Schedule Ct-Eitc - Connecticut Earned Income Tax Credit - 2015 Page 2
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1
2Schedule CT-EITC
Your Social Security Number
Page 2
(Rev. 12/15)
EITC 00 15W 02 9999
7.
Were you self-employed or did you have income not reported on a W-2 or 1099?
Yes
No
If YES, complete Lines 7a, 7b, and 7c. If NO, go to Line 8. See instructions.
Column A
Column B
Column C
Business’s federal ID No.
Business’s state ID No.
Income or (loss)
(CT tax registration number)
7a.
7b.
7c.
8. Amount of federal EIC claimed from federal Form 1040, Line 66a;
00
Form 1040A, Line 42a; or Form 1040EZ, Line 8a.
8.
.
.275
9. Connecticut EITC rate: 27.5% (.275)
9.
00
10. Connecticut EITC: Multiply Line 8 by Line 9.
10.
.
11. Did you fi le a federal income tax return as married fi ling jointly but fi le a Connecticut
return as married fi ling separately?
Yes Complete Lines 12 through 15.
No Skip to Line 16.
00
12. Enter your separate federal adjusted gross income from Form CT-1040, Line 1.
12.
.
13. Enter your joint federal adjusted gross income from federal Form 1040, Line 37;
00
Form 1040A, Line 21; or Form 1040EZ, Line 4.
13.
.
.
14. Divide Line 12 by Line 13. If Line 12 is equal to or greater than Line 13, enter 1.0000.
14.
00
15. Multiply Line 10 by Line 14. Enter here and on Line 16.
15.
.
16. Connecticut Earned Income Tax Credit: Enter the amount from Line 10
or Line 15, if completed, here and on Form CT-1040, Line 20a, or
00
Form CT-1040X, Line 22a.
16.
.
See instructions on Page 34.
Para instrucciones en Español, refi érase a la Página 36.
Attach completed Schedule CT-EITC to the back of Form CT-1040.
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