Worksheet Ct-1040aw - 2000
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STATE OF CONNECTICUT
WORKSHEET CT-1040AW
DEPARTMENT OF REVENUE SERVICES
PART 1 - Part-Year Resident Income Allocation Worksheet
Part-year residents must complete this worksheet before completing Schedule CT-SI
Federal Income
Connecticut
Connecticut
as Modified
Nonresident Period
Adjusted Gross Income
Resident Period
(See instructions,
Page 30)
Married persons filing separate Connecticut
COLUMN A
COLUMN B
COLUMN C
COLUMN D
income tax returns should
Income from Column A
Income from
Income from Column A
Income from Column C
complete separate worksheets.
federal return
for this period
for this period
from Connecticut sources
1
1. Wages, salaries, tips, etc. .......................................
2
2. Taxable interest ........................................................
3
3. Ordinary dividends ...................................................
4
4. Alimony received .....................................................
5
5. Business income or (loss) ......................................
6
6. Capital gain or (loss) ................................................
7
7. Other gains or (losses) ...........................................
8
8. Taxable amount of IRA distributions .......................
9
9. Taxable amount of pensions and annuities ............
10. Rental real estate, royalties, partnerships,
S corporations, trusts, etc. ..................................... 10
11. Farm income or (loss) .............................................. 11
12. Unemployment compensation ................................. 12
13. Taxable amount of social security benefits ........... 13
14. Other income (including lump-sum distributions) ... 14
15. Add Lines 1 through 14 ........................................... 15
ADJUSTMENTS TO INCOME
16. IRA deduction ........................................................... 16
17. Student loan interest deduction .............................. 17
18. Medical savings account deduction ....................... 18
19. Moving expenses ..................................................... 19
20. One-half of self-employment tax ............................ 20
21. Self-employed health insurance deduction ............ 21
22. Self-employed SEP, SIMPLE, and qualified plans ... 22
23. Penalty on early withdrawal of savings ................ 23
24. Alimony paid ............................................................. 24
25. Total adjustments (Add Lines 16 through 24) ........ 25
26. Subtract Line 25 from Line 15 ................................. 26
Add Columns B and D for each line and enter the totals on Lines 1 through 26 on Schedule CT-SI.
PART 2 - Employee Apportionment Worksheet
(See instructions, Page 30)
Do not use this worksheet if you know the exact amount of your Connecticut source income. Use this worksheet only when the
income from employment is earned both inside and outside Connecticut and the exact amount of Connecticut income is not
known.
A. Working days (or other basis) outside Connecticut ................................................ A
B. Working days (or other basis) inside Connecticut .................................................. B
C. Total working days (Add Line A and Line B) ........................................................... C
D. Nonworking days (holidays, weekends, etc.) ........................................................ D
.
E
E. Connecticut ratio (Divide Line B by Line C. Round to four decimal places.) ......
F
F. Total income being apportioned ................................................................................
G. Connecticut income (Multiply Line E by Line F)
Enter here and on Schedule CT-SI, Line 1 ............................................................... G
Basis, if other than working days: _______________________
ATTACH THIS WORKSHEET TO FORM CT-1040NR/PY
CT-1040AW (Rev. 12/00)
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