Form Ct-1096 - Connecticut Annual Summary And Transmittal Of Information Returns - 2016 Page 2

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Line Instructions
need to add two or more amounts to compute the amount
to enter on a line, include cents and round off only the total.
Group the forms by form number and submit each group with
Example: Add two amounts ($1.29 + $3.21) to compute the
a separate Form CT-1096.
total ($4.50) to enter on a line. $4.50 is rounded to $5.00 and
Line 1: Enter Connecticut income tax withheld from
entered on the line.
Connecticut nonpayroll amounts during the calendar year.
This should equal the Total Line on the back of this return.
Amended Returns
Line 2: Enter total:
You must amend Form CT-1096 electronically if you
previously fi led 25 or more Forms 1099-MISC, 1099-R, or
• Connecticut Lottery winnings paid to resident and
W-2G; you must amend Form CT-1096 electronically even
nonresident individuals, as reported on federal Form
if you are correcting 24 or fewer Forms 1099-MISC, 1099-R,
W-2G, whether or not Connecticut income tax was
or W-2G. See IP 2016(12).
withheld;
If you previously filed 24 or fewer Forms 1099-MISC,
• Other gambling winnings paid to resident individuals,
1099-R, or W-2G electronically you are encouraged to amend
as reported on federal Form W-2G, whether or not
electronically but may fi le paper forms without requesting a
Connecticut income tax was withheld;
waiver.
• Miscellaneous payments reported on federal Form
If you previously fi led 24 or fewer paper Forms 1099-MISC,
1099-MISC to resident individuals or to nonresident
1099-R, or W-2G you may amend Form CT-1096 and submit
individuals if the payments relate to services performed
corrected Forms 1099-MISC, 1099-R, or W-2G using paper.
wholly or partly in Connecticut even if no Connecticut
To amend Form CT-1096 by paper submit a revised Form
income tax was withheld; and
CT-1096 clearly labeled “AMENDED.” The total Connecticut
• Distributions from pensions, annuities, retirement, or profi t-
tax withheld on Form CT-945 or Form CT-941X, Line 3,
sharing plans, as reported on federal Form 1099-R, but
must agree with the total reported on Form CT-1096, Line 1.
only if Connecticut income tax was withheld.
The gross Connecticut nonpayroll amounts reported on
Line 3: Enter the number of 1099-MISC, 1099-R, or W-2G
Form CT-945 or Form CT-941X, Line 2, must agree with
forms submitted with this return.
total nonpayroll amounts reported on Form CT-1096, Line 2.
Complete all required information on the front and back of
Forms and Publications
this return. Sign and date the return in the space provided.
Visit the DRS website at to download and
Rounding Off to Whole Dollars
print Connecticut tax forms and publications.
You must round off cents to the nearest whole dollar on your
Taxpayer Service Center (TSC)
returns and schedules. If you do not round, the Department
The TSC allows taxpayers to electronically
of Revenue Services (DRS) will disregard the cents.
fi le, pay, and manage state tax responsibilities. To make
Round down to the next lowest dollar all amounts that include
electronic transactions or administer your tax account
1 through 49 cents. Round up to the next highest dollar all
online, visit and select Business.
amounts that include 50 through 99 cents. However, if you
Form CT-1096
Connecticut tax
Page 2 of 2
registration number
(Rev. 10/16)
1096 1016W 02 9999
Connecticut Income Tax Withheld from Nonpayroll Amounts for Each Period
January 1 - March 31
1st Quarter .......................................................
April 1 - June 30
2nd Quarter ......................................................
July 1 - September 30
3rd Quarter .......................................................
October 1 - December 31
4th Quarter .......................................................
.00
Total Connecticut tax withheld from nonpayroll amounts for the year .............................
This amount should equal Line 1 on the front of this return.

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