please read the instructions on the back of this form.
Any reference in this document to a spouse also refers to a party to a civil union recognized under Connecticut law.
This form is not an extension of time to file. See How to Get an Extension of Time to File (on back) for additional time to file.
You must file this form on or before the due date of your return or your extension request will be denied.
I request a six-month extension of time to October 15, 2008, to pay my Connecticut income tax of $ ____________ for the
year beginning January 1, 2007, and ending December 31, 2007.
If you are not a calendar year taxpayer, complete the following statement:
I request a six-month extension of time to ______________________ , to pay my Connecticut income tax of $ __________
for the year beginning ____________________ and ending
_________________________ .
This extension is necessary and payment of the tax at this time will cause me undue hardship because: (If more space is needed,
attach a separate sheet.) ______________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
I am unable to borrow money to pay the tax because: ________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
As evidence of the need for the extension, I am attaching: (1) a statement of assets (including all bank accounts, receivables,
notes, stocks, bonds, cash value life insurance, automobiles, and real estate) and liabilities as of the last day of the preceding
month (showing book and market values of assets and whether any securities are listed or unlisted); and (2) an itemized list of
receipts (income) and disbursements (expenses) for the three months before the date the tax is due.
You will be notified only if your extension request is denied.
Declaration: 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, and correct. I understand the penalty for willfully delivering a false
return or document to the Department of Revenue Services (DRS) is a fine of not more than $5,000 or imprisonment for not more
than five years, or both. The declaration of a paid preparer other than the taxpayer is based on all information of which the preparer
has any knowledge.
Your Signature
Date
Sign
Spouse’s Signature
Date
Here
Paid Preparer’s Signature
Date
Telephone
Preparer’s SSN or PTIN
Keep a
(
)
copy
for your
Firm’s Name, Address, and ZIP Code
FEIN
records.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial