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Department of Revenue Services

PO Box 2931

2007

Form CT-8109 (DRS)

Hartford, CT 06104-2931

Connecticut Withholding Tax Payment Form for Nonpayroll Amounts

(Rev 12/06)

Form CT-8109 (DRS), Connecticut Withholding Tax Payment Form

Each calendar year DRS classifies payers for Connecticut income

for Nonpayroll Amounts, is an interim coupon to be used by new

tax withholding purposes either as a weekly, monthly, or quarterly

payers or payers who have not received the 2007 Withholding

remitter. Most new payers will be classified as monthly remitters.

Remittance Coupon Book for Payers of Nonpayroll Amounts. Once

The filing frequency is based on the payer’s reported liability for the

the withholding book is received, use only the preprinted coupons

tax required to be deducted and withheld during the

in the book.

look-back calendar year. The look-back calendar year for calendar

year 2007 is calendar year 2005. See Special Notice 2004(10),

2004 Legislation Affecting Connecticut Income Tax Withholding by

Payers From Nonpayroll Amounts Paid on or After January 1, 2005,

and the schedule on the back of this return.

PAYER’S RECORD OF PAYMENT

Weekly Remitters Only: Enter date nonpayroll amount was paid.

_ _ /_ _ / 200 7

All payers of nonpayroll amounts that are subject to Connecticut

1. Enter Quarter (1, 2, 3, or 4)

income tax withholding are required to withhold Connecticut income

tax at the time payments of nonpayroll amounts are made. Use Form

(See Instructions.)

CT-8109 (DRS), to make your payments to the Department of Revenue

Services (DRS). (See back of return for nonpayroll amounts subject

2. Connecticut Tax Withheld

to withholding.)

Do not file Form CT-8109 (DRS) if no payment is due.

Instructions

Connecticut Tax Registration Number and the calendar quarter during

Complete the return in blue or black ink only. In the appropriate box,

which the payment was made to payees on your check or use the

enter name, address, and identification numbers. For weekly

Taxpayer Service Center (TSC).

remitters only, enter the date the nonpayroll amount was paid, not

During 2007, Connecticut taxpayers will be able to Fast-File through

the due date of the coupon. Line 1: Enter the number of the quarter

the new, electronic Taxpayer Service Center (TSC). The TSC is an

during which this payment was made to payees. Enter 1 for the 1st

interactive tool that, like Fast-File, can be accessed through our

quarter (January 1 through March 31); 2 for the 2nd quarter (April 1

Web site at for a free, fast, easy, and secure way

through June 30); 3 for the 3rd quarter (July 1 through September

to conduct business with DRS.

30); or 4 for the 4th quarter (October 1 through December 31).

Some of the enhanced features of the TSC will include the ability to

Note: If the tax liability was incurred during one quarter and paid to DRS

view current balances, make scheduled payments and amend certain

in another quarter, enter the number for the quarter in which the tax

business tax returns. The self-service aspect of the TSC enables

liability was incurred. For example, if the tax liability was incurred in

taxpayers to easily get answers to the most frequently asked questions

March and paid to DRS in April, enter 1 on Form CT-8109 (DRS), Line 1.

in addition to exchanging confidential

Line 2:

information through a “secure” mailbox.

Weekly remitters: Enter the total amount of Connecticut income tax

Many other new features for the TSC are

withheld from nonpayroll amounts paid on the date entered above Form

planned and taxpayers are encouraged to

CT-8109 (DRS), Line 1.

visit our Web site often.

Monthly or Quarterly remitters: Enter the total amount of Connecticut

Please visit the DRS Web site at

income tax withheld from nonpayroll amounts for the month or quarter.

for more information about the TSC or other tax

inquiries. For telephone assistance, call our Taxpayer Services Division

Pay the total amount shown on Line 2.

at 1-800-382-9463 (Connecticut calls outside the Greater Hartford

Make your check payable to: Commissioner of Revenue Services. DRS

calling area only) or 860-297-5962 (from anywhere). TTY, TDD, and Text

may submit your check to your bank electronically. Write your

Telephone users only may transmit inquiries by calling 860-297-4911.

Separate Here and Mail Coupon to DRS. Keep the Top Portion for Your Records.

2007

CT-8109 (DRS)

Connecticut Withholding Tax Payment Form for Nonpayroll Amounts

Connecticut Tax Registration Number

Federal Employer ID Number

Year

2007

Weekly Remitters Only: Enter date nonpayroll amount was paid.

Enter name and address below. Please print or type.

_ _ /_ _ / 200 7

1. Enter Quarter (1, 2, 3, or 4)

(See Instructions.)

2. Connecticut Tax Withheld

Do not file this Form CT-8109 (DRS) if no payment is due.

Pay total amount shown on Line 2.

If filing by mail, send payment to:

DRS, PO Box 2931, Hartford CT 06104-2931

Make check payable to: Commissioner of Revenue Services.

Write your Connecticut Tax Registration Number on your check.

DO NOT FOLD OR BEND COUPON

Electronic Filing: Connecticut TSC ( )

Form Ct-8109 (Drs) - Connecticut Withholding Tax Payment Form For Nonpayroll Amounts

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