Form Au-960 - Nonresident Contractor Request For Verified Contractor Status Page 2

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Instructions
Part I: Enter the name and complete address of the
nonresident contractor applying for “verified contractor”
status. Include the Connecticut tax registration number.
Check the box related to the type of organization.
Part II: Enter the two-year
verification period
beginning
st
January 1
of the requested year and ending December
st
31
of the following year.
Part III: Enter the name of the person doing business
with the nonresident contractor (prime or general
contractor, property owner, or other contractor), project
name, commencement date, and contract dollar amount
for all known or proposed contracts during the
verification period. If additional space is needed attach
separate sheet.
Part IV: The following conditions must be met in order
to be approved as a “verified contractor”:
The nonresident contractor is registered for all
applicable taxes with DRS:
o For S Corporations and Limited Liability
Corporations this generally means sales and
use tax, withholding for Connecticut income
tax, business entity tax, and Connecticut
composite income tax.
o For C Corporations this generally means sales
and use tax, withholding for Connecticut
income tax, and corporation business tax.
The nonresident contractor has filed all required tax
returns with DRS,
The nonresident contractor has no outstanding tax
liabilities with DRS, AND
Has been registered for all applicable taxes
1.
with DRS for three years and is current with
filings and payment; OR
If the three year registration requirement is
2.
not met then the contractor needs to
complete Form AU-961, Verification Bond,
and submit with this form.
Please register for all the necessary tax types
prior to submitting this application for verified
contractor status.
Declarations: The nonresident
contractor must sign and
date Form AU-960 and mail to:
Department of Revenue Services
Compliance Support Unit
25 Sigourney Street, Ste. 2
Hartford CT 06106-5032
Form AU-960
Page
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