Form Ct-945 - Connecticut Annual Reconciliation Of Withholding For Nonpayroll Amounts - 2012

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Department of Revenue Services
2012
Form CT-945
PO Box 2931
Connecticut Annual Reconciliation of Withholding
Hartford CT 06104-2931
for Nonpayroll Amounts
CT-945 (Rev. 12/11)
Complete this return in blue or black ink only.
General Instructions
not required to be withheld, or federal Form 945 is not required to be fi led.
See Informational Publication 2012(8), Connecticut Tax Guide for Payers
Form CT-945 may be used by new payers of nonpayroll amounts who
of Nonpayroll Amounts.
have not received their 2012 Connecticut Payer of Nonpayroll Amoutns
Withholding Returns and Instructions. Form CT-945 is used to reconcile
See instructions on back. Sign and date the return in the space provided. If
annual Connecticut income tax withholding from nonpayroll amounts only.
payment is due, remit payment with this return.
Payers of nonpayroll amounts who are registered for Connecticut income tax
Payers of wage amounts must use Form CT-941, Connecticut Quarterly
withholding are required to fi le Form CT-945 even if no tax is due, tax was
Reconciliation of Withholding.
Name
Connecticut Tax Registration Number
Taxpayer
Number and street
PO Box
Federal Employer ID Number (FEIN)
Please
type
City or town
State
ZIP code
Calendar year ending
or print.
Due date
If you no longer make payments of nonpayroll
/
/
January 31, 2013
amounts, enter date of last payment:
M M
D D
Y Y Y Y
Section 1
1. Gross nonpayroll amounts .....................................................................................................
1
00
2. Gross Connecticut nonpayroll amounts .................................................................................
2
00
3. Connecticut tax withheld ....................................................................................................
3
00
4. Credit from prior year ............................................................................................................
4
00
5. Payments made for this year .................................................................................................
5
00
6. Total payments: Add Line 4 and Line 5. ................................................................................
6
00
7. Net tax due (or credit): Subtract Line 6 from Line 3. .............................................................
7
00
8a. Penalty: .........................................................................
8a
00
8b. Interest: .........................................................................
8b
00
8 Total penalty and interest: Add Line 8a and Line 8b. ...............................................................
8
00
9. Amount to be credited ...........................................................................................................
9
00
10. Amount to be refunded .........................................................................................................
10
00
For faster refund, use Direct Deposit by completing Lines 10a, 10b, and 10c.
10a. Checking
Savings
10b. Routing number
10c. Account number
10d. Will this refund go to a bank account outside the U.S.?
Yes
11
11. Total amount due: Add Line 7 and Line 8. ..........................................................................
00
Section 2 - Summary of Connecticut Tax Liability
- Enter tax liability not deposits:: See instructions on back.
January
February
March
April
May
June
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
6
6
6
6
6
6
July
August
September
October
November
December
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
6
6
6
6
6
6
00
7 Total liability for the year
I declare under penalty of law that I have examined this return (including any accompanying schedules and statements) and, to the best of my knowledge
and belief, it is true, complete, and correct.
Signature
Date
Title
Telephone number
(
)

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