Form Ct-1120cc - Combined Return Consent - Connecticut Department Of Revenue

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Department of Revenue Services
Form CT-1120CC
State of Connecticut
Rev. 12/03
Combined Return Consent
Purpose
Use Form CT-1120CC, Combined Return Consent, to authorize and consent to be included in a Combined Corporation Business Tax
Return or a Unitary Corporation Business Tax Return. The affiliated corporation named below authorizes its common parent
corporation to include it in a combined return or a unitary return for the initial income year indicated. This election is irrevocable for the
five succeeding income years.
General Instructions
Complete and attach this form to Form CT-1120CR, Combined Corporation Business Tax Return or Form CT-1120U, Unitary Corporation
Business Tax Return, for the initial income year in which each affiliated corporation consents to the election by the common parent
corporation (or designated Connecticut parent) to file a Combined Corporation Business Tax Return or a Unitary Corporation
Business Tax Return. When an election to file a combined return is made, each member of the combined or unitary group is jointly
and severally liable for payment of the entire tax, including penalties and interest.
For Income Year Beginning ___________________, ______, and Ending ___________________, ______.
Election to File:
Combined Return
Unitary Return
Common Parent Corporation (or Designated Connecticut Parent)
The common parent corporation (or designated Connecticut parent) named below elects to file a Combined Corporation Business
Tax Return or a Unitary Corporation Business Tax Return for this income year. This election is irrevocable for the five succeeding
income years.
Connecticut Tax Registration Number
Name of Common Parent Corporation (or Designated Connecticut Parent)
Name of Authorized Officer
Signature of Authorized Officer
Federal Employer ID Number
T i t l e
D a t e
Affiliated Corporation
The affiliated corporation named below consents to the election by the common parent corporation named above to file a Combined
Corporation Business Tax Return or a Unitary Corporation Business Tax Return. This election is irrevocable for the five succeeding
income years.
Name of Affiliate
Connecticut Tax Registration Number
Address (No., Street, City or Town, State, and ZIP Code)
Federal Employer ID Number
State of Incorporation
Date Incorporated
Type of Business
Current Status (Active/Inactive)
Name of Authorized Officer
Signature of Authorized Officer
T i t l e
D a t e
ATTACH A SEPARATE CONSENT TO ELECTION FOR EACH AFFILIATE FOR THE INITIAL INCOME YEAR
THE AFFILIATE ELECTS TO FILE A COMBINED CORPORATION BUSINESS TAX RETURN
OR A UNITARY CORPORATION BUSINESS TAX RETURN.

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