Form Tpg-042 - Designated Withholding Agent'S Withholding Remittance Coupon Package For Income Tax Withholding For Athletes Or Entertainers Page 3

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Instructions for Completing Back of Form
If the due date falls on a Saturday, Sunday, or legal
holiday, the next business day is the due date.
CT- 945 ATHEN
Line 1
Quarterly remitters: Enter the total amount of the
liability for each quarter on Line 6 for March, June,
Enter the total amount of Connecticut income tax
September, and December. Add the four amounts from
withheld from payments made to athletes or entertainers
during the 2009 calendar year. This amount should
each Line 6 and enter the total on Line 7. This amount
equal the sum of quarterly amounts listed on the back of
should equal Form CT-945 ATHEN, Line 3.
Form CT-1096 ATHEN.
Monthly remitters: Enter the total amount of the
Line 2
liability for each month on Line 6 of that month. Add
the amounts from each Line 6 for January through
Enter the total amount of payments made to athletes
December and enter the total on Line 7. This amount
or entertainers during the 2009 calendar year. This
should equal Form CT-945 ATHEN, Line 3.
amount should equal the sum of payments subject
to Connecticut income tax withholding reported in
Weekly remitters: Enter the liability for each week on
Box 18 on each federal Form 1099-MISC.
Lines 1 through 5 for each month. Enter the total for the
month on Line 6. Add the amounts from each Line 6
Line 3
and enter the total on Line 7. This amount should equal
Indicate the number of federal Forms 1099-MISC
Form CT-945 ATHEN, Line 3.
submitted with this return.
If fi ling Form CT-945 ATHEN by mail, make check
Sign and date the return in the space provided.
payable to: Commissioner of Revenue Services. DRS
Do not make payments with this return. All payments
may submit your check to your bank electronically.
must be made using Form CT-8109 (DRS) or
Write “2009 CT-945 ATHEN” and your Connecticut
Form CT-945 ATHEN.
Tax Registration Number on your check.
Mail your completed Form CT-1096 ATHEN with a
Mail your completed return and payment, if applicable, to:
copy of each federal Form 1099-MISC to:
Department of Revenue Services, State of Connecticut,
Department of Revenue Services
PO Box 2931, Hartford CT 06104-2931.
State of Connecticut
PO Box 5081
Amended Form CT-945
Hartford CT 06102-5081
Use Form CT-941X, Amended Connecticut
Special Rules for Payments Made to
Reconciliation of Withholding, to amend a previously
filed Form CT-945 ATHEN. To obtain Form
Nonresident Aliens
CT-941X, see Forms and Publications on Page 4.
If you made payments to athletes or entertainers who
were nonresident aliens, or any other persons considered
Form CT-1096 ATHEN
foreign persons under the instructions for federal Form
1042-S, Foreign Person’s U.S. Source Income Subject
Except as otherwise provided in Special Rules for
to Withholding, and were required to issue a federal
Payments Made to Nonresident Aliens on this page,
Form 1042-S, the following modifications to the
you must complete Form CT-1096 ATHEN and fi le it
instructions apply:
along with a duplicate of all federal Forms 1099-MISC,
Miscellaneous Income, reporting Connecticut income
• Complete a separate Form CT-1096 ATHEN and fi le
it along with a duplicate of all federal Forms 1042-S
tax withholding information in Boxes 16 and 18.
reporting Connecticut income tax withholding
If you fi le 25 or more Forms 1099 or W-2G, you
information. Due date: February 28;
are required to fi le Form CT-1096 and Forms 1099
• The total amount of Connecticut income tax withheld
or W-2G electronically. You may request a waiver
from payments made during the calendar year
of the electronic fi ling requirements by completing
to athletes or entertainers who were nonresident
Form CT-8508, Request for Waiver From Filing
aliens entered on Form CT-1096 ATHEN, Line 1,
Informational Returns Electronically, no later than
should equal the sum of Connecticut income tax
January 15, 2010. If you fi le 24 or fewer Forms 1099
withholding reported on federal Form 1042-S,
or W-2G , you may fi le using paper forms without
Box 22;
a waiver. For new information regarding electronic
• The total amount of payments made during the
reporting requirements, visit the DRS website at
calendar year to athletes or entertainers who were
or call DRS at 1-800-382-9463
nonresident aliens entered on Form CT-1096 ATHEN,
(Connecticut calls outside the Greater Hartford calling
Line 2, should equal the sum of payments subject
area only) or 860-297-5962 (from anywhere) and select
to Connecticut income tax withholding reported on
Option 6 to speak with a representative. TTY, TDD,
federal Form 1042-S, Box 2, to the extent derived
and Text Telephone users only may transmit inquiries
from services performed in Connecticut; and
by calling 860-297-4911.
• Indicate the number of federal Forms 1042-S
Due Date: February 28, 2010 if filing on paper.
submitted with this return.
Due Date: March 31, 2010 if fi ling electronically.
Page 3 of 4

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