Form Ct-1096 Athen - Connecticut Annual Summary And Transmittal Of Information Returns 2008

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Department of Revenue Services
2008
Form CT-1096 ATHEN
State of Connecticut
PO Box 5081
Connecticut Annual Summary and
Hartford, CT 06102-5081
Transmittal of Information Returns
(New 01/08)
General Instructions
Line Instructions
Line 1
Complete the return in blue or black ink only.
Form CT-1096 ATHEN, Connecticut Annual Summary and
Enter the total amount of Connecticut income tax withheld
Transmittal of Information Returns, may be used by new
from payments made to athletes or entertainers during
payers or payers who have not received the Withholding
the 2008 calendar year. This amount should equal the
Remittance Coupon Book for Payers of Nonpayroll
sum of quarterly amounts listed on the back of this return,
Amounts for 2008. Except as otherwise provided in
Form CT-1096 ATHEN.
Special Rules for Payments Made to Nonresident Aliens,
Line 2
you must complete Form CT-1096 ATHEN and file it along
Enter the total amount of payments made to athletes or
with a duplicate of all federal Forms 1099-MISC reporting
entertainers during the 2008 calendar year. This amount
Connecticut income tax withholding information in
should equal the sum of payments subject to Connecticut
Boxes 16 and 18.
income tax withholding reported in Box 18 on each federal
Due date: February 28, 2009. Form CT-1096 ATHEN
Form 1099-MISC.
must be filed by certain payers who are required to file
Line 3
federal Form 1096. No payment is to be made with this
Indicate the number of federal Forms 1099-MISC
return. If the due date falls on a Saturday, Sunday, or
submitted with this return.
legal holiday, the next business day is the due date.
Sign and date the return in the space provided.
Rounding Off to Whole Dollars: You must round off
Do not make payments with this return. All payments
cents to the nearest whole dollar on your returns and
must be made using Form CT-8109 (DRS), Connecticut
schedules. Round down to the next lowest dollar all
Withholding Tax Payment Form for Nonpayroll
amounts that include 1 through 49 cents. Round up to
Amounts, or Form CT-945 ATHEN, Connecticut Annual
the next highest dollar all amounts that include 50 through
Reconciliation of Withholding for Nonpayroll Amounts.
99 cents. However, if you need to add two or more
Mail your completed Form CT-1096 ATHEN with a copy
amounts to compute the amount to enter on a line, include
of each federal Form 1099-MISC to:
cents and round off only the total. If you do not round,
the Department of Revenue Services (DRS) will disregard
Department of Revenue Services
the cents.
State of Connecticut
PO Box 5081
Example: Add two amounts ($1.29 + $3.21) to compute
Hartford CT 06102-5081
the total ($4.50) to enter on a line. $4.50 is rounded to
$5.00 and entered on the line.
Separate Here and Mail Coupon to DRS. Make a Copy for Your Records.
2008
CT-1096 ATHEN
Connecticut Annual Summary and Transmittal of Information Return
Connecticut Tax Registration Number
Federal Employer ID Number
Due Date
February 28, 2009
1. Connecticut income tax withheld from
Enter name and address below. Please print or type.
00
Connecticut nonpayroll amounts
1.
Name
2. Total nonpayroll amounts reported with
00
Form CT-1096 ATHEN
2.
Address
1 2 3 4 5 6 7 8 9 0 1 2 3
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1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3
3. Number of 1098s, 1099s, or W-2Gs
1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3
submitted
3.
1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3
City
State
ZIP Code
1 2 3 4 5 6 7 8 9 0 1 2 3
1 2 3 4 5 6 7 8 9 0 1 2 3
Do not send a payment with this return.
Mail to:
Department of Revenue Services
State of Connecticut
PO Box 5081
Hartford CT 06102-5081
I declare under penalty of law that I have examined this return (including any accompanying
schedules and statements) and, to the best of my knowledge and belief, it is true, complete,
and correct. I understand the penalty for willfully delivering a false return or document to DRS
is a fine of not more than $5,000, or imprisonment for not more than five years, or both.
Signature __________________________________________________________
Title ______________________________________ Date __________________

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