Form Tpg-042 - Designated Withholding Agent'S Withholding Remittance Coupon Package For Income Tax Withholding For Athletes Or Entertainers Page 2

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If fi ling Form CT-8109 (DRS) by mail, make check
Line 5
payable to: Commissioner of Revenue Services. DRS
Enter the sum of all payments made for the 2009
may submit your check to your bank electronically.
calendar year.
Write your Connecticut Tax Registration Number and
the calendar quarter during which the payment was
Line 6
made on your check.
Add Line 4 and Line 5. This is the total of your payments
Mail the completed coupon and payment to:
and credits for the 2009 calendar year.
Department of Revenue Services
Line 7 - Net Tax Due (or Credit)
State of Connecticut
Subtract Line 6 from Line 3 and enter the difference.
PO Box 2931
This is the net tax due or credit. If Line 3 is more than
Hartford CT 06104-2931
Line 6, complete Line 8a and Line 8b if necessary.
Form CT- 945 ATHEN
If Line 6 is more than Line 3, complete Line 9 and
Line 10.
All designated withholding agents with active
Connecticut income tax withholding accounts are
Lines 8a, 8b, and 8
required to fi le Form CT-945 ATHEN, Connecticut
Enter penalty on Line 8a and interest on Line 8b, and
Annual Reconciliation of Withholding for Nonpayroll
enter the total.
Amounts even if:
Late Payment Penalty: The penalty for paying all or a
• No tax is due;
portion of the tax late is 10% of the tax paid late.
• No tax was required to be withheld for that year; or
Late Filing Penalty: If no tax is due, DRS may impose
• Federal Form 945, Annual Return of Withheld
a $50 penalty for the late fi ling of this return.
Fedearl Income Tax, is not required to be fi led.
Interest: Interest will be computed on the tax paid late
Due date: January 31, 2010. However, a designated
at the rate of 1% per month or fraction of a month.
withholding agent who has made timely deposits
of Connecticut withholding tax in full payment of
Line 9
such taxes due for the calendar year 2009 may fi le
Enter the amount from Line 7 to be credited to the 2010
Form CT-945 ATHEN on or before February 10, 2010.
calendar year. However, if any portion of that amount
If the due date falls on a Saturday, Sunday, or legal
was withheld by you from athletes or entertainers during
holiday, the next business day is the due date.
the 2009 calendar year and not repaid by the designated
withholding agent to those athletes or entertainers prior
Line 1
to the end of the 2009 calendar year or prior to fi ling
Enter the total amount of payments made to athletes or
this return, whichever is earlier, subtract that portion
entertainers during the 2009 calendar year, whether or
from the amount on Line 7 to be credited to the 2010
not for performances in Connecticut and whether or
calendar year and enter the difference on Line 9.
not subject to Connecticut income tax withholding.
Line 10
Line 2
Enter the amount from Line 7 to be refunded. However,
Enter the total amount of payments made to athletes
if any portion of that amount was withheld from athletes
or entertainers for performances in Connecticut
or entertainers during the 2009 calendar year, and not
during the 2009 calendar year, whether or not subject
repaid by the designated withholding agent to those
to Connecticut income tax withholding.
athletes or entertainers prior to the end of the 2009
calendar year or prior to fi ling this return, whichever is
Line 3 - Connecticut Tax Withheld
earlier, subtract that portion from the amount on Line 7
Enter the total amount of Connecticut income tax
to be refunded, and enter the difference on Line 10.
withheld from payments made to athletes or entertainers
Line 11
during the 2009 calendar year.
If the amount on Line 7 is a net tax due, add Line 7 and
Line 4
Line 8. This is the total amount now due.
Enter the amount to be credited from Form CT-945
Sign and date the return in the space provided.
ATHEN, Line 9 for the prior calendar year. However, if
any portion of that amount was withheld from athletes
or entertainers during a prior year and not repaid by
the designated withholding agent to those athletes or
entertainers prior to the end of that year or prior to fi ling
the return for that year, whichever is earlier, subtract
that portion from the amount to be credited on Form
CT-945 ATHEN, Line 9 for the prior calendar year, and
enter the difference on Line 4.
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