Schedule Ct-945-A Back - Annual Record Of Withheld Connecticut Income Tax Form - State Of Connecticut Department Of Revenue Services - 2004

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2004
State of Connecticut
Department of Revenue Services
Schedule CT-945-A
(New 12/03)
Annual Record of Withheld Connecticut Income Tax
Purpose: Use Schedule CT-945-A, Annual Record of Withheld
Who Must File: Semiweekly schedule depositors of nonpayroll amounts
Connecticut Income Tax, to report withholding tax liability from
are required to complete and file Schedule CT-945-A with Form CT-945,
nonpayroll amounts based on the dates the amounts are withheld.
Connecticut Annual Reconciliation of Withholding for Nonpayroll
The following types of nonpayroll amounts are subject to Connecticut
Amounts . Do not complete this form if you are a monthly schedule
income tax withholding: Reportable gambling winnings (including
depositor, unless you accumulate a tax liability of $100,000 during any
reportable Connecticut Lottery winnings); pension and annuity
month of the year. Monthly schedule depositors who accumulate
distributions; military retirement pay; unemployment compensation;
$100,000 become semiweekly schedule depositors for the remainder
and payments made to athletes and entertainers.
of the year and must complete Schedule CT-945-A for the entire year.
Note: Schedule CT-945-A is used by the Department of Revenue Services (DRS) to match your tax liability reported on this form with your
deposits and to determine if you have deposited your withholding tax liabilities on time. Unless Schedule CT-945-A is properly completed
and filed with Form CT-945, DRS will not process your return.
Connecticut Tax Registration Number
Name
0 0 0
DRS USE ONLY
Number and Street
PO Box
–
– 20
Federal Employer ID Number
City or Town
State
ZIP Code
Instructions for Completing Schedule CT-945-A
Specific Instructions: If you are required to report your tax liabilities on Schedule CT-945-A, file it with Form CT-945. Do not complete
entries A through M of the Monthly Summary of Connecticut Tax Liability on the back of Form CT-945. However, be sure to mark the
semiweekly schedule depositor checkbox on Form CT-945.
Each numbered space on Schedule CT-945-A corresponds to dates during the year. Report your tax liabilities corresponding to the
dates payments are made, not to when the liabilities are accrued. For example, if you became liable for a pension distribution on
December 31, 2003, but did not make the distribution until January 3, 2004, the income tax withholding liability for the distribution must be
reported on Schedule CT-945-A for 2004, on Line 3 for January.
January
February
March
1
17
1
17
1
17
2
18
2
18
2
18
3
19
3
19
3
19
4
20
4
20
4
20
5
21
21
5
21
5
6
22
6
22
6
22
7
23
7
23
7
23
8
24
8
24
8
24
9
25
9
25
9
25
10
26
10
26
10
26
11
27
11
27
11
27
12
28
28
12
28
12
13
29
29
13
29
13
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
14
30
14
30
14
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
15
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
31
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0
15
15
31
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0
16
16
16
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0
(A) Total for January
(B) Total for February
(C) Total for March
April
May
June
1
17
1
17
1
17
2
18
2
18
2
18
3
19
3
19
3
19
4
20
4
20
4
20
5
21
5
21
5
21
6
22
6
22
6
22
7
23
7
23
7
23
8
24
8
24
8
24
9
25
9
25
9
25
10
26
10
26
10
26
11
27
11
27
11
27
12
28
12
28
12
28
13
29
13
29
13
29
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0
14
30
14
30
14
30
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0
15
15
31
15
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0
16
16
16
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0
(D) Total for April
(E) Total for May
(F) Total for June

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