Form Ct-941 Hhe - Connecticut Reconciliation Of Withholding For Household Employers - 2010

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Department of Revenue Services
Form CT-941 HHE
2010
State of Connecticut
PO Box 2931
Connecticut Reconciliation of Withholding
Hartford CT 06104-2931
for Household Employers
(Rev. 12/10)
General Instructions
Where to File
Complete the return in blue or black ink only.
Use the Taxpayer Service Center (TSC) to electronically
fi le this return. See TSC below.
Household employers registered to withhold Connecticut
income tax from their household employee wages must fi le
If fi ling by mail, make check payable to Commissioner of
one Form CT-941 HHE for the entire calendar year even
Revenue Services. Write your Connecticut Tax Registration
if no tax is due. See Informational Publication 2010(1),
Number on your check. DRS may submit your check to your
Connecticut Employer’s Tax Guide, Circular CT.
bank electronically. Mail the completed return and payment
(if applicable) to the address on the return.
Amended returns: Use Form CT-941X, Amended Connecticut
Reconciliation of Withholding, to amend Form CT-941 HHE.
Taxpayer Service Center
Rounding Off to Whole Dollars: You must round off cents
T h e T S C a l l o w s t a x p a y e r s t o
to the nearest whole dollar on your returns and schedules.
electronically fi le, pay, and manage state
If you do not round, the Department of Revenue Services
tax responsibilities. To make electronic
(DRS) will disregard the cents.
transactions or administer your tax
account online, visit and select Business.
Round down to the next lowest dollar all amounts that include
1 through 49 cents. Round up to the next highest dollar all
Forms and Publications
amounts that include 50 through 99 cents. However, if you
Visit the DRS website at to download and
need to add two or more amounts to compute the amount to
print Connecticut tax forms and publications.
enter on a line, include cents and round off only the total.
For More Information
Example: Add two amounts ($1.29 + $3.21) to compute the
Call DRS during business hours, Monday through Friday:
total ($4.50) to enter on a line. $4.50 is rounded to $5.00 and
entered on the line.
•
1-800-382-9463 (Connecticut calls outside the Greater
Hartford calling area only); or
When to File
•
860-297-5962 (from anywhere).
Form CT-941 HHE is due April 15, 2011. If the due date falls
on a Saturday, Sunday, or legal holiday, the next business
TTY, TDD, and Text Telephone users only may transmit
day is the due date.
inquiries anytime by calling 860-297-4911.
Return Instructions
Complete all requested information on the front and back of
this return. See instructions on back. Sign and date the return
in the space provided. If payment is due, remit payment with
this return.
Separate here and mail return to DRS. Make a copy for your records.
2010
CT-941 HHE
Connecticut Reconciliation of Withholding for Household Employers
Connecticut Tax Registration Number
Federal Employer ID Number
Due date

Annual Filer (4)
April 15,
2011
1. Gross wages
1
00
Enter name and address below. Please print or type.
Name
2. Gross Connecticut wages
2
00
3. Connecticut tax withheld
3
00
Address
4. Credit from prior year
4
00
5. Payments made this year
5
00
City
State
ZIP code
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
Check here  if you no longer have employees in Connecticut
8a. Penalty:
+ 8b. Interest:
= 8
00
and enter date of last payroll: 
/
/
9. Amount to be credited
9
00
mm
dd
yyyy
10. Amount to be refunded
10
00
Mail to: Department of Revenue Services
11. Total amount due: Add Line 7 and Line 8.
11
00
PO Box 2931
Use Form CT-941X to amend this return.
Hartford CT 06104-2931
Signature _____________________________________________________________
Declaration: I declare under penalty of law that I have
examined this return (including any accompanying schedules
Title _______________________________________ Date ____________________
and statements) and, to the best of my knowledge and belief,
(
)
it is true, complete, and correct.
Telephone number _____________________________________________________

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