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Department of Revenue Services

CT-709 EXT

State of Connecticut

Form CT-709 EXT

Calendar Year

PO Box 2978

Hartford CT 06104-2978

2004

Application for Extension of Time to File

(Rev. 5/05)

Connecticut Gift Tax Return

You and your spouse may not jointly file for CT-709 EXT.

Donor’s First Name and Middle Initial

Last Name

Social Security Number

• •

__ __ __

__ __

__ __ __ __

• •

Taxpayer

Address

Number and Street

PO Box

FOR DEPARTMENT USE ONLY

(Please Type

–

– 20

or Print)

City, Town, or Post Office

State

ZIP Code

This is not an extension of time to pay your gift tax. Penalties and interest may apply if you pay late. (See instructions)

An extension granted by the Internal Revenue Service does not automatically extend the Connecticut filing date.

By filing this form with the Connecticut Department of Revenue Services (DRS), you are requesting a six-month extension of time

to file your 2004 Connecticut Gift Tax Return.

2004.

If the donor died during the calendar year for which this return is filed, enter date of death

________________________

Check if the donor died during the calendar year for which this return is filed and no federal estate tax return is required to

be filed.

Check if the donor died during the calendar year for which this return is filed and a federal estate tax return extension was

requested on federal Form 4768, Application for Extension of Time to File a Return and/or Pay U.S. Estate (and Generation

Skipping Transfer) Taxes.

I have requested a federal extension using federal Form 4868, Application for Automatic Extension of Time to File U.S. Individual

Income Tax Return, for calendar year 2004; or I have requested an extension of time to file the federal gift tax return by writing to

the District Director of the Internal Revenue Service Center for your area.

Yes

If No, the reason for the Connecticut extension is: ___________________________________________________________

_____________________________________________________________________________________________

You will be notified only if your extension request is denied.

1. Total Connecticut gift tax liability for 2004 (You may estimate this amount.) ........................

You must enter an amount on Line 1. If you do not expect to owe tax, enter zero (0).

Make check or money order payable to: Commissioner of Revenue Services. Write “2004 Form CT-709” on the check or money

order in the lower left corner. Writing your Social Security Number on the front of your check or money order ensures accuracy

and timeliness in processing your payment.

Mail to:

Department of Revenue Services

PO Box 2978

Hartford CT 06104-2978

MccormickL\ITAS\Form CT-709 EXT\Form CT-709 EXT\for reapproval Rev Date 20050301.pmd

Form Ct-709 Ext - Application For Extension Of Time To File Connecticut Gift Tax Return - 2004

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