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Department of Revenue Services

Form CT-W3 HHE

2016

State of Connecticut

Connecticut Annual Reconciliation of

PO Box 2930

Hartford CT 06104-2930

Withholding for Household Employers

(Rev. 10/16)

General Instructions

If you ﬁ le 24 or fewer Forms W-2 reporting Connecticut

wages paid you are encouraged to ﬁ le electronically but may

Form CT-W3 HHE is used by household employers only.

ﬁ le paper forms without requesting a waiver.

Household employers registered with DRS file Form

Use the Taxpayer Service Center (TSC)

CT-W3 electronically. See Electronic Filing Requirement,

to electronically ﬁ le this return. Registered

below.

household employers can either key in or

Household employers not registered with DRS ﬁ le a paper

upload their Form CT-W3 and Forms W-2 electronically

Form CT-W3 with paper federal Forms W-2 reporting

through the TSC. The TSC does not have a separate form

Connecticut wages paid. Enter the words “HOUSEHOLD

designation for household employers. See Taxpayer Service

EMPLOYER” in the space reserved for the Connecticut Tax

Center (TSC), on back.

Registration Number on this return. Mail to the address on

Electronic reporting requirements are available on the DRS

the form.

website at and in Informational

Do not make a payment with this return.

Publication 2016(13), Form W-2 Electronic Filing

Requirements for Tax Year 2016.

All household employers, whether registered or unregistered,

must ﬁ le every Copy 1 of federal Form W-2 with Form CT-W3

Household employers not registered with DRS: No

HHE even if Connecticut income tax was not withheld.

electronic ﬁ ling option is available, ﬁ le by paper, see General

Instructions, on this page.

When to File

Rounding Off to Whole Dollars

Form CT-W3 HHE is due January 31, 2017.

You must round off cents to the nearest whole dollar on

If the due date falls on a Saturday, Sunday, or legal holiday,

your returns and schedules. If you do not round, DRS will

the return will be considered timely if filed by the next

disregard the cents.

business day.

Round down to the next lowest dollar all amounts that include

Electronic Filing Requirement

1 through 49 cents. Round up to the next highest dollar all

amounts that include 50 through 99 cents. However, if you

Household employers registered with DRS: If you file

need to add two or more amounts to compute the amount

25 or more Forms W-2 reporting Connecticut wages paid

to enter on a line, include cents and round off only the total.

you are required to ﬁ le electronically unless you have been

granted a waiver from electronic ﬁ ling of information returns.

Example: Add two amounts ($1.29 + $3.21) to compute the

See Electronic Filing Waiver of Information Returns, on back.

total ($4.50) to enter on a line. $4.50 is rounded to $5.00 and

entered on the line.

Complete this return in blue or black ink only.

Separate here and mail return to DRS. Make a copy for your records.

Do not mail this form if ﬁ ling electronically.

Form CT-W3 HHE

2016

Department of Revenue Services



PO Box 2930

Connecticut Annual Reconciliation of Withholding for Household Employers

Hartford CT 06104-2930

(Rev. 10/16)

Federal Employer ID Number

Due date

W3HHE 1016W 01 9999

January 31, 2017

Connecticut Tax Registration Number

1. Connecticut tax



.00

withheld from wages

Name

2. Total Connecticut



.00

wages reported

Address (number and street)

PO Box



3. Number of W-2s submitted

City, town, or post ofﬁ ce

State

ZIP code

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. I understand the penalty for willfully delivering a false return or document to DRS is a ﬁ ne

of not more than $5,000, or imprisonment for not more than ﬁ ve years, or both.

Are you a household employer who withheld

Signature

________________________________________________________________________

Connecticut income tax from the wages of



household employees?

Yes

Title

Date

_____________________________________________

_________________________

Form Ct-W3 Hhe - Connecticut Annual Reconciliation Of Withholding For Household Employers - 2016

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