Form Ct-W4p-2001 - Withholding Certificate For Pension Or Annuity Payments
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1STATE OF CONNECTICUT
2001
Form CT-W4P
DEPARTMENT OF REVENUE SERVICES
WITHHOLDING CERTIFICATE FOR PENSION OR ANNUITY PAYMENTS
(Rev. 12/00)
CT-W4P
Purpose
Connecticut adjusted gross income. Taxpayers who previously claimed
a modification for nonseparately computed income or loss on
This form allows Connecticut residents who receive pensions or annuities
Schedule 1, of Form CT-1040 or Form CT-1040NR/PY, will no longer
to instruct the payer of the pension or annuity to withhold Connecticut
make this modification. Taxpayers are required to include 100% of
income tax.
their nonseparately computed income or loss to the extent that it is
You are not required to have Connecticut tax withheld from your pension
included on their federal income tax return, in calculating the federal
or annuity payments. However, you must make estimated Connecticut
adjusted gross income that they expect to report on their 2001
income tax payments if you expect to owe, after subtracting your
Connecticut income tax return.
Connecticut income tax withheld from any other Connecticut source income,
more than $500 for 2001 after tax credits, if any, are taken into account
NOTE: Special rules apply to shareholders of S Corporations whose
and you expect your withholding from any other Connecticut source income,
taxable year for federal income tax purposes is other than the calendar
to be less than your required annual payment. Your required annual payment
year. See the instructions for Line 2 on Page 2.
is the lesser of:
•
90% of the income tax shown on your 2001 Connecticut income
General Instructions
tax return; or
If you wish to have Connecticut income tax withheld from your pension or
•
100% of the income tax shown on your 2000 Connecticut income
annuity payments, you may either:
tax return, if you filed a 2000 Connecticut income tax return that
covered a 12-month period.
•
Complete the worksheet on the back of this form to estimate how
You do not have to make estimated income tax payments if:
much income tax to have withheld, round to the nearest whole dollar
but not less than $10, and enter this amount on Line 1 of the Withholding
•
You were a Connecticut resident during the 2000 taxable year and
Certificate. (This option is for people who want to include all income in
you did not file a 2000 income tax return because you had no
Connecticut income tax liability, or
determining their withholding amount.); or
•
If you know how much you want your payer to withhold from each
•
You were a nonresident or part-year resident with Connecticut
source income during the 2000 taxable year and you did not file a
payment, you may fill in a whole dollar amount , but not less than
2000 income tax return because you had no Connecticut income
$10, on Line 1 of the Withholding Certificate.
tax liability.
Please send a completed Form CT-W4P to the payer of your
If you were a nonresident or part-year resident and you did not have
pension or annuity if you wish to have Connecticut income tax
Connecticut source income during the 2000 taxable year, then you must
withheld.
use 90% of the income tax shown on your 2001 Connecticut income tax
Do not send this form to the Department of Revenue Services.
return as your required annual payment.
If you do not want tax withheld from your pension or annuity
Some Important Changes
payments, do not return this form.
•
Tax Rate for Single Filers: For taxable years beginning on or after
For Further Information
January 1, 2000, the income tax exemptions and credits used in
Please call the Department of Revenue Services during business hours,
calculating the tax for Single filers are increased over an eight-year
8:00 a.m. to 5:00 p.m., Monday through Friday:
period.
• 1-800-382-9463 (toll-free within Connecticut), or
•
Shareholders of S Corporations: The Connecticut
• 860-297-5962 (from anywhere).
corporation business tax on S corporations is repealed for taxable
years beginning on or after January 1, 2001. This affects the
TTY, TDD, and Text Telephone users only may transmit inquiries
modification that shareholders are required to make in computing
24 hours a day by calling 860-297-4911.
.......................................................................................................................
DETACH AND RETURN THIS CERTIFICATE TO THE PAYER OF YOUR PENSION. KEEP THE TOP PORTION FOR YOUR RECORDS.
WITHHOLDING CERTIFICATE FOR
State of Connecticut
2001 FORM CT-W4P
Department of Revenue Services
PENSION OR ANNUITY PAYMENTS
First Name
Middle Initial
Last Name
Social Security Number
• •
• •
___ ___ ___ ___ ___ ___ ___ ___ ___
• •
• •
Home Address
PO Box
Claim or Identification Number
(if any) of your Pension or
Annuity Contract
City, Town, or Post Office
State
ZIP Code
.00
1. Amount of Connecticut income tax you want withheld from EACH payment.
1.
Signature
Date
Sign
Here
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