Form Ct-1040x - Amended Connecticut Income Tax Return For Individuals - 2014
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10Department of Revenue Services
Form CT-1040X
2014
State of Connecticut
Amended Connecticut Income Tax Return for Individuals
(Rev. 01/15)
For the year January 1 - December 31, 2014, or other taxable year
beginning _____________ , 2014,
ending ____________ , ________ .
Your fi rst name and middle initial
Last name
Social Security Number (SSN)
Check if
• •
• •
deceased
__ __ __
__ __
__ __ __ __
• •
• •
If joint return, spouse’s fi rst name and middle initial
Last name
Check if
Spouse’s Social Security Number
deceased
• •
• •
__ __ __
__ __
__ __ __ __
• •
• •
Mailing address (number and street), apartment number, PO Box
Your telephone number
(
)
City, town, or post offi ce
State
ZIP code
DRS use only
City or town of residence if different from above
ZIP code
–
– 20
On original return:
Check the box below if you are amending your return as a result of federal
or another state’s changes to your income tax return or because you fi led a
Single
Head of household
timely-amended federal or other state’s return. Enter the date of the federal or
Married fi ling jointly
Qualifying widow(er)
other state’s fi nal determination below. See instructions on Page 4.
Filing
Married fi ling separately
Status
Federal or state changes
Date:
/
/
On this return:
Single
Head of household
You must attach a copy of the IRS audit or other state’s results, federal Form 1040X,
Married fi ling jointly
Qualifying widow(er)
Form 1045, the other state’s amended return, supporting documentation, and proof
of the fi nal determination.
Married fi ling separately
Check if fi ling Form CT-1040CRC, Claim of Right Credit
A.
B.
C.
Original amount or as
Net change increase
Correct amount
previously adjusted
or (decrease)
Check if fi ling Form CT-8379, Nonobligated Spouse Claim
1. Federal adjusted gross income from federal Form 1040,
Line 37; Form 1040A, Line 21; or Form 1040EZ, Line 4
1
00
2. Additions, if any: See instructions.
2
00
Income
3. Add Line 1 and Line 2.
3
00
4. Subtractions, if any: See instructions.
4
00
5. Connecticut adjusted gross income: Subtract Line 4 from Line 3.
5
00
Residents go to Line 10; Nonresidents and part-year residents go to Line 6.
6. Enter your income from Connecticut sources from
00
Schedule CT-SI. If less than or equal to zero, enter “0.”
6
Nonresidents
and
7. Enter the greater of Line 5 or Line 6. If zero, go to Line 10
and enter “0.”
7
00
Part-Year
Residents
8. Income tax from Tax Calculation Schedule: See instructions.
8
00
Only
9. Divide Line 6 by Line 5. If Line 6 is equal to or greater than
.
.
Line 5, enter 1.0000.
9
10. Income tax: See instructions.
10
00
11. Credit for income taxes paid to qualifying jurisdictions:
00
See instructions. Residents and part-year residents only
11
00
12. Subtract Line 11 from Line 10.
12
00
13. Connecticut alternative minimum tax from Form CT-6251
13
00
14. Add Line 12 and Line 13.
14
Tax
15. Credit for property tax paid on your primary residence or
motor vehicle, or both: Residents only, see instructions.
15
00
16. Subtract Line 15 from Line 14. If less than or equal to zero, enter “0.” 16
00
17. Total allowable credits from Schedule CT-IT Credit, Part I, Line 11
17
00
18. Connecticut income tax: Subtract Line 17 from Line 16.
18
00
19. Individual use tax: See instructions.
19
00
20. Total tax: Add Line 18 and Line 19.
20
00
21. Connecticut tax withheld: Enter amount from Line 70.
21
00
22. All 2014 estimated Connecticut income tax payments (including any
overpayments applied from a prior year) and extension payments
22
00
22a. Connecticut earned income tax credit: From Schedule CT-EITC,
00
Line 16. Schedule must be attached. Residents only
22a
22b. Claim of right credit: From Form CT-1040CRC, Line 6.
Payments
Attach Form CT-1040CRC to the back of this return.
22b
00
23. Amounts paid with original return, plus additional tax paid
after it was fi led: Do not include penalty and interest.
23
00
24. Total payments: Add Lines 21, 22, 22a, 22b and 23.
24
00
25. Overpayment, if any, as shown on original return or as previously adjusted.
25
00
26. Subtract Line 25 from Line 24.
26
00
Refund
27. If Line 26 is greater than Line 20, Column C, enter the amount overpaid.
27
00
28. If Line 20, Column C, is greater than Line 26 enter the amount of tax due.
28
00
Amount
29. Interest: Multiply Line 28 by number of months or fraction of a month, then by 1% (.01).
29
00
You Owe
30. Amount you owe with this return: Add Line 28 and Line 29.
Amount you owe 30
00
See mailing instructions on reverse. Taxpayers must sign declaration on reverse.
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