Form Ct-1040 - Connecticut Resident Income Tax Return - 2014 Page 3
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42014 Form CT-1040 - Page 3 of 4
Your Social
-
-
Security Number
Schedule 1 - Modifi cations to Federal Adjusted Gross Income
Enter all items as positive numbers.
See instructions, Page 23.
.
00
31. Interest on state and local government obligations other than Connecticut
31.
,
,
32. Mutual fund exempt-interest dividends from non-Connecticut state or municipal
.
,
,
00
32.
government obligations
.
00
33. Reserved for future use.
33.
34. Taxable amount of lump-sum distributions from qualifi ed plans not included in federal
.
,
,
00
34.
adjusted gross income
.
,
,
00
35. Benefi ciary’s share of Connecticut fi duciary adjustment: Enter only if greater than zero.
35.
.
,
,
00
36. Loss on sale of Connecticut state and local government bonds
36.
.
,
,
00
37. Domestic production activity deduction from federal Form 1040, Line 35
37.
.
,
,
00
38. Other - specify
________________________________________________________
38.
.
,
,
00
39. Total additions: Add Lines 31 through 38. Enter here and on Line 2.
39.
.
,
,
00
40. Interest on U.S. government obligations
40.
.
,
,
00
41. Exempt dividends from certain qualifying mutual funds derived from U.S. government obligations
41.
.
,
,
00
42. Social Security benefi t adjustment: See Social Security Benefi t Adjustment Worksheet, Page 25.
42.
.
,
,
00
43. Refunds of state and local income taxes
43.
.
,
,
00
44. Tier 1 and Tier 2 railroad retirement benefi ts and supplemental annuities
44.
.
,
,
00
45. 50% of military retirement pay
45.
.
,
,
00
46. Benefi ciary’s share of Connecticut fi duciary adjustment: Enter only if less than zero.
46.
.
,
,
00
47. Gain on sale of Connecticut state and local government bonds
47.
.
00
48. Connecticut Higher Education Trust (CHET) contributions
48.
,
,
Enter CHET account number:
Do not add spaces or dashes.
.
,
,
00
49. Other - specify: Do not include out of state income.
___________________________
49.
.
,
,
00
50. Total subtractions: Add Lines 40 through 49. Enter here and on Line 4.
50.
Schedule 2 - Credit for Income Taxes Paid to Qualifying Jurisdictions
You must attach a copy of your return fi led with the qualifying jurisdiction(s) or your credit will be disallowed.
.
00
51. Modifi ed Connecticut adjusted gross income. See instructions, Page 29.
51.
,
,
Column A
Column B
Name
Code
Name
Code
52. Enter qualifying jurisdiction’s name and two-letter
code. See instructions, Page 29.
52.
53. Non-Connecticut income included on Line 51 and
reported on a qualifying jurisdiction’s income tax
.
.
,
,
,
,
00
00
return. Complete Schedule 2 Worksheet, Page 29.
53.
.
.
54. Divide Line 53 by Line 51. May not exceed 1.0000
54.
.
.
,
,
,
,
00
00
55. Income tax liability. Subtract Line 11 from Line 6.
55.
.
.
,
,
,
,
00
00
56. Multiply Line 54 by Line 55.
56.
57. Income tax paid to a qualifying jurisdiction.
.
.
,
,
,
,
00
00
See instructions, Page 30.
57.
.
.
,
,
,
,
00
00
58. Enter the lesser of Line 56 or Line 57.
58.
.
,
,
00
59. Total credit: Add Line 58, all columns. Enter here and on Line 7.
59.
Complete applicable schedules on Page 4 and send all four pages of the return to DRS.
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