Form Ct-Wh (Drs/n) - Connecticut Withholding Tax Payment Form - 2005
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1State of Connecticut
2005
Department of Revenue Services
Form CT-WH (DRS/N)
(Rev. 12/04)
Connecticut Withholding Tax Payment Form
Purpose: The attached Form CT-WH (DRS/N), Connecticut
only until receipt of the 2005 Employer’s Withholding Remittance
Withholding Tax Payment Form, may be used by new employers or
Coupon Book. Once the book is received, only the preprinted
employers who have not received the 2005 Employer’s Withholding
coupons contained in the book should be used.
Remittance Coupon Book. This is an interim coupon to be used
EMPLOYER’S RECORD OF PAYMENT
_ _ /_ _ / 200_
Date Payroll was Paid:
1. Enter Quarter (1, 2, 3, or 4)
(See Instructions)
2. Connecticut Tax Withheld
All employers are required to withhold Connecticut income tax from
reported liability for the tax required to be deducted and withheld during
employee wages at the time wages are paid. Use Form CT-WH
the twelve-month look-back period. The twelve-month look-back period
for calendar year 2005 is the twelve-month period that ended on June 30,
(DRS/N) to make your payments to the Connecticut Department of
2004. See Special Notice 2004(9), 2004 Legislation Affecting Connecticut
Revenue Services (DRS).
Income Tax Withholding by Employers on Wages Paid on or After
Recent legislation established new due dates for the payment of
January 1, 2005. (See schedule on the back of this return)
Connecticut withholding tax on wages to DRS. DRS will notify most
Due dates for payment of Connecticut withholding tax on wages
employers of their new filing frequency before they receive the 2005
Employer’s Withholding Remittance Coupon Book. Most new
are no longer the same as the due dates for the employer’s
employers will be classified as monthly filers.
deposit of federal income tax withholding. Special rules apply for
household employers. See Informational Publication 2005(7)
For the tax required to be deducted and withheld from wages paid during
Connecticut Circular CT, Employers Tax Guide.
any calendar year beginning on or after January 1, 2005, each employer
Do not file Form CT-WH (DRS/N) if no payment is due or if your payment
shall be either a weekly remitter, monthly remitter, or quarterly remitter for
was made by electronic funds transfer (EFT) or Fast-File
the calendar year. The filing frequency is based on the employer’s
Payers of nonpayroll amounts must use Form CT- 8109, Connecticut Withholding Tax Payment Form for Nonpayroll Amounts.
Instructions for Completing Form CT-WH (DRS/N)
In the appropriate boxes, enter name, address, and identification
Monthly remitters: Enter the total amount of Connecticut income
numbers. For weekly remitters only, enter the date the payroll was
tax withheld from wages for the month.
paid, not the due date of the coupon.
Quarterly remitters: Quarterly remitters are required to make their
payments using Form CT-941.
Line 1:
Enter the number of the quarter to which this payment applies.
Pay the total amount shown on Line 2. Make your check payable to
Enter 1 for the 1st quarter (January 1 through March 31); 2 for the
Commissioner Of Revenue Services. Write your Connecticut Tax
2nd quarter (April 1 through June 30); 3 for the 3rd quarter (July 1
Registration Number, and the calendar quarter to which the payment
through September 30); or 4 for the 4th quarter (October 1 through
applies, on your check. Mail the completed coupon to the address
December 31).
on the coupon or use the Fast-File Program to file and make your
payment (see below).
Note: If the tax liability was incurred during one quarter and paid to
DRS in another quarter, enter the number for the quarter in which
Electronic Filing Options:
the tax liability was incurred. For example, if the tax liability was
File by telephone: 860-947-1988
incurred in March and paid to DRS in April, enter 1.
File by internet: Connecticut Fast-File
Line 2:
Visit the DRS Web site at
Weekly remitters: Enter the total amount of Connecticut income
and click on File/Register OnLine, or call the
tax withheld from wages paid on the date entered above Line 1 of
DRS Forms Unit at 860-297-4753 and
Form CT-WH (DRS/N).
request TPG-129, Fast-File in Five.
SEPARATE HERE AND MAIL COUPON TO DEPARTMENT OF REVENUE SERVICES. KEEP THE TOP PORTION FOR YOUR RECORDS.
CT-WH (DRS/N)
Connecticut Withholding Tax Payment
2005
Connecticut Tax Registration Number
Federal Employer ID Number
Year
2005
ENTER NAME AND ADDRESS BELOW. PLEASE PRINT OR TYPE.
_ _ /_ _ / 200 _
Date Payroll was Paid:
1. Enter Quarter (1, 2, 3, or 4)
(See Instructions)
2. Connecticut Tax Withheld
Do not file this Form CT-WH (DRS/N) 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 Connecticut Tax Registration Number on your check.
Electronic Filing Options:
DO NOT FOLD OR BEND COUPON
Connecticut Fast-File ( ) or Telephone: 860-947-1988
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