Form Ct-1041 K-1t - Transmittal Of Schedule Ct-1041 K-1, Benefi Ciary'S Share Of Certain Connecticut Items - 2013
ADVERTISEMENT
1
2Department of Revenue Services
Form CT-1041 K-1T
2013
State of Connecticut
PO Box 150440
Transmittal of Schedule CT-1041 K-1,
Hartford CT 06115-0440
Benefi ciary’s Share of Certain Connecticut Items
(Rev. 12/13)
For DRS use only
-
-
20
For calendar year 2013 or other taxable year
beginning ____________________, 2013‚ and
ending ____________________ , 20 ____ .
Complete this form in blue or black ink only.
Trust and Estate Information
Name of trust or estate
Federal Employer Identifi cation Number (FEIN)
Name and title of fi duciary
Address of fi duciary
Number and street address
PO Box
City or town
State
ZIP code
Part 1 - Schedule CT-1041 K-1s Submitted
1.
1. Total number of Schedule CT-1041 K-1s submitted with this Form CT-1041 K-1T ............
Part 2 - Number of Benefi ciaries
1. Resident individuals ............................................................................................................
1.
2. Nonresident individuals .......................................................................................................
2.
3. Resident trusts or estates....................................................................................................
3.
4. Nonresident trusts or estates ...............................................................................................
4.
Part 3 - Summary of Schedule CT K-1 Information
00
1. Total Connecticut-sourced income (individuals) ..................................................................
1.
00
2. Total Connecticut-sourced income (trusts or estates) .........................................................
2.
Attach Schedule CT-1041 K-1, Benefi ciary’s Share of Certain Connecticut Items, to Form CT-1041 K-1T and mail to:
Department of Revenue Services
State of Connecticut
PO Box 150440
Hartford CT 06115-0440
Declaration: I declare under the penalty of law that I have examined this return (including any accompanying schedules and statements)
and, to the best of my knowledge and belief, it is true, complete, and correct. I understand the penalty for willfully delivering a false return
or document to the Department of Revenue Services (DRS) is a fi ne of not more than $5,000, imprisonment for not more than fi ve years,
or both. The declaration of a paid preparer other than the taxpayer is based on all information of which the preparer has any knowledge.
Signature
Date
Sign Here
Keep a copy
of this
return for
Title
Telephone number
your records.
(
)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 58 - Schedula K-1 - Draft - Partner's Share Of North Dakota Income (loss), Deductions, Adjustments, Credits, And Other Items - 2013
Financial
Form Ct K-1t - Transmittal Of Schedule Ct K-1, Member's Share Of Certain Connecticut Items - 2013
Financial
Related Categories
Parent category: Financial