Schedule Ct-1041wh - Connecticut Income Tax Withholding - 2014
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1Department of Revenue Services
Schedule CT-1041WH
2014
State of Connecticut
Connecticut Income Tax Withholding
(New 12/14)
Complete in blue or black ink only.
Schedule CT-1041WH must be attached to the back of Form CT-1041 if Connecticut withholding is claimed.
Name of trust or estate
Federal employer identifi cation number
–
1. Enter the total number of forms 1099, W-2G, and Schedule CT K-1 showing Connecticut income tax
withholding reported below.
2. Enter information below from forms 1099, W-2G, and Schedule CT K-1 only if Connecticut income tax was withheld.
Column B
Column A
Column C
Distributions, Winnings, etc.
Employer’s Federal ID Number
Connecticut Income Tax Withheld
(from W-2G, Box b; or Payer’s federal ID
Check the box at left of Column C if
Schedule
number from Schedule CT K-1, or 1099)
the amount is from Schedule CT K-1.
CT K-1
.00
.00
–
.00
.00
–
.00
.00
–
.00
.00
–
.00
.00
–
.00
.00
–
.00
.00
–
3.
Total Connecticut Income Tax Withheld and Reported Above
.00
Add the amounts in Column C. Enter here and also on Form CT-1041, Line 10
Instructions for Schedule CT-1041WH
Line 1: Number of 1099s, W-2Gs, and Schedule CT K-1s
If the trust or estate received a Form W-2G, enter in Column A
the payer’s nine-digit Federal Identification Number; in
Enter the total number of forms 1099, W-2G, and Schedule
Column B the gross winnings (for Connecticut) from Box 1 of
CT K-1 for the 2014 taxable year showing Connecticut
Form W-2G; and in Column C the state income tax withheld
income tax withheld that you are reporting on this schedule.
(for Connecticut) from Box 15 of Form W-2G. Do not include
Line 2: Columns A, B, and C
in Column C the federal income tax withheld or income tax
withheld for other states.
If the trust or estate received a Form 1099-MISC, enter in
Column A the payer’s nine-digit Federal Identifi cation Number;
If the trust or estate received a Schedule CT K-1, enter
in Column B the state income (for Connecticut) from Box 18
in Column A the pass-through entity’s nine-digit FEIN; and
of Form 1099-MISC; and in Column C the state tax withheld
in Column C the Connecticut income tax paid by the pass-
(for Connecticut) from Box 16 of Form 1099-MISC. Do not
through entity on behalf of the trust or estate from Part III, Line
include in Column C the federal income tax withheld or income
1, of Schedule CT K-1. Check the box to the left of Column
tax withheld for other states.
C. Make no entry in Column B.
If the trust or estate received a Form 1099-R, enter in
Line 3: Total Connecticut Income Tax Withheld and
Column A the payer’s nine-digit Federal Identifi cation Number;
Reported Above: Add the amounts in Line 2, Column C,
in Column B the state distribution (for Connecticut) from Box
and enter the total.
14 of Form 1099-R, and in Column C the state tax withheld
(for Connecticut) from Box 12 of Form 1099-R. Do not include
If there are additional federal forms 1099 and W-2G, you must
in Column C the federal income tax withheld or income tax
create an identical schedule and attach it to the back of your
withheld for other states.
Connecticut fi duciary tax return.
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