Form Ct-W3 (Drs) - Connecticut Annual Reconciliation Of Withholding - 2011
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1
2Department of Revenue Services
2011
Form CT-W3 (DRS)
State of Connecticut
PO Box 2930
Connecticut Annual Reconciliation of Withholding
Hartford CT 06104-2930
(Rev. 01/11)
Electronic Filing Requirements - Read instructions on back before completing this form.
General Instructions
Line Instructions
Complete this return in blue or black ink only.
Line 1
Enter total Connecticut income tax withheld from wages during
Form CT-W3 (DRS) may be used by new employers or employers
the 2011 calendar year. This should equal the Total line on the
who have not received their 2011 Connecticut Employer Wage
back of this return.
Withholding Returns and Instructions. Do not make a payment
with this return.
Line 2
When to File
Enter total Connecticut wages reported during the 2011 calendar
year. Connecticut wages are all wages paid to employees who
If fi ling electronically, Form CT-W3 (DRS) is due the last day of
are residents of Connecticut, even if those wages are paid for work
March 2012 and will be completed as part of the electronic fi ling
performed outside Connecticut by those resident employees, and
process when you upload Copy 1 of federal Forms W-2. If fi ling
wages paid to employees who are nonresidents of Connecticut if
electronically, do not mail in Form CT-W3 (DRS). If fi ling by paper,
those wages are paid for work performed in Connecticut by those
Form CT-W3 (DRS) is due the last day of February 2012.
nonresident employees.
If the due date falls on a Saturday, Sunday, or legal holiday, the
Line 3
next business day is the due date.
Enter the number of W-2 forms submitted with this return.
Employers must file every Copy 1 of federal Form W-2 with
Reminders
Form CT-W3 (DRS) even if Connecticut income tax was not
Complete all requested information on the front and back of this
withheld.
return.
Where to File
Do not send a payment with this return. Payments are made
Use the Taxpayer Service Center (TSC) to
using electronic funds transfer (EFT); Form CT-941 (DRS),
electronically fi le this return. See TSC on back.
Connecticut Quarterly Reconciliation of Withholding; and Form
If fi ling by paper, mail completed return including Forms W-2 to the
CT-941X, Amended Connecticut Reconciliation of Withholding.
address on the return below.
Sign and date the return in the space provided.
Rounding Off to Whole Dollars
Household and agricultural employers see back page.
You must round off cents to the nearest whole dollar on your returns
and schedules. If you do not round, the Department of Revenue
Services (DRS) will disregard the cents. Round down to the next
lowest dollar all amounts that include 1 through 49 cents. Round
up to the next highest dollar all amounts that include 50 through
99 cents.
Separate here and mail return to DRS. Make a copy for your records.
2011
CT-W3 (DRS)
Connecticut Annual Reconciliation of Withholding
Connecticut Tax Registration Number
Federal Employer ID Number
Due date
February 29, 2012
Enter name and address below. Please print or type.
1. Connecticut tax withheld from wages
1.
00
Name
Address
2. Total Connecticut wages reported
2.
00
City
State
ZIP code
3.
Number of W-2s submitted
3.
Do not send payment with this return.
Mail to:
Department of Revenue Services
Check if you are a household employer and you
PO Box 2930
withhold Connecticut income tax from the wages of
Hartford CT 06104-2930
household employees.
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,
Check if you are a household employer and you do
and correct. I understand the penalty for willfully delivering a false return or document to DRS
not withhold Connecticut income tax from the wages
is a fi ne of not more than $5,000, or imprisonment for not more than fi ve years, or both.
of household employees.
Signature __________________________________________________________
Title ______________________________________ Date ___________________
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