Form Ct-1120cc - Combined Return Consent printable pdf download

Department of Revenue Services

State of Connecticut

Form CT-1120CC

Rev. (12/15)

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 afﬁ liated 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 ﬁ ve 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 afﬁ liated corporation consents to the election by

the common parent corporation (or designated Connecticut parent) to ﬁ le a Combined Corporation Business Tax Return or a

Unitary Corporation Business Tax Return. When an election to ﬁ le 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 ﬁ le a Combined Corporation

Business Tax Return or a Unitary Corporation Business Tax Return for this income year. This election is irrevocable for the

ﬁ ve succeeding income years.

Name of common parent corporation (or designated Connecticut parent)

Connecticut Tax Registration Number

Print name of authorized ofﬁ cer

Signature of authorized ofﬁ cer

Federal Employer ID Number

Title

Daytime telephone number

Date

(

)

Afﬁ liated Corporation

The afﬁ liated corporation named below consents to the election by the common parent corporation named above to ﬁ le a

Combined Corporation Business Tax Return or a Unitary Corporation Business Tax Return. This election is irrevocable for

the ﬁ ve succeeding income years.

Name of afﬁ liate

Connecticut Tax Registration Number

Address (number, street, city or town, state, and ZIP code)

Federal Employer ID Number

State of incorporation

Date incorporated

Type of business

Current status (active/inactive)

Print name of authorized ofﬁ cer

Signature of authorized ofﬁ cer

Title

Daytime telephone number

Date

(

)

Complete a separate consent to election for each afﬁ liate for the initial income year the afﬁ liate elects to ﬁ le as part of a

combined or unitary Connecticut corporation business tax return.

Attach Form CT-1120CC to Form CT-1120CR or Form CT-1120U, or mail Form CT-1120CC to:

Department of Revenue Services

PO Box 2937

Hartford CT 06104-2937

Form Ct-1120cc - Combined Return Consent

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