Form Ct-1040ez - Connecticut Resident Ez Income Tax Return - 1998
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2STATE OF CONNECTICUT
DEPARTMENT OF REVENUE SERVICES
For the year January 1 - December 31, 1998, or other taxable year
beginning _____________, 1998,
ending _____________, 19____.
Your First Name and Middle Initial
Last Name
Social Security Number
Use the
If a JOINT Return, Spouse’s First Name and Middle Initial
Last Name
Spouse’s Social Security Number
DRS label
located on
the inside of
Home Address
Number and Street
this booklet.
Otherwise,
please print
City, Town or Post Office
State
ZIP Code
Your Telephone Number
or type.
(See
instructions)
(See instructions)
A. You have no modifications to Federal Adjusted Gross Income for Connecticut income tax purposes; or your only modification is a
federally taxable refund of state and local income taxes;
B. You were a resident of Connecticut for the entire taxable year:
C. You are not claiming credit for income taxes paid to another jurisdiction;
D. You do not have a federal alternative minimum tax liability, and you are not claiming an adjusted net Connecticut minimum tax credit.
Check here if you do not want forms sent to you next year. Checking this box does not relieve you
of your responsibility to file............................................................................................................
NOTE: Your filing status must be the same as your federal income tax filing status for this year. See instructions for details.
A.
Single
B.
Married filing joint return or Qualifying widow(er) with dependent child
Check only
C.
Married filing SEPARATE return __________________________________________
___________________________________________
one box.
Spouse’s full name
Spouse’s Social Security Number
D.
Head of household (with qualifying person)
1. Federal Adjusted Gross Income (from federal Form 1040, Line 33; Form 1040A, Line 18;
Form 1040EZ, Line 4; or TeleFile Tax Record, Line H)
1
2. Refunds of state and local income taxes (from federal Form 1040, Line 10; see instructions)
2
3. Connecticut Adjusted Gross Income (Subtract Line 2 from Line 1)
3
4. Income Tax: From Tax Tables or Tax Calculation Schedule (See instructions)
4
5. Credit for property taxes paid on your primary residence or motor vehicle, or both (from Schedule 2 EZ,
Line 26). To be allowed this credit, you must complete Schedule 2 EZ on reverse.
5
6. Connecticut Income Tax (Subtract Line 5 from Line 4. If less than zero, enter 0.)
6
7.
(from Schedule 1 EZ, Line 18 on reverse). You must enter a zero on this line
if no use tax is due, otherwise you will not be considered to have filed a use tax return. (See instructions)
7
8. Total Tax (Add Line 6 and Line 7)
8
9. Connecticut tax withheld (
; see instructions)
9
10. All 1998 estimated tax payments and any overpayments applied from a prior year
10
11. Payments made with extension request (Form CT-1040 EXT)
11
12. Total payments (Add Lines 9, 10 and 11)
12
13.
, enter amount overpaid. (Subtract Line 8 from Line 12)
13
14. Amount of Line 13 you want applied to your 1999 estimated tax
14
15. Amount of Line 13 you want to contribute to: (See instructions for details of funds)
AIDS Research
_____ $ 2
_____ $ 5
_____ $ 1 5
other ______ . 0 0
Organ Transplant
_____ $ 2
_____ $ 5
_____ $ 1 5
other ______ . 0 0
Endangered Species/Wildlife
_____ $ 2
_____ $ 5
_____ $ 1 5
other ______ . 0 0
Breast Cancer Research
_____ $ 2
_____ $ 5
_____ $ 1 5
other ______ . 0 0
Safety Net Services
_____ $ 2
_____ $ 5
_____ $ 1 5
other ______ . 0 0
00
15
16. Amount of Line 13 you want refunded to you
(Subtract Line 14 and Line 15 from Line 13)
16
17.
, enter the amount of tax you owe.
(Subtract Line 12 from Line 8. See instructions)
17
Make your check payable to: COMMISSIONER OF REVENUE SERVICES, and write your Social Security Number(s)
and “1998 Form CT-1040EZ” on your check.
Attach a copy of all applicable schedules and forms to this return.
Mail in the envelope provided to you (with the correct label affixed).
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