Form Ct-945 - Connecticut Annual Reconciliation Of Withholding For Nonpayroll Amounts - 2015

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Form CT-945
Department of Revenue Services
2015
PO Box 2931
Connecticut Annual Reconciliation of Withholding
Hartford CT 06104-2931
for Nonpayroll Amounts
CT-945 (Rev. 12/14)
Complete this return in blue or black ink only.
Form CT-945 must be paid and fi led electronically. Do not send this
Payers of nonpayroll amounts registered for Connecticut income tax
paper return to the Department of Revenue Services (DRS), unless you have
withholding are required to fi le Form CT-945 even if no tax is due, tax was
been granted a waiver from DRS. See Electronic Filing Waiver, on back.
not required to be withheld, or federal Form 945 is not required to be fi led.
See Informational Publication 2015(8), Connecticut Tax Guide for Payers
Do not use this form to amend a previously fi led Form CT-945. See Amended
of Nonpayroll Amounts.
Returns, on Page 4.
Payers of wage amounts must use Form CT-941, Connecticut Quarterly
Form CT-945 is used to reconcile annual Connecticut income tax withholding
Reconciliation of Withholding.
from nonpayroll amounts only.
Name
Connecticut Tax Registration Number
This return MUST be fi led electronically!
Taxpayer
Number and street
PO Box
Federal Employer ID Number (FEIN)
Please
DO NOT MAIL paper return to DRS.
type
City or town
State
ZIP code
Calendar year ending
or print.
Due date
If you no longer make payments of nonpayroll amounts subject to
/
/
January 31, 2016
withholding, enter date of last payment:
M M
D D
Y Y Y Y
Section 1
1. Gross nonpayroll amounts .....................................................................................................
1
00
2. Gross Connecticut nonpayroll amounts .................................................................................
2
00
3. Connecticut tax withheld ....................................................................................................
3
00
4. Credit from prior year ............................................................................................................
4
00
5. Payments made for this year .................................................................................................
5
00
6. Total payments: Add Line 4 and Line 5. ................................................................................
6
00
7. Net tax due (or credit): Subtract Line 6 from Line 3. .............................................................
7
00
8a. Penalty: .........................................................................
8a
00
8b. Interest: .........................................................................
8b
00
8 Total penalty and interest: Add Line 8a and Line 8b. ...............................................................
8
00
9. Amount to be credited ...........................................................................................................
9
00
10. Amount to be refunded .........................................................................................................
10
00
For faster refund, use Direct Deposit by completing Lines 10a, 10b, and 10c.
10a. Checking
Savings
10b. Routing number
10c. Account number
10d. Will this refund go to a bank account outside the U.S.?
Yes
11
11. Total amount due: Add Line 7 and Line 8. ..........................................................................
00
Section 2 - Summary of Connecticut Tax Liability
- Enter tax liability not deposits:: See instructions on back.
January
February
March
April
May
June
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
6
6
6
6
6
6
July
August
September
October
November
December
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
6
6
6
6
6
6
00
7 Total liability for the year
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.
Signature
Date
This return MUST be fi led electronically!
Title
Telephone number
DO NOT MAIL paper return to DRS.
(
)

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