Department of Revenue Services
2008
Form CT-941 (DRS)
PO Box 2931
Hartford, CT 06104-2931
Connecticut Quarterly Reconciliation of Withholding
(Rev. 07/08)
General Instructions
instead of filing Form CT-941 for each calendar quarter. See
Informational Publication 2008(1).
Complete the return in blue or black ink only.
Rounding Off to Whole Dollars: You must round off cents to the
Form CT-941 (DRS), Connecticut Quarterly Reconciliation of
nearest whole dollar on your returns and schedules. Round
Withholding, may be used by new employers who have not
down to the next lowest dollar all amounts that include 1 through
received the Employer’s Withholding Remittance Coupon Book
49 cents. Round up to the next highest dollar all amounts that
for calendar year 2008. Use Form CT-941 to reconcile your quarterly
include 50 through 99 cents. However, if you need to add two or
Connecticut income tax withholding payments from wages only.
more amounts to compute the amount to enter on a line, include
Payers of nonpayroll amounts must use Form CT-945, Connecticut
cents and round off only the total. If you do not round, DRS will
Annual Reconciliation of Withholding for Nonpayroll Amounts, to
disregard the cents.
reconcile Connecticut income tax withholding.
Example: Add two amounts ($1.29 + $3.21) to compute the total
All employers who are registered for Connecticut income tax
($4.50) to enter on a line. $4.50 is rounded to $5.00 and entered
withholding purposes (other than household employers,
on the line.
agricultural employers granted annual filer status, and seasonal
filers) are required to file Form CT-941 for each calendar quarter
Reminders:
as long as they have an active withholding account with the
See instructions on back.
Department of Revenue Services (DRS) even if no tax is due or
Be sure to complete all requested information on the back
if no tax was required to be withheld for that quarter.
of this return.
Due Dates: First quarter, April 30, 2008; second quarter, July 31, 2008;
Sign and date the return in the space provided.
third quarter, October 31, 2008; and fourth quarter, January 31, 2009.
If payment is due, remit payment with this return.
An employer who made timely deposits of Connecticut
withholding tax in full payment of such taxes due for the quarter
Make your check payable to: Commissioner of Revenue
may file the return on or before the tenth day of the second
Services.
calendar month following the end of the quarter. If the due date
DRS may submit your check to your bank electronically.
falls on a Saturday, Sunday, or legal holiday, the next business
Write your Connecticut Tax Registration Number and calendar
day is the due date.
quarter to which the payment applies on check.
Household employers who are registered to withhold
Connecticut income tax from wages of their household
Where to File: Visit the Taxpayer Service Center (TSC) at the
DRS website to electronically file this return.
employees are not to file Form CT-941 for each calendar quarter,
Mail your completed return and payment (if applicable) to:
but instead are required to file one Form CT-941 for the entire
Department of Revenue Services, PO Box 2931, Hartford CT
calendar year, the due date of which is April 15, 2009. Payment of
06104-2931.
the Connecticut income tax withheld from wages of household
employees during the entire calendar year is to accompany Form
Amended Return: To amend Form CT-941, use Form
CT-941. See Informational Publication 2008(1), Connecticut
CT-941X, Amended Connecticut Reconciliation of Withholding.
Circular CT, Employer’s Tax Guide.
Forms and Publications: Forms and publications may be
Seasonal filers may request permission from DRS to file Form
obtained by visiting the DRS website at or by
CT-941 only for the calendar quarters in which they pay Connecticut
calling the DRS Forms Unit at 860-297-4753.
wages to employees. Certain agricultural employers may request
permission to file one Form CT-941 for the entire calendar year
Separate Here and Mail Coupon to DRS. Make a Copy for Your Records.
2008
CT-941 (DRS)
Connecticut Quarterly Reconciliation of Withholding
Connecticut Tax Registration Number
Federal Employer ID Number
Enter Reporting Quarter (1, 2, 3, or 4) Due Date
READ INSTRUCTIONS BEFORE COMPLETING
Enter name and address below. Please print or type.
Name
00
1. Gross wages
1
00
2. Gross Connecticut wages
2
Address
00
3. Connecticut tax withheld
3
00
4. Credit from prior quarter
4
City
State
ZIP Code
00
5. Payments made for this quarter
5
00
6. Total payments: Add Line 4 and Line 5.
6
00
7. Net tax due (or credit): Line 3 minus Line 6.
7
Check if you no longer have employees in Connecticut and
00
8a. Penalty:
+ 8b. Interest:
= 8
enter date of last payroll: ________________________ .
00
9. Amount to be credited
9
00
10. Amount to be refunded
10
Mail to:
Department of Revenue Services
00
11. Total amount due : Add Line 7 and Line 8.
11
PO Box 2931
Hartford CT 06104-2931
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.
Signature _____________________________________________________________
Title _______________________________________ Date _____________________