Instructions For Form Ct-1040 - Connecticut Resident Income Tax - 2011 Page 6
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Connecticut Organ Donor ()
Give the gift of hope by registering to become an organ and tissue donor. Information about organ
donation and various organ donor programs is available from the following websites.
Donate Life Connecticut
United Network for Organ Sharing (UNOS)
Organ Donation
LifeChoice Donor Services
National Marrow Donor Program
New England Organ Bank
Contributions to Designated Charities
Below is a list of charities for which you may use your tax return to contribute all or a portion of your refund. Enter your total contributions
on Schedule 5, Line 70, of Form CT-1040, Connecticut Resident Income Tax Return. Your contribution is irrevocable. To contribute
directly, send your contribution to the address shown below.
Endangered Species,
Natural Area
Breast Cancer
Preserves,
Aids Research
Organ Transplant
and Watchable
Research and
Safety Net
Military Family
Education Fund
Fund
Wildlife Fund
Education Fund
Services Fund
Relief Fund
Assists research,
Assists Connecticut
Helps preserve, protect,
Assists research, education,
Protects the children
Makes grants to the
education, and
residents in paying for
and manage Connecticut’s
and community service
of families who are no
immediate family members
community service
the unmet medical and
endangered plants and
programs related
longer eligible for public
of service members
programs related to
animals, wildlife and their
ancillary needs of organ
to breast cancer.
assistance benefi ts.
domiciled in Connecticut
Acquired Immune
transplant candidates and
habitats.
for essential goods and
Defi ciency Syndrome
recipients.
services when military
(AIDS).
services creates family
fi nancial hardship.
Department of
Department of
Department of
Department of Public
Department of Public Health
Military Department,
Environmental Protection-
Social Services
Health AIDS and Chronic
Social Services
Comprehensive Cancer Section
Military Family Relief Fund
Bureau of Administration
Accounts Receivable
Diseases Division
Accounts Receivable
Breast and Cervical Cancer
Fiscal Offi ce
Financial Management
25 Sigourney St Ste 1
25 Sigourney St Ste 1
Early Detection Program
360 Broad St
MS #11APV
79 Elm Street
Hartford CT 06106-5033
Hartford CT 06106-5033
MS #11 CCS
Hartford CT 06105-3795
PO Box 340308
Hartford CT 06106-1591
PO Box 340308
Hartford CT 06134-0308
Hartford CT 06134-0308
Make check payable to:
Make check payable to:
Make check payable to:
Make check payable to:
Make check payable to:
Make check payable to:
Commissioner of Social
Treasurer, State of
Treasurer, State of
Commissioner of
DEP-Endangered
Treasurer, State of
Services/Safety Net Fund
Connecticut/Military
Connecticut/AIDS Fund
Species/ Wildlife Fund
Social Services/Organ
Connecticut/Breast
Family Relief Fund
Transplant Fund
Cancer Fund
Page 6
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