Form Ct-941 (Drs) - Connecticut Quarterly Reconciliation Of Withholding - 2011


Department of Revenue Services
Form CT-941 (DRS)
PO Box 2931
Hartford, CT 06104-2931
Connecticut Quarterly Reconciliation of Withholding
(Rev. 12/10)
General Instructions
Employers who are registered for Connecticut income tax
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 2011 Connecticut Employer Wage
due or if no tax was required to be withheld.
Withholding Returns and Instructions. Form CT-941 (DRS) is used
Household employers who are registered to withhold Connecticut
to reconcile quarterly Connecticut income tax withholding from
income tax from wages of their household employees should not fi le
wages only.
Form CT-941 for each calendar quarter, but instead must fi le one
Payers of nonpayroll amounts must use Form CT-945 (DRS),
Form CT-941 HHE, Connecticut Annual Reconciliation of Withholding
Connecticut Annual Reconciliation of Withholding for Nonpayroll
for Household Employers, for the entire calendar year. The due date
is April 15, 2012. Special rules apply for household employers. See
Informational Publication 2011(1), Connecticut Employer’s Tax
Complete all requested information on the front and back of this
Guide, Circular CT.
return. See instructions on back. Sign and date the return in the
space provided. If payment is due, remit payment with this return.
Seasonal and annual fi lers, including agricultural employers,
may request permission from DRS to fi le Form CT-941 (DRS) for
Amended returns: Use Form CT-941X, Amended Connecticut
only the calendar quarters in which they pay Connecticut wages.
Reconciliation of Withholding, to amend Form CT-941 (DRS).
Certain agricultural employers may request permission to fi le one
Rounding off to whole dollars: You must round off cents to the
Form CT-941 (DRS) for the entire calendar year. See IP 2011(1).
nearest whole dollar on your returns and schedules. If you do not
Where to File
round, the Department of Revenue Services (DRS) will disregard
Weekly and monthly remitters are required to file and pay
the cents.
electronically if notifi ed by DRS. Quarterly remitters may fi le paper
Round down to the next lowest dollar all amounts that include
returns. See IP 2011(1).
1 through 49 cents. Round up to the next highest dollar all amounts
Use the Taxpayer Service Center (TSC) to
that include 50 through 99 cents. However, if you need to add two
electronically fi le this return. See TSC on back.
or more amounts to compute the amount to enter on a line, include
cents and round off only the total.
If fi ling by mail, make check payable to Commissioner of Revenue
Services. Write your Connecticut Tax Registration Number and
Example: Add two amounts ($1.29 + $3.21) to compute the total
the calendar quarter to which the payment applies on your check.
($4.50) to enter on a line. $4.50 is rounded to $5.00 and entered
DRS may submit your check to your bank electronically. Mail the
on the line.
completed return and payment, if applicable, to the address on the
When to File
return below.
Due dates: First quarter, April 30, 2011; second quarter,
July 31, 2011; third quarter, October 31, 2011; and fourth quarter,
January 31, 2012. An employer who makes timely withholding
payments and owes no additional withholding for the quarter has
ten days after the normal due date to fi le Form CT-941. If the due
date falls on a Saturday, Sunday, or legal holiday, the next business
day is the due date.
Separate here and mail return 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
 1
Enter name and address below. Please print or type.
1. Gross wages
 2
2. Gross Connecticut wages
 3
3. Connecticut tax withheld
 4
4. Credit from prior quarter
 5
5. Payments made for this quarter
 6
ZIP code
6. Total payments: Add Line 4 and Line 5.
7. Net tax due (or credit): Subtract Line 6 from Line 3.  7
8a. Penalty:
+ 8b. Interest:
= 8
Check here  if you no longer have employees in Connecticut
 9
9. Amount to be credited
and enter date of last payroll: 
 10
10. Amount to be refunded
 11
Mail to: Department of Revenue Services
11. Total amount due: Add Line 7 and Line 8.
PO Box 2931
Use Form CT-941X to amend this return.
Hartford CT 06104-2931
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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