Instructions For Form Eft-1 - Authorization Agreement For Electronic Funds Transfers

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EFT-1 Instructions
Complete this form in blue or black ink only.
See Informational Publication 2011(22), Paying Connecticut
Taxes by Electronic Funds Transfer, for more information and for a
Part 1: Electronic Funds Transfers (EFT) Contact
list of additional taxes that can be fi led electronically.
EFT Contact Person: Enter the name of the primary contact person.
ACH Credit
The primary contact person should be the individual responsible for
In coordination with your bank, you must send ACH Credit
the initiation of the EFT payment.
transactions in the standard NACHA CCD+TXP format. You should
Company Name or Service Provider: Enter the name of the
confi rm with your bank representative that your bank is able to
company responsible for initiating the electronic payments.
initiate ACH Credit transactions. DRS will provide the EFT contact
Address: Enter the mailing address to be used for EFT
person with additional instructions after DRS receives the completed
correspondence.
form EFT-1.
Telephone Number and Email Address: Enter the telephone
If you are notifi ed by DRS to remit your sales and use taxes,
number and email address for the EFT contact person.
admissions and dues tax, business use tax, room occupancy tax,
nursing home user fee, beverage container deposit, or withholding
Part 2: Payment Options
tax electronically, you are also required to fi le the applicable return
ACH Debit Payment
electronically using the TSC.
For taxpayers required to make electronic payments for tax
periods beginning prior to January 1, 2012, if you are using the
Bank Name: Enter the name of the bank you will use for EFT.
ACH Debit method of payment, your payment must be initiated no
Bank Address: Enter the address of the bank branch you will use.
later than 4:30 p.m. Eastern time on the banking day prior to the
due date of the tax to ensure timely receipt.
Taxpayer Signature: An owner, partner, or corporate offi cer must
For payments for tax periods beginning on or after January 1, 2012,
sign form EFT-1.
if you are using the ACH Debit or ACH Credit method of payment,
Mailing Address
your payment must be initiated on or before the due date of the tax.
Complete this form and mail to:
To make an ACH Debit payment using the Department of Revenue
Department of Revenue Services
Taxpayer Service Center (TSC),
Services (DRS)
you provide
State of Connecticut
your banking information and authorize DRS to process the EFT by
PO Box 2937
entering the payment amount and the date of transfer. You do not
Hartford CT 06104-2937
have to preregister or submit form EFT-1, Authorization Agreement
for Electronic Funds Transfers, to DRS.
Payroll Companies and Tax Payment Services
ACH Debit
Taxpayer Service Center (TSC)
You do not have to preregister or submit form EFT-1 to access the
The TSC is an interactive electronic services site that provides a
TSC.
fast, free, accurate, and secure way to electronically fi le eligible tax
returns, pay the tax due, and to initiate payment-only transactions.
ACH Credit
Companies may submit a completed form EFT-1 for each taxpayer,
Visit to use the TSC to fi le and make payments.
or they may submit one form EFT-1 that includes the EFT contact
You will be prompted to use your preassigned PIN or provide
person, bank information, and attach a separate list with the name,
certain information from a previously fi led return.
Connecticut Tax Registration Number, and Federal Employer
If you are notifi ed by DRS to remit your sales and use taxes,
Identifi cation Number of each taxpayer.
admissions and dues tax, business use tax, room occupancy tax,
nursing home user fee, beverage container deposit, or withholding
For questions and comments about DRS EFT contact DRS EFT
tax electronically, you are also required to file these returns
Unit by:
electronically using the TSC.
Email: ct.eft@po.state.ct.us;
You may use the TSC to fi le the following returns on the Internet
Telephone: 860-297-4973; or
or by telephone:
Fax number: 860-297-4761.
Form OS-114, Sales and Use Tax Return;
OP-210, Room Occupancy Tax Return;
Forms and Publications
Form CT-WH, Connecticut Withholding Tax Payment; and
Visit the DRS website at to download and print
Form CT-941, Connecticut Quarterly Reconciliation of
Connecticut tax forms and publications.
Withholding.
The following returns are available electronically only on the Internet:
Form CT-945, Connecticut Annual Reconciliation of Withholding
for Nonpayroll Amounts;
Form CT-8109, Connecticut Withholding Tax Payment Form for
Nonpayroll Amounts;
Form OP-424, Business Entity Tax Return;
Form 472, Attorney Occupational Tax Return;
OP-336, Nursing Home User Fee;
CT-1120ES, Estimated Corporation Business Tax;
O-372, Admissions and Dues Tax Return; and
OP-515, Beverage Container Deposit Report.
EFT-1 Back (Rev. 12/11)

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