Form Ct-W3 (Drs) - Connecticut Annual Reconciliation Of Withholding

Include the “state copy” of all wage and tax statements

PART A: Complete for Each Period

(Copy 1 of the optional six-part federal Form W-2 or equivalent)

reporting Connecticut wages paid during the calendar year

with this return.

CONNECTICUT INCOME

If you are required by the IRS to file copies of federal Form

PERIOD

TAX WITHHELD FROM WAGES

W-2 on magnetic media, you must file these forms on magnetic

media with DRS. However, if you file 24 or fewer W-2 forms

JANUARY 1 -

1st QUARTER

with DRS, you may be excused from the magnetic media filing

MARCH 31

requirements without obtaining a waiver.

APRIL 1 -

For new information regarding magnetic media reporting

2nd QUARTER

requirements, visit the DRS Web site at:

JUNE 30

or call DRS at:

JULY 1 -

1-800-382-9463 (in-state) or

SEPTEMBER 30 3rd QUARTER

860-297-5962 (from anywhere)

(TTY, TDD, and Text Telephone users only may transmit

OCTOBER 1 -

4th QUARTER

DECEMBER 31

inquiries by calling 860-297-4911.)

This should equal Line 1

Line 1

Line 1 on the front of this return.

TOTAL

PART B: Check the appropriate box below, to indicate your deposit schedule for federal withholding tax purposes.

Monthly

Semiweekly

Other _________________________________________________

(please specify)

CT-W3 (DRS) Back (Rev. 12/02)