Form Ct-W4p - Withholding Certificate For Pension Or Annuity Payments
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2STATE OF CONNECTICUT
1999
DEPARTMENT OF REVENUE SERVICES
CT-W4P
This form allows Connecticut residents who receive
If you were a nonresident or part-year resident and you
pensions or annuities to instruct the payer of the pension
did not have Connecticut source income in 1998, you must
or annuity to withhold Connecticut income tax.
use 90% of the income tax shown on your 1999
Connecticut income tax return as your required annual
You are not required to have Connecticut tax withheld
payment.
from your pension or annuity payments. However, you
must make estimated Connecticut income tax payments
Please send a completed Form CT-W4P to the payer
if you expect to owe, after subtracting your Connecticut
of your pension or annuity if you wish to have
income tax withheld from any other Connecticut source
Connecticut income tax withheld.
income, more than $500 for 1999 after tax credits, if any,
Do not send this form to the Department of
are taken into account and you expect your withholding
Revenue Services.
from any other Connecticut source income, to be less than
your required annual payment. Your required annual
If you do not want tax withheld from your pension
payment is the lesser of:
or annuity payments, do not return this form.
90% of the income tax shown on your 1999
Connecticut income tax return; or
100% of the income tax shown on your 1998
If you wish to have Connecticut income tax withheld from
Connecticut income tax return, if you filed a 1998
your pension or annuity payments, you may either:
Connecticut income tax return that covered a
12-month period.
Complete the worksheet on the back of this form to
estimate how much income tax to have withheld, round
You do not have to make estimated income tax payments
to the nearest whole dollar but not less than $10, and
if:
enter this amount on Line 1 of the Withholding
You were a Connecticut resident in 1998 and you did
Certificate. (This option is for people who want to
not file a 1998 income tax return because you had no
include all income in determining their withholding
Connecticut income tax liability; or
amount.); or
You were a nonresident or part-year resident with
If you know how much you want your payer to withhold
Connecticut source income in 1998 and you did not
from each payment, you may fill in a whole dollar
file a 1998 income tax return because you had no
amount , but not less than $10, on Line 1 of the
Connecticut income tax liability.
Withholding Certificate.
.......................................................................................................................
DETACH AND RETURN THIS CERTIFICATE TO THE PAYER OF YOUR PENSION. KEEP THE TOP PORTION FOR YOUR RECORDS.
WITHHOLDING CERTIFICATE FOR
State of Connecticut
1999 FORM CT-W4P
Department of Revenue Services
PENSION OR ANNUITY PAYMENTS
FIRST NAME AND MIDDLE INITIAL
LAST NAME
SOCIAL SECURITY NUMBER
HOME ADDRESS
CLAIM OR IDENTIFICATION NUMBER
(IF ANY) OF YOUR PENSION OR
ANNUITY CONTRACT
CITY OR TOWN, STATE AND ZIP CODE
.00
1. Amount of Connecticut income tax you want withheld from EACH payment.
1.
SIGNATURE
DATE
Please
Sign Here
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