Form Ct-709 Ext - Application For Extension Of Time To File Connecticut Gift Tax Return - 2000

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FORM CT-709 EXT
CT-709 EXT
STATE OF CONNECTICUT
DEPARTMENT OF REVENUE SERVICES
CALENDAR YEAR
Application For Extension of Time to File
2000
(Rev. 12/00)
Connecticut Gift Tax Return
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IMPORTANT! PLEASE READ INSTRUCTIONS ON REVERSE BEFORE COMPLETING THIS APPLICATION
Donor’s First Name and Middle Initial
Last Name
Social Security Number
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• •
• •
__ __ __
__ __
__ __ __ __
• •
• •
TAXPAYER
Address
Number and Street
PO Box
Date Received
(FOR DEPARTMENT USE ONLY)
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(Please Type
or Print)
City or Town
State
ZIP Code
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This is not an extension of time to pay any amount of tax –– penalties and interest may apply. (See instructions)
An extension granted by the Internal Revenue Service does not automatically extend the Connecticut filing date.
I request a six-month extension of time to file a Connecticut Gift Tax Return for calendar year _________________ .
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If the donor died during the year that the gifts were made, enter the date of death
_______________________ .
I have requested a federal extension using federal Form 4868, Application for Automatic Extension of Time to File
U.S. Individual Income Tax Return, for calendar year 2000; or I have requested an extension of time to file the
federal gift tax return by writing to the district director or service center of the Internal Revenue Service for my
H
H
area.
Yes
No
If No, the reason for the Connecticut extension is: _____________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
YOU WILL BE NOTIFIED ONLY IF YOUR EXTENSION REQUEST IS DENIED.
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1. Total Connecticut gift tax liability for 2000 (You may estimate this amount) ...........
1.
Note: You must enter an amount in the box provided. If you do not expect to owe tax, enter zero (0).
Make check or money order payable to: COMMISSIONER OF REVENUE SERVICES.
Write the donor’s Social Security Number and “2000 Form CT-709 EXT” on the check or money order.
Mail to:
State of Connecticut
Department of Revenue Services
PO Box 2978
Hartford CT 06104-2978
DECLARATION: I declare under the penalty of false statement that I have examined this application and, to the best of my knowledge and belief, it is true,
complete, and correct. (The penalty for false statement is imprisonment not to exceed one year or a fine not to exceed two thousand dollars, or both.)
Declaration of preparer (other than donor) is based on all information of which preparer has any knowledge.
Donor’s Signature
Date
Telephone Number
(
)
Sign Here
Paid Preparer’s Signature
Date
Preparer’s PTIN or SSN
Keep a copy
of this return
Firm Name and Address
Federal Employer ID Number
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for your
records
Firm Telephone Number
(
)

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