Connecticut Telefile Tax Return Form - 2002 Page 3

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Individual Use Tax Schedule
Complete this schedule if you have a Connecticut individual use tax liability. You owe use tax if you purchased taxable goods or services
during the taxable year and did not pay Connecticut sales tax on the purchases. Individual items with the purchase price of $300 or
more must be listed separately below. Although you do not need to list separately any individual item with a purchase price of less
than $300, such items are subject to tax and the total of the purchase prices of these items should be reported on Line A. Multiply the
sales and use tax rate by the purchase price of the item and enter the result in Column E. You must enter “0” in Item 9 if no
Connecticut use tax is due.
COLUMN A
COLUMN B
COLUMN C
COLUMN D
COLUMN E
COLUMN F
COLUMN G
BALANCE DUE
TAX, IF ANY,
PURCHASE
DATE OF
DESCRIPTION OF
RETAILER OR
CT TAX DUE
PAID TO ANOTHER
(Col. E – Col. F, but
PRICE
PURCHASE
GOODS OR SERVICES
SERVICE PROVIDER
(.06 X Column D)
JURISDICTION
not less than zero)
A. TOTAL OF INDIVIDUAL PURCHASES UNDER $300 NOT LISTED ABOVE
Total Individual Use Tax: Add amounts in Column G. Enter here and in Item 9 of the Connecticut Telefile Tax Return .
See Informational Publication 2002(21), Q & A on the Connecticut Individual Use Tax , for more information.
Completing the Connecticut Telefile Tax Return
1A. Social Security Number: Enter your Social Security Number.
payer’s nine-digit Federal Identification Number. For
unemployment compensation, this number is located directly
1B. Spouse’s Social Security Number: For a married filing joint
below the address for the Department of Labor. If the number is
return, enter your spouse’s Social Security Number.
unclear or missing, contact your employer or payer.
Important: Enter your Social Security Number and your spouse’s
Column C:
Enter the income tax withheld for the State of
Social Security Number in the order in which your names appear
Connecticut as shown on each W-2, W-2G, or 1099 form (from
on the label on the back of this booklet.
Form W-2, Box 17; Form W-2G, Box 14; Form 1099-R, Box 10;
2.
Personal Identification Number (PIN): Enter the four-digit
Form 1099-MISC, Box 16; or Form UC-1099G, Box 5).
PIN that has been assigned to you by DRS. Your PIN is printed on
8. Property Tax Paid:
the name and address label on the back cover of this booklet. See
Auto 1 -
Enter the total amount of property tax due and paid during
sample on page T3.
2002 to a Connecticut municipality on your motor vehicle.
If you do not know your PIN, you may be able to access it during
Auto 2 -
If your filing status is Married Filing Jointly, enter the
your telephone call by pressing the star (*) key when prompted for
total amount of property tax due and paid during 2002 to a
your PIN. You must provide your 2001 federal adjusted gross
Connecticut municipality on your second motor vehicle, if any.
income from Form CT-1040EZ or Form CT-1040, Line 1, or
Connecticut Telefile Tax Return, Item 4.
Primary Residence -
Enter the total amount of property tax due
3.
Filing Status: Check the same filing status box that you
and paid during 2002 to a Connecticut municipality on your
checked on your 2002 federal income tax return (Single, Married
primary residence.
Filing Jointly, Married Filing Separately, or Head of Household).
You may take credit against your 2002 Connecticut income tax
4.
Federal Adjusted Gross Income (AGI): Enter your federal
liability for property tax payments that you made on your primary
AGI from your 2002 federal income tax return. This is the amount
residence and privately owned or leased motor vehicle to a
reported on federal Form 1040EZ, Line 4; federal Form 1040A,
Connecticut political subdivision. Generally, property tax bills
Line 21; federal Form 1040, Line 35; or federal TeleFile Tax
that were due and paid during 2002 qualify for this credit. This
Record, Line I.
includes any installment payments that you made during 2002
that were due in 2002 and any installments that you prepaid during
5.
Refunds of State and Local Income Taxes: Enter the amount
2002 that were due in 2003. Supplemental property tax bills
of taxable refunds of state and local income taxes that you reported
that were due during 2002 or 2003 also qualify if paid during
on Line 10 of your 2002 federal Form 1040. If Line 10 of your
2002. However, the late payment of any property tax bills or
federal Form 1040 is blank, or if you filed federal Form 1040A,
the payment of any interest, fees, or charges related to the
federal Form 1040EZ, or telefiled your federal return, enter “0.”
property tax bill do not qualify for the credit. The maximum
6. Number of W-2 and 1099 Forms: Enter the total number of
credit allowed is $500 per return, regardless of your filing status.
W-2s and 1099s that you received for the 2002 taxable year that
If you paid more than $100 in property tax, your credit may be
show Connecticut income tax withheld. (Include your spouse’s
limited. A husband and wife who file a joint Connecticut income
W-2s and 1099s if you are filing a joint return.)
tax return may consider property tax bills for which the husband
Important: You may not Telefile this return if you received
or wife, or both, are liable.
more than seven W-2 or 1099 forms that show Connecticut
You may take credit for a leased motor vehicle if you had a written
income tax withheld.
lease agreement for a term of more than one year, and the property
7.
W-2 and 1099 Information: Verify that Box 15 of each W-2
tax became due and was paid during 2002 (either by the leasing
is Connecticut income tax withheld. See sample W-2 on Page T3.
company or by you). Refer to your January 2003 billing statement
from the leasing company in order to determine the amount of
Column B:
Enter from each W-2 form the nine-digit Employer
property taxes that may be eligible for the credit.
Identification Number located in Box b. For each 1099, enter the
2002 Connecticut Telefile - Page T6

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