Form Ct-W3 Draft - Connecticut Annual Reconciliation Of Withholding

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Department of Revenue Services
Form CT-W3
2017
State of Connecticut
Connecticut Annual Reconciliation of Withholding
PO Box 2930
Hartford CT 06104-2930
(Rev. 06/17)
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 fi le
File Form CT-W3 electronically. See Electronic Filing
paper forms without requesting a waiver.
Requirement, below.
Use the Taxpayer Service Center (TSC) to electronically
Do not make a payment with this return.
fi le this return. See Taxpayer Service Center (TSC) on back.
Employers must fi le every Copy 1 of federal Form W-2
Connecticut taxpayers can either key in or upload their Form
reporting Connecticut wages with Form CT-W3 even if
CT-W3 and Forms W-2 electronically through the TSC.
Connecticut income tax was not withheld.
Electronic reporting requirements are
Household employers should not use this form to fi le
available on the DRS website at www.
their annual reconciliation of withholding see Household
ct.gov/DRS/ew2 and in Informational
Employers, on back.
Publication 2017(13), Form W-2 Electronic
Agricultural employers not registered with DRS see
Filing Requirements for Tax Year 2017.
Agricultural Employers, on back.
Rounding Off to Whole Dollars
When to File
You must round off cents to the nearest whole dollar on your
Form CT-W3 is due January 31, 2018.
returns and schedules. If you do not round, the DRS will
If the due date falls on a Saturday, Sunday, or legal holiday,
disregard the cents. Round down to the next lowest dollar all
amounts that include 1 through 49 cents. Round up to the next
the the return will be considered timely if fi led by the next
business day.
highest dollar all amounts that include 50 through 99 cents.
However, if you need to add two or more amounts to compute
Electronic Filing Requirement
the amount to enter on a line, include cents and round off
If you fi le 25 or more Forms W-2 reporting Connecticut wages
only the total.
paid you are required to fi le electronically unless you have been
Example: Add two amounts ($1.29 + $3.21) to compute the
granted a waiver from electronic fi ling of information returns.
total ($4.50) to enter on a line. $4.50 is rounded to $5.00 and
See
Waiver of
Electronic Filing
Requirement, on back.
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
Department of Revenue Services
2017
PO Box 2930
Connecticut Annual Reconciliation
Hartford CT 06104-2930
of Withholding
(Rev. 06/17)
CTW3 0617W 01 9999
Connecticut Tax Registration Number
Federal Employer ID Number
Due date
January 31,
2018
Name
1. Connecticut tax
.00
withheld from wages
Address (number and street)
PO Box
2. Total Connecticut
.00
wages reported
City, town, or post offi ce
State
ZIP code
3. Number of W-2s submitted
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.
Signature
Title
Date
_____________________________________________________________
____________________________________
_______________________________
P:\Special\AFP\PROD\FORMS\17\CT\CT-W3\CT-W3 IF 20170605.indd
20170605
12:37 PM

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