Form Ct-1040 - Connecticut Resident Income Tax Return - 2013 Page 4
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42013 Form CT-1040 - Page 4 of 4
Your Social
-
-
Security Number
Schedule 3 - Property Tax Credit
See instructions, Page 30.
Auto 2
Qualifying Property
Primary Residence
Auto 1
(joint returns or qualifying widow(er) only)
Name of Connecticut
Tax Town or District
Description of Property
If primary residence, enter
street address.
If motor vehicle, enter
year, make, and model.
Date(s) Paid
_ _ /_ _ / 2013
_ _ /_ _ / 2013
_ _ /_ _ / 2013
_ _ /_ _ / 2013
_ _ /_ _ / 2013
_ _ /_ _ / 2013
00
00
00
.
.
.
,
,
,
.
Amount Paid
60.
61.
62
.
00
63. Total property tax paid: Add Lines 60, 61, and 62.
63.
,
3 0 0
64. Maximum property tax credit allowed
64.
.
00
65. Enter the lesser of Line 63 or Line 64.
65.
66. Enter the decimal amount for your fi ling status and Connecticut AGI from the Property Tax
.
66.
Credit Table exactly as it appears on Page 31. If zero, enter the amount from Line 65 on Line 68.
.
00
67. Multiply Line 65 by Line 66.
67.
68. Subtract Line 67 from Line 65. Enter here and on Line 11.
.
00
68.
Attach Schedule 3 to your return or your credit will be disallowed.
Schedule 4 - Individual Use Tax
Do you owe use tax for on-line or other purchases where you paid no sales tax?
See instructions, Page 32.
Failure to report and pay use tax is subject to as much as a $5,000 fi ne, imprisonment for as much as 5 years, or both.
Complete the Connecticut Individual Use Tax Worksheet on Page 32 to calculate your use tax liability.
.
00
69a. Total use tax due at 1%: From
Section A, Column 7.
69a.
Connecticut Individual Use Tax Worksheet,
, ,
.
00
69b. Total use tax due at 6.35%: From
Section B, Column 7 69b.
Connecticut Individual Use Tax Worksheet,
,
.
69c. Total use tax due at 7%: From
Section C, Column 7
69c.
00
Connecticut Individual Use Tax Worksheet,
,
69. Individual use tax: Add Lines 69a through 69c. If no use tax is due, you must enter “0”
.
69.
00
here and on Line 15.
,
Schedule 5 - Contributions to Designated Charities
- See more information on Page 6.
00
70a. AIDS Research
70a.
.
,
,
00
70b. Organ Transplant
70b.
.
,
,
00
70c. Endangered Species/Wildlife
70c.
.
,
,
00
70d. Breast Cancer Research
70d.
.
,
,
00
.
70e. Safety Net Services
70e.
,
,
00
.
70f. Military Family Relief
70f.
,
,
00
.
70. Total Contributions: Add Lines 70a through 70f. Enter amount here and on Line 24.
70.
,
,
Complete and send all four pages of the return to DRS.
Use the correct mailing address for returns with a payment or requesting a refund.
For all tax forms with payment:
For refunds and all other tax forms without payment:
Department of Revenue Services
Department of Revenue Services
PO Box 2976
PO Box 2977
Hartford CT 06104-2977
Hartford CT 06104-2976
Make your check payable to Commissioner of Revenue Services
To ensure proper posting, write your SSN(s) (optional) and “2013 Form CT-1040” on your check.
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