Form Ct-945 Athen - Connecticut Annual Reconciliation Of Withholding For Nonpayroll Amounts - 2012

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Department of Revenue Services
2012
Form CT-945 ATHEN
State of Connecticut
PO Box 2931
Connecticut Annual Reconciliation of Withholding
Hartford CT 06104-2931
for Nonpayroll Amounts
(Rev. 02/12)
Complete this return in blue or black ink only.
• No tax was required to be withheld for the year; or
General Instructions
• Federal Form 945, Annual Return of Withheld Federal Income Tax, is not
Form CT-945 ATHEN is used by designated withholding agents only.
required to be fi led.
Designated withholding agents who are registered for Connecticut income
tax withholding are required to fi le Form CT-945 ATHEN even if:
See Policy Statement 2011(2), Income Tax Withholding for Athletes and
• No tax is due;
Entertainers.
Name
Connecticut Tax Registration Number
Taxpayer
Federal Employer ID Number (FEIN)
Number and street
PO Box
Please
type
City or town
State
ZIP code
Calendar year ending
or print.
Due date
If you no longer make payments of nonpayroll
/
/
January 31, 2013
amounts, enter date of last payment:
M M
D D
Y Y Y Y
Section 1
1. Gross nonpayroll amounts .....................................................................................................
1
00
2. Gross Connecticut nonpayroll amounts .................................................................................
2
00
3. Connecticut tax withheld ....................................................................................................
3
00
4. Credit from prior year ............................................................................................................
4
00
5. Payments made for this year .................................................................................................
5
00
6. Total payments: Add Line 4 and Line 5. ................................................................................
6
00
7. Net tax due (or credit): Subtract Line 6 from Line 3. .............................................................
7
00
8a. Penalty: .........................................................................
8a
00
8b. Interest: .........................................................................
8b
00
8 Total penalty and interest: Add Line 8a and Line 8b. ...............................................................
8
00
9. Amount to be credited ...........................................................................................................
9
00
10. Amount to be refunded .........................................................................................................
10
00
For faster refund, use Direct Deposit by completing Lines 10a, 10b, and 10c.
10a. Checking
Savings
10b. Routing number
10c. Account number
10d. Will this refund go to a bank account outside the U.S.?
Yes
11
11. Total amount due: Add Line 7 and Line 8. ..........................................................................
00
Section 2 - Summary of Connecticut Tax Liability
- Enter tax liability not deposits: See instructions on back.
January
February
March
April
May
June
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
6
6
6
6
6
6
July
August
September
October
November
December
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
6
6
6
6
6
6
00
7 Total liability for the year
Use Form CT-941X to amend this return.
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.
Signature
Title
Date

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