Form Ct-941 (Drs) - Connecticut Quarterly Reconciliation Of Withholding - 2010


Department of Revenue Services
Form CT-941 (DRS)
PO Box 2931
Hartford, CT 06104-2931
Connecticut Quarterly Reconciliation of Withholding
(Rev. 12/09)
Employers who are registered for Connecticut income tax
General Instructions
withholding (other than household employers, agricultural employers
Complete this return in blue or black ink only.
granted annual fi ler status, and seasonal fi lers) are required to fi le
Form CT-941 (DRS) may be used by new employers or employers
Form CT-941 (DRS) for each calendar quarter even if no tax is
who have not received their 2010 Employer’s Withholding
due or if no tax was required to be withheld.
Remittance Coupon Book. Form CT-941 (DRS) is used to reconcile
Household employers registered to withhold Connecticut
quarterly Connecticut income tax withholding from wages only.
income tax from their household employee wages must fi le one
Payers of nonpayroll amounts must use Form CT-945 (DRS),
Form CT-941 (DRS/P), Connecticut Reconciliation of Withholding
Connecticut Annual Reconciliation of Withholding for Nonpayroll
for Household Employers, for the entire calendar year, which is due
April 15, 2011. See Informational Publication 2010(1), Connecticut
Amended returns: Use Form CT-941X, Amended Connecticut
Employer’s Tax Guide, Circular CT.
Reconciliation of Withholding, to amend Form CT-941 (DRS).
Seasonal and annual fi lers (including agricultural employers)
Rounding Off to Whole Dollars: You must round off cents to the
may request permission from DRS to fi le Form CT-941 (DRS) for
nearest whole dollar on your returns and schedules. If you do not
only the calendar quarters in which they pay Connecticut wages.
round, the Department of Revenue Services (DRS) will disregard
Certain agricultural employers may request permission to fi le one
the cents.
Form CT-941 (DRS) for the entire calendar year. See IP 2010(1).
Round down to the next lowest dollar all amounts that include
Coupon Instructions
1 through 49 cents. Round up to the next highest dollar all amounts
Complete all requested information on the front and back of this
that include 50 through 99 cents. However, if you need to add two
return. See instructions on back. Sign and date the return in the
or more amounts to compute the amount to enter on a line, include
space provided. If payment is due, remit payment with this return.
cents and round off only the total.
Where to File
Example: Add two amounts ($1.29 + $3.21) to compute the total
Use the Taxpayer Service Center (TSC) to
($4.50) to enter on a line. $4.50 is rounded to $5.00 and entered
electronically fi le this return. See TSC on back.
on the line.
If fi ling by mail, make check payable to: Commissioner of Revenue
When to File
Services. Write your Connecticut Tax Registration Number and
First quarter, April 30, 2010; second quarter, July 31, 2010; third
the calendar quarter to which the payment applies on your check.
quarter, October 31, 2010; and fourth quarter, January 31, 2011. If
DRS may submit your check to your bank electronically. Mail the
your withholding payments for the quarter were made on time and
completed return and payment (if applicable) to the address on
paid in full, you may fi le the return on or before the tenth day of the
the coupon.
second calendar month following the end of the quarter. If the due
date falls on a Saturday, Sunday, or legal holiday, the next business
day is the due date.
Separate here and mail coupon to DRS. Make a copy for your records.
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
Enter name and address below. Please print or type.
1. Gross wages
2. Gross Connecticut wages
3. Connecticut tax withheld
4. Credit from prior quarter
5. Payments made for this quarter
ZIP code
6. Total payments: Add Line 4 and Line 5.
7. Net tax due (or credit): Subtract Line 6 from Line 3.
If you no longer have employees in Connecticut, enter date
8a. Penalty:
+ 8b. Interest:
= 8
of last payroll: __________________________________ .
9. Amount to be credited
10. Amount to be refunded
Mail to: Department of Revenue Services
11. Total amount due: Add Line 7 and Line 8.
PO Box 2931
Hartford CT 06104-2931
Use Form CT-941X to amend this return.
Signature ____________________________________________________________
I declare under penalty of law that I have examined this return
(including any accompanying schedules and statements) and,
Title _______________________________________ Date ____________________
to the best of my knowledge and belief, it is true, complete, and
Telephone number ______________________________________________________


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