Form Ct-1040x - Amended Connecticut Income Tax Return For Individuals - 2010 Page 3
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1
2
3Schedule 3 Property Tax Credit See instructions.
(Connecticut full year residents only)
Auto 2
Qualifying Property
Primary Residence
Auto 1
(fi ling jointly or
qualifying widow(er) only)
Name of Connecticut
Tax Town or District
Description of Property
If primary residence, enter street
address. If motor vehicle, enter year,
make, and model.
_ _ /_ _ / 2010
_ _ /_ _ / 2010
_ _ /_ _ / 2010
Date(s) Paid
_ _ /_ _ / 2010
_ _ /_ _ / 2010
_ _ /_ _ / 2010
00
00
00
Amount Paid
60.
61.
62.
00
63. Total property tax paid: Add Lines 60, 61, and 62.
63.
00
64. Maximum property tax credit allowed
64.
500
00
65. Enter the lesser of Line 63 or Line 64.
65.
66. Enter the decimal amount for your fi ling status and Connecticut AGI from the 2010 Property Tax Credit Table.
.
If zero, enter the amount from Line 65 on Line 68.
66.
00
67. Multiply Line 65 by Line 66.
67.
68. Subtract Line 67 from Line 65. Enter here and on Line 15, Column C.
00
Attach Schedule 3 to your return or your credit will be disallowed.
68.
Schedule 4 Individual Use Tax Do You Owe Use Tax?
Complete this worksheet to calculate your Connecticut individual use tax liability.
Column A
Column B
Column C
Column D
Column E
Column F
Column G
Balance due
Tax, if any,
Date of
Description of
Retailer or
Purchase
CT tax due
(Column E minus
paid to
purchase
goods or services
service provider
price
(.06 X Column D)
Column F but not
another
less than zero)
jurisdiction
Total of individual purchases under $300 not listed above
.
,
00
69. Individual Use Tax: Add all amounts for Column G. Enter here and on Line 19, Column C.
69.
Withholding schedule: Only enter information from your Schedule CT K-1, W-2, and 1099 forms if Connecticut income tax was withheld.
Check if from
Column A: Employer Federal ID Number
Column B: CT Wages, Tips, etc.
Column C: CT Income Tax Withheld
Schedule CT K-1
00
00
7 0a.
-
00
00
7 0b.
-
00
00
7 0c.
-
00
00
7 0d.
-
00
00
7 0e.
-
00
00
70f.
-
00
00
7 0g.
-
00
7 0h. Enter additional Connecticut withholding from Supplemental Schedule CT-1040WH, Line 3.
00
70. Total Connecticut income tax withheld: Enter here and on Line 21, Column C.
CT-1040X (Rev. 12/10)
Page 3 of 7
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