Form Ct-W3 - Connecticut Annual Reconciliation Of Withholding - 2016

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Department of Revenue Services
Form CT-W3
2016
State of Connecticut
Connecticut Annual Reconciliation of Withholding
PO Box 2930
Hartford CT 06104-2930
(Rev. 10/16)
General Instructions
Connecticut taxpayers can either key in or upload their Form
CT-W3 and Forms W-2 electronically through the TSC.
File Form CT-W3 electronically. See Electronic Filing
Requirement, below.
Electronic reporting requirements are available on the DRS
website at and in Informational
Do not make a payment with this return.
Publication 2016(13), Form W-2 Electronic Filing
Employers must fi le every Copy 1 of federal Form W-2
Requirements for Tax Year 2016.
reporting Connecticut wages with Form CT-W3 even if
Line Instructions
Connecticut income tax was not withheld.
Household employers should not use this form to fi le
Line 1
their annual reconciliation of withholding see Household
Enter total Connecticut income tax withheld from wages
Employers, on back.
during the 2016 calendar year. This should equal the Total
line on the back of this return.
Agricultural employers not registered with DRS see
Agricultural Employers, on back.
Line 2
When to File
Enter total Connecticut wages reported during the 2016
Form CT-W3 is due January 31, 2017.
calendar year. Connecticut wages are all wages paid to
employees who are residents of Connecticut, even if those
If the due date falls on a Saturday, Sunday, or legal holiday,
wages are paid for work performed outside Connecticut by
the the return will be considered timely if fi led by the next
those resident employees, and wages paid to employees who
business day.
are nonresidents of Connecticut if those wages are paid for work
Electronic Filing Requirement
performed in Connecticut by those nonresident employees.
If you fi le 25 or more Forms W-2 reporting Connecticut wages
Line 3
paid you are required to fi le electronically unless you have been
Enter the number of W-2 forms submitted.
granted a waiver from electronic fi ling of information returns.
See Electronic Filing Waiver of Information Returns, on back.
Rounding Off to Whole Dollars
If you fi le 24 or fewer Forms W-2 reporting Connecticut wages
You must round off cents to the nearest whole dollar on your
paid you are encouraged to fi le electronically but may fi le
returns and schedules. If you do not round, the DRS will
paper forms without requesting a waiver.
disregard the cents. Round down to the next lowest dollar all
Use the Taxpayer Service Center (TSC) to
amounts that include 1 through 49 cents. Round up to the next
electronically fi le this return. See Taxpayer
highest dollar all amounts that include 50 through 99 cents.
Service Center (TSC) on back.
Complete this return in blue or black ink only.
Separate here and mail return to DRS. Make a copy for your records.
Do not mail this form if fi ling electronically.
Form CT-W3
Department of Revenue Services
2016
PO Box 2930
Connecticut Annual Reconciliation
Hartford CT 06104-2930
of Withholding
(Rev. 10/16)
CTW3 1016W 01 9999
Connecticut Tax Registration Number
Federal Employer ID Number
Due date
January 31, 2017
Name
1. Connecticut tax
.00
withheld from wages
Address (number and street)
PO Box
2. Total Connecticut
.00
wages reported
City, town, or post offi ce
State
ZIP code
3. Number of W-2s submitted
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 fi ne of not more than $5,000, or imprisonment for not more than fi ve years, or both.
Signature
Title
Date
_____________________________________________________________
____________________________________
_______________________________

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