Form Ct-1065/ct-1120si V - Connecticut Electronic Filing Payment Voucher - 2013
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1Department of Revenue Services
CT-1065/CT-1120SI V
State of Connecticut
2013 Connecticut Electronic Filing Payment Voucher
(Rev. 12/13)
Purpose: Complete CT-1065/CT-1120SI V if you fi led your Connecticut composite income tax return electronically
and elect to make payment by check. You must pay the total amount of tax due on or before the fi fteenth day
of the fourth month following the close of the taxable year (April 15 for calendar year fi lers). Any unpaid balance
will be subject to penalty and interest.
Pay by Mail: Make check payable to Commissioner of Revenue Services. To ensure payment is applied to the
correct account, write “2013 CT-1065/CT-1120SI V e-fi le” and the PE’s Federal Employer Identifi cation Number
(FEIN) on the front of the check. Sign the check and clip it to the front of the voucher. Do not send cash. The
Department of Revenue Services (DRS) may submit the check to your bank electronically. Return the voucher
below with your payment.
Mail to:
Department of Revenue Services
State of Connecticut
PO Box 2921
Hartford, CT 06104-2921
Other Payment Options
A. Pay Electronically: Visit to use the Taxpayer Service Center (TSC) to make a direct tax
payment. After logging into the TSC, select the Make Payment Only option and choose a tax type from the
drop down box. Using this option authorizes DRS to electronically withdraw a payment from your bank account
(checking or savings) on a date you select up to the due date. As a reminder, even if you pay electronically,
you must still fi le your return by the due date. Tax not paid on or before the due date will be subject to penalty
and interest.
B. Pay by Credit Card or Debit Card: You may elect to pay your 2013 tax liability using a credit card (American
®
®
®
®
Express
, Discover
, MasterCard
, VISA
) or comparable debit card. A convenience fee will be charged by the
service provider. You will be informed of the amount of the fee and may elect to cancel the transaction. At the
end of the transaction, you will be given a confi rmation number for your records.
There are three ways to pay by credit card or comparable debit card:
•
Log in to your account in the TSC and select Make Payment by Credit Card;
•
Visit and select State Payments; or
•
Call Offi cial Payments Corporation toll-free at 800-2PAY-TAX (800-272-9829) and follow the instructions.
You will be asked to enter the Connecticut Jurisdiction Code: 1777.
Your payment will be effective on the date you make the charge.
Separate here and mail voucher to DRS. Make a copy for your records.
Department of Revenue Services
CT-1065/CT-1120SI V
CT-1065/CT-1120SI V
State of Connecticut
2013 Connecticut Electronic Filing Payment Voucher
(Rev. 12/13)
Name of pass-through entity (PE)
FEIN
Address (number and street)
PO Box
Connecticut TID
City or town
State
ZIP code
1. Enter the amount enclosed........................................................................................1.
00
Make check payable to Commissioner of Revenue Services.
Write your FEIN and “2013 CT-1065/CT-1120SI V e-fi le” on your check.
Mail to: DRS, State of Connecticut, PO Box 2921, Hartford CT 06104-2921
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