Form Ct-1040nr/py - Connecticut Nonresident And Part-Year Resident Income Tax Return - 2014

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Form CT-1040NR/PY
2014
For DRS
2 0
Connecticut Nonresident and Part-Year
Use Only
CT-1040NR/PY
Resident Income Tax Return
Complete return in blue or black ink only.
Taxpayers must sign declaration on reverse side.
For the year January 1 - December 31, 2014, or other taxable year beginning: _________________ , 2014 and ending: __________________, ______ .
Filing Status - Check only one box.
1
Married fi ling separately
Qualifying widow(er)
Single
Married fi ling jointly
Head of household
with dependent child
Enter spouse’s name here and SSN below.
Your Social Security Number
Spouse’s Social Security Number
-
Check if
Check if
-
-
-
deceased
deceased
MI
Your fi rst name
Last name (If two last names, insert a space between names.)
Suffi x (Jr./Sr.)
MI
If joint return, spouse’s fi rst name
Last name (If two last names, insert a space between names.)
Suffi x (Jr./Sr.)
Mailing address (number and street, apartment number, suite number, PO Box)
2014
Resident status
Nonresident
Part-year resident
City, town, or post offi ce
State
ZIP code
(If town is two words, leave a space between the words.)
-
Enter city or town of residence if different from above.
ZIP code
Check here if you are fi ling Form CT-8379:
Check here if you are fi ling Form CT-1040CRC:
Check if you fi led Form CT-2210
Attach to the front of the return.
Attach to the back of the return.
and checked any boxes on Part 1.
Whole Dollars Only
2
1. Federal adjusted gross income from federal Form 1040, Line 37;
00
.
Form 1040A, Line 21; or Form 1040EZ, Line 4
1.
,
,
00
.
2. Additions to federal adjusted gross income from Schedule 1, Line 41
2.
,
,
00
3. Add Line 1 and Line 2.
3.
.
,
,
00
4. Subtractions from federal adjusted gross income from Schedule 1, Line 52
4.
.
,
,
00
5. Connecticut adjusted gross income: Subtract Line 4 from Line 3.
5.
.
,
,
00
6. Income from Connecticut sources from Schedule CT-SI, Line 30
6.
.
,
,
00
7. Enter the greater of Line 5 or Line 6. If zero or less, go to Line 12 and enter “0.” 7.
.
,
,
8. Income tax on the amount on Line 7 from tax tables or Tax Calculation Schedule:
00
.
See instructions, Page 16.
8.
,
,
9. Divide Line 6 by Line 5. If Line 6 is equal to or greater than Line 5, enter 1.0000. 9.
.
00
10. Multiply Line 9 by Line 8.
10.
.
,
,
11. Credit for income taxes paid to qualifying jurisdictions during resident portion
00
of taxable year — part-year residents only (from Schedule 2, Line 61)
11.
.
,
,
00
12. Subtract Line 11 from Line 10. If Line 11 is greater than Line 10, enter “0.”
12.
.
,
,
00
13. Connecticut alternative minimum tax from Form CT-6251
13.
.
,
,
00
14. Add Line 12 and Line 13.
14.
.
,
,
00
15. Total allowable credits from Schedule CT-IT Credit, Part I, Line 11
15.
.
,
,
00
16. Connecticut income tax: Subtract Line 15 from Line 14. If less than zero, enter “0.” 16.
.
,
,
00
17. Individual use tax from Schedule 3, Line 62: If no tax is due, enter “0.”
17.
.
,
,
00
.
18. Add Line 16 and Line 17.
18.
,
,
Due date: April 15, 2015 - Attach a copy of all applicable schedules and forms to this return.
For a faster refund, fi le your return electronically at and choose direct deposit.

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