Connecticut Telefile Tax Return Form - 2002 Page 2
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1
2
3You are now ready to call the Telefile phone number.
Keep this return in front of you during the call. Telefile will calculate the next
section for you. Be prepared to fill in the amounts calculated by Telefile.
860-692-9787
Call
24 hours a day.
Telefile will compute your:
11. Property tax credit
.00
11.
12.
.00
(Includes individual use tax and property tax credit, if any)
Total 2002 Connecticut tax
12.
13. Total Connecticut income tax withheld
.00
13.
14. Tax due
.00
(See Three Payment Options below)
14.
15. Overpayment of tax
.00
15.
If you have an overpayment in Item 15, you may contribute all or a portion of your overpayment to one or
more of the designated funds listed below.
AIDS Research
______ $2
_____ $5
______ $15
other $ _________ .00
Organ Transplant
______ $2
_____ $5
______ $15
other $ _________ .00
Endangered Species/Wildlife
______ $2
_____ $5
______ $15
other $ _________ .00
Breast Cancer Research
______ $2
_____ $5
______ $15
other $ _________ .00
Safety Net Services
______ $2
_____ $5
______ $15
other $ _________ .00
16. Total contributions
.00
16.
17. Refund
.00
17.
18. PIN Signature –
Your Personal Identification Number will serve as the lawful signature
on this return for you (and your spouse, if filing jointly).
Telefile will assign you an eight-digit
19. Confirmation Number –
confirmation number. Do not hang
up until you receive this number.
Keep this 2002 Connecticut Income Tax Return for your records.
Write the date that you successfully Telefiled your return.
/
/ 2003
Three Payment Options (
See Page T7 for more information.)
1.
Pay by direct payment during your Telefile call by completing Items 10A, 10B, 10C, and 10D of the Connecticut Telefile Tax Return .
2.
Pay by credit card by visiting: or calling toll-free: 1-800-2PAY-TAX (1-800-272-9829). You will be asked to
enter the Connecticut Jurisdiction Code: 1777. A convenience fee will be charged by the service provider. The fee is 2.5% of your total
tax payment.
3.
Pay by check or money order using the 2002 Connecticut Telefile Payment Voucher below.
cut here
cut here
2002
Connecticut Telefile
STATE OF CONNECTICUT
Department Use Only
DEPARTMENT
Payment Voucher
112
OF REVENUE
1. Enter the amount enclosed $
SERVICES
2. Make your check or money order payable to: “Commissioner of Revenue Services”
0
3.To ensure proper posting of your payment, write SSN(s) and “2002 Telefile” on your check or money order.
DRS, PO Box 5088, Hartford CT 06102-5088
2002
4. Mail to:
Your First Name
Middle Initial
Last Name
Your Social Security Number
2 0 0 3
Label
L
A
If a JOINT Return, Spouse’s First Name and Middle Initial
Last Name
Spouse’s Social Security Number
M M
D D
C C Y Y
B
Use the DRS
E
label located
L
on the back
Home Address (number and street), Apartment Number, PO Box
cover.
IMPORTANT!
H
Otherwise,
E
print or type.
You MUST enter
R
730
City, Town, or Post Office
State
ZIP Code
E
your name(s) and SSN(s) as
TEL
indicated on Lines 1A and 1B.
Telefile (Rev. 12/02)
2002 Connecticut Telefile - Page T5
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