Connecticut Annual Summary and Transmittal of Information Returns
Connecticut Tax Registration Number
Federal Employer ID Number
February 29, 2008
Complete this return in blue or black ink only.
1. Connecticut income tax withheld from
If name, address, and/or identification number(s) are incorrect,
Connecticut nonpayroll amounts
complete Form CTC located in the back of this book.
2. Total nonpayroll amounts
reported with Form CT-1096
Income Tax Withholding for
3. Number of 1098s, 1099s, or
Athletes or Entertainers
Do not send a payment with this return.
Mail to: Department of Revenue Services
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.