Form Ct-1096 (Drs) - Connecticut Annual Summary And Transmittal Of Information Returns - 2007

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Department of Revenue Services
2007
PO Box 5081
Form CT-1096 (DRS)
Hartford, CT 06102-5081
(Rev. 01/08)
Connecticut Annual Summary and Transmittal of Information Returns
New Electronic Filing Requirements - Read instructions on back before completing this form.
General Instructions
Line Instructions
Please read instructions before completing this return.
Line 1: Enter the total amount of income tax withheld from
Connecticut nonpayroll amounts subject to Connecticut income
Complete the return in blue or black ink only.
tax withholding during the calendar year. (This should equal the
Form CT-1096 (DRS), Connecticut Annual Summary and
Total line on the back of this return.) Nonpayroll amounts subject
Transmittal of Information Returns, may be used by new payers
to Connecticut income tax withholding are the amounts required
or payers who have not received the Withholding Remittance
to be reported on Line 2.
Coupon Book for Payers of Nonpayroll Amounts for 2007.
Line 2: Enter the total amount of:
Annual Summary
• Connecticut Lottery winnings paid to resident and nonresident
If filing electronically, Form CT-1096 is due the last day of March,
individuals, as reported on federal Form W-2G, whether or not
2008 and will be completed as part of the electronic filing process.
Connecticut income tax was withheld;
Do not mail in Form CT-1096 if you are filing electronically. If filing
• Other gambling winnings paid to resident individuals, as
by paper, Form CT-1096 is due the last day of February, 2008.
reported on federal Form W-2G, whether or not Connecticut
No payment is to be made with this return. If the due date falls on
income tax was withheld;
a Saturday, Sunday, or legal holiday, the next business day is the
• Property taxes paid to a Connecticut municipality on real estate,
due date. See back page for Who Must File Form CT-1096.
as reported on federal Form 1098, box 4;
Rounding Off to Whole Dollars
• Miscellaneous payments made to resident individuals, or,
You must round off cents to the nearest whole dollar on your
where the payments relate to services performed wholly or
returns and schedules. Round down to the next lowest dollar all
partly within Connecticut, to nonresident individuals, as
amounts that include 1 through 49 cents. Round up to the next
reported on federal Form 1099-MISC, whether or not
highest dollar all amounts that include 50 through 99 cents.
Connecticut income tax was withheld; and
However, if you need to add two or more amounts to compute the
• Distributions from pensions, annuities, retirement, or
amount to enter on a line, include cents and round off only the
profit-sharing plans, as reported on federal Form 1099-R, but
total. If you do not round, DRS will disregard the cents.
only if Connecticut income tax was withheld.
Example: Add two amounts ($1.29 + $3.21) to compute the total
Group the forms by form number and send each group with a
($4.50) to enter on a line. $4.50 is rounded to $5.00 and entered
separate Form CT-1096.
on the line.
Line 3: Indicate the number of 1098, 1099-MISC, 1099-R, and
Where to File
W-2G forms submitted with this return. Be sure to complete all
required information on the back of this return.
If filing by paper, mail your completed return to:
Department of Revenue Services
PO Box 5081
Hartford CT 06102-5081
Separate Here and Mail Coupon to DRS. Make a Copy for Your Records.
2007
CT-1096 (DRS)
Connecticut Annual Summary and Transmittal of Information Returns
Connecticut Tax Registration Number
Federal Employer ID Number
Calendar Year Ending
Due Date
February 29, 2008
Enter name and address below. Please print or type.
1. Connecticut income tax withheld from
Name
00
Connecticut nonpayroll amounts
1.
2. Total nonpayroll amounts reported with
Form CT-1096
2.
00
Address
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
3. Number of 1098s, 1099-MISC, 1099-R,
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
or W-2Gs submitted
3.
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
1 2 3 4 5 6 7 8 9 0 1 2 3 4
City
State
ZIP Code
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 DRS is a fine of not more than $5,000, or
Note: Do not send a payment with this return.
imprisonment for not more than five years, or both.
Mail to:
Department of Revenue Services
Signature ______________________________________________________________
PO Box 5081
Hartford CT 06102-5081
Title _____________________________________ Date _________________

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