Form Ct-1040ez - Connecticut Resident Ez Income Tax Return - 2005
ADVERTISEMENT
1
2
32005
Form CT-1040EZ
FOR DRS
2 0
USE ONLY
CT-1040EZ
Connecticut Resident EZ Income Tax Return
Taxpayers must sign
Complete return in
declaration on reverse side.
blue or black ink only.
2005
For the year January 1 - December 31, 2005, or other taxable year beginning: _______________ ,
and ending: ________________ , ______ .
Filing Status
1
Single
Married filing jointly or qualified
Married filing
Head of
widow(er) with dependent child
separately
household
(Enter spouse full name here only and SSN below.)
Check if
Check if
Your Social Security Number
Spouse Social Security Number
deceased
deceased
-
-
-
-
MI
Your First Name
Last Name (If two last names, insert a space between names.)
Suffix (Jr./Sr.)
MI
Spouse's First Name
Last Name (If two last names, insert a space between names.)
Suffix (Jr./Sr.)
Mailing Address (number and street, apartment number, suite number, PO Box)
City, Town, or Post Office
State
ZIP Code
(If town is two words, leave a space between the words.)
-
Check here if you are filing Form CT-8379
Check here if you do not want forms sent to you next year.
Form CT-8379
and attach theform to the front of the return.
(This does not relieve you of your responsibility to file.)
Whole Dollars Only
2
1. Federal adjusted gross income (From federal Form 1040,
0 0
Line 37; Form 1040A, Line 21; or Form 1040EZ, Line 4)
1.
,
.
2. Refunds of state and local income taxes (From federal
0 0
Form 1040, Line 10; See instructions, Page 10.)
2.
,
.
3. Connecticut Adjusted Gross Income
0 0
(Subtract Line 2 from Line 1.)
3.
,
.
4. Income Tax: From Tax Tables or Tax Calculation
0 0
Schedule (See instructions, Page 10.)
4.
,
.
5. Credit for property taxes paid on your primary residence,
motor vehicle, or both (From Schedule 1EZ, Line 27, on
0 0
Page 3; See instructions, Page 10.)
5.
.
6. Connecticut income tax (Subtract Line 5 from Line 4. If
0 0
less than zero, enter “0.”)
6.
,
.
7. Individual Use Tax (From Schedule 2EZ, Line 28, on Page 3;
0 0
See instructions, Page 10.) If no tax is due, enter “0.”
7.
,
.
8.
Add Line 6 and Line 7.
0 0
8.
,
.
To complete your return, continue on Page 2, Form CT-1040EZ.
Use envelope provided, with correct mailing label, or mail to:
Make your check or money order payable to:
For refunds and all other tax forms without payment:
For all tax forms with payment:
Commissioner of Revenue Services
To ensure proper posting, write your SSN(s)
Department of Revenue Services
Department of Revenue Services
PO Box 150420
PO Box 150440
(optional) and “2005 Form CT-1040EZ” on
Hartford CT 06115-0420
Hartford CT 06115-0440
your check or money order.
Due date: April 15, 2006 - Attach a copy of all applicable schedules and forms to this return.
WEBFILE OR E-FILE YOUR RETURN FOR FASTER REFUND; see Page 3 of this booklet.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial