Form Ct-1040 - Connecticut Resident Income Tax Return

2002

Form CT-1040

STATE OF CONNECTICUT

1040

DEPARTMENT OF REVENUE SERVICES

Connecticut Resident Income Tax Return

For the year January 1 - December 31, 2002, or other taxable year

beginning _______________ , 2002,

ending ________________ , _______ .

Your Social Security Number

Your First Name and Middle Initial

Last Name

Label

__ __ __

__ __

__ __ __ __

• •

Use the

• •

DRS label

Spouse’s Social Security Number

If a JOINT Return, Spouse’s First Name and Middle Initial

Last Name

located on

__ __ __

__ __

__ __ __ __

• •

cover.

• •

IMPORTANT!

Otherwise,

Home Address (number and street), Apartment Number, PO Box

print or

You must enter your SSN(s) above.

type. (See

instructions,

City, Town, or Post Office

State

ZIP Code

DRS USE ONLY

Page 14)

–

– 20

WEBFILE

WEBFILE OR

OR E-FILE

E-FILE

E-FILE Y Y Y Y Y OUR

OUR

OUR RETURN

RETURN

RETURN FOR

FOR

FOR F F F F F ASTER

FOR

ASTER

ASTER REFUND

ASTER

REFUND

REFUND, , , , , see

see

see P P P P P a a a a a g g g g g e 4.

e 4.

Check here if you do not want forms sent to you next year. Checking this box does not relieve you of your responsibility to file ...

If you are required to file Form CT-2210 and checked any boxes on Part 1 of that form, check here ................................................

Filing

NOTE: Generally, your filing status must be the same as your federal income tax filing status for this year (See instructions, Page 14) .

Status

Single

Married filing SEPARATELY. Enter spouse’s SSN above and full

name here: _____________________________________________

Check only

Married filing jointly or

one box.

Qualifying widow(er) with dependent child

Head of household (with qualifying person)

1. Federal Adjusted Gross Income (From federal Form 1040, Line 35; Form 1040A, Line 21;

Form 1040EZ, Line 4; or federal Telefile Tax Record, Line

)

2. Additions to Federal Adjusted Gross Income (From Schedule 1 , Line 37)

Income

3. Add Line 1 and Line 2

4. Subtractions from Federal Adjusted Gross Income (From Schedule 1 , Line 47)

5. Connecticut Adjusted Gross Income (Subtract Line 4 from Line 3)

6. Income Tax: From Tax Tables or Tax Calculation Schedule (See instructions, Page 15)

7. Credit for income taxes paid to qualifying jurisdictions (From Schedule 2 , Line 56)

8. Subtract Line 7 from Line 6. (If Line 7 is greater than Line 6, enter “0.”)

9. Connecticut Alternative Minimum Tax (From Form CT-6251)

10. Add Line 8 and Line 9

11. Credit for property taxes paid on your primary residence and/or motor vehicle (You must complete

Tax

Schedule 3 , on back. Enter the amount from Line 64. See instructions, Page 15.)

12. Subtract Line 11 from Line 10 (If less than zero, enter “0.”)

13. Adjusted Net Connecticut Minimum Tax Credit (From Form CT-8801)

14. Connecticut Income Tax (Subtract Line 13 from Line 12. If less than zero, enter “0.”)

15. Individual Use Tax (Complete the Individual Use Tax Worksheet, Page 29.)

16. Total Tax (Add Line 14 and Line 15)

Payments

17. Connecticut tax withheld (Attach all W-2s and certain 1099s. See instructions, Page 15. )

Failure to

18. All 2002 estimated tax payments and any overpayments applied from a prior year

attach W-2s

will result

19. Payments made with Form CT-1040 EXT (Request for extension of time to file)

in the

20. Total Payments (Add Lines 17, 18, and 19)

disallowance

of withholding.

21. If Line 20 is greater than Line 16, enter amount overpaid. (Subtract Line 16 from Line 20)

Refund

22. Amount of Line 21 you want applied to your 2003 estimated tax

23. Amount of Line 21 you want to contribute to charity (From Schedule 4 , Line 65)

Total Contributions

REFUND

24. Amount of Line 21 you want refunded to you. (Subtract Lines 22 and 23 from Line 21)

For faster refund, choose Direct Deposit and complete Lines 24a, 24b, and 24c.

24a.

Type of Account:

Checking

Savings

24b.

24c.

Routing Number

Account Number

25. If Line 16 is greater than Line 20, enter the amount of tax you owe. (Subtract Line 20 from Line 16)

Amount

26. If Late: Enter Penalty (Multiply Line 25 by 10% (.10))

You Owe

27. If Late: Enter Interest (Multiply Line 25 by number of months late or fraction thereof, then by 1% (.01))

28. Interest on underpayment of estimated tax (From Form CT-2210. See instructions, Page 17. )

29. Amount you owe with this return (Add Lines 25 through 28)

(See instructions, Page 17)

Check if paying by credit card

AMOUNT YOU OWE

Use envelope provided, with correct mailing label, or mail to:

Make your check or money order payable to:

“Commissioner of Revenue Services”

For all tax forms with payment:

For refunds and all other tax forms without payment:

To ensure proper posting, write your

Department of Revenue Services

SSN(s) and “2002 Form CT-1040” on your

PO Box 2977

PO Box 2976

check or money order.

Hartford CT 06104-2976

Hartford CT 06104-2977

Taxpayers must sign declaration on reverse — Due date: April 15, 2003 — Attach a copy of all applicable schedules and forms to this return.

Form Ct-1040 - Connecticut Resident Income Tax Return - 2002

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