Form Ct-1040es - Estimated Connecticut Income Tax Payment Coupon For Individuals - 2012 Page 3
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62012 Social Security Benefi t Adjustment Worksheet
Enter the amount you expect to enter on Form CT-1040 or Form CT-1040NR/PY, Line 1.
00
If your fi ling status is single, fi ling separately for federal and Connecticut, or fi ling separately for Connecticut only,
is the amount on Line 1 $50,000 or more?
Yes: Complete this worksheet.
No: Do not complete this worksheet. *
If your fi ling status is fi ling jointly for federal and Connecticut, fi ling jointly for Connecticut only, qualifying widow(er)
with dependent child, or head of household, is the amount on Line 1 $60,000 or more?
Yes: Complete this worksheet.
No: Do not complete this worksheet. *
* If you answered No to either question, enter the amount of federally taxable Social Security benefi ts you expect to report on federal
Form 1040, Line 20b, or federal Form 1040A, Line 14b, on the 2012 Estimated Connecticut Income Tax Worksheet, Line 2.
A. Enter the amount you reported on federal Publication 505 **, Tax Withholding and Estimated
Tax, Worksheet 2-1, Line 1. If Line A is zero or less, stop here. Otherwise, go to Line B.
A.
B. Enter the amount you reported on federal Publication 505 **, Tax Withholding and Estimated
Tax, Worksheet 2.1, Line 10. If Line B is zero or less, stop here. Otherwise, go to Line C. B.
C. Enter the lesser of Line A or Line B.
C.
D. Multiply Line C by 25% (.25).
D.
E. Expected taxable amount of Social Security benefi ts you reported on federal
Publication 505 **, Tax Withholding and Estimated Tax, Worksheet 2.1, Line 19.
E.
F. Social Security benefi t adjustment: Subtract Line D from Line E. Enter the amount here
and as a subtraction on the 2012 Estimated Connecticut Income Tax Worksheet, Line 2. If
Line D is greater than or equal to Line E, enter “0.”
F.
**
Spouses in a same-sex marriage should complete federal Publication 505, Tax Withholding and Estimated Tax Worksheet 2-1, as if their fi ling status for
federal income tax purposes were married fi ling jointly or married fi ling separately. Visit the IRS website at or call the IRS at 800-829-3676.
Table A - Exemptions for 2012 Taxable Year
Use the fi ling status you expect to report on your 2012 tax return and your Connecticut AGI *** (from Tax Calculation Schedule,
Line 1) to determine your exemption.
Filing Jointly or
Single
Filing Separately
Head of Household
Qualifi ed Widow(er)
***
***
***
***
Connecticut AGI
Exemption Connecticut AGI
Exemption Connecticut AGI
Exemption Connecticut AGI
Exemption
More Than Less Than
More Than Less Than
More Than Less Than
More Than Less Than
or Equal To
or Equal To
or Equal To
or Equal To
$
0
$27,000
$13,500
$
0
$48,000
$24,000
$
0
$24,000
$12,000
$
0
$38,000
$19,000
$27,000
$28,000
$12,500
$48,000
$49,000
$23,000
$24,000
$25,000
$11,000
$38,000
$39,000
$18,000
$28,000
$29,000
$11,500
$49,000
$50,000
$22,000
$25,000
$26,000
$10,000
$39,000
$40,000
$17,000
$29,000
$30,000
$10,500
$50,000
$51,000
$21,000
$26,000
$27,000
$ 9,000
$40,000
$41,000
$16,000
$30,000
$31,000
$ 9,500
$51,000
$52,000
$20,000
$27,000
$28,000
$ 8,000
$41,000
$42,000
$15,000
$31,000
$32,000
$ 8,500
$52,000
$53,000
$19,000
$28,000
$29,000
$ 7,000
$42,000
$43,000
$14,000
$32,000
$33,000
$ 7,500
$53,000
$54,000
$18,000
$29,000
$30,000
$ 6,000
$43,000
$44,000
$13,000
$33,000
$34,000
$ 6,500
$54,000
$55,000
$17,000
$30,000
$31,000
$ 5,000
$44,000
$45,000
$12,000
$34,000
$35,000
$ 5,500
$55,000
$56,000
$16,000
$31,000
$32,000
$ 4,000
$45,000
$46,000
$11,000
$35,000
$36,000
$ 4,500
$56,000
$57,000
$15,000
$32,000
$33,000
$ 3,000
$46,000
$47,000
$10,000
$36,000
$37,000
$ 3,500
$57,000
$58,000
$14,000
$33,000
$34,000
$ 2,000
$47,000
$48,000
$ 9,000
$37,000
$38,000
$ 2,500
$58,000
$59,000
$13,000
$34,000
$35,000
$ 1,000
$48,000
$49,000
$ 8,000
$38,000
$39,000
$ 1,500
$59,000
$60,000
$12,000
$35,000
and up
$
0
$49,000
$50,000
$ 7,000
$39,000
$40,000
$
500
$60,000
$61,000
$11,000
$50,000
$51,000
$ 6,000
$40,000
and up
$
0
$61,000
$62,000
$10,000
$51,000
$52,000
$ 5,000
$62,000
$63,000
$ 9,000
$52,000
$53,000
$ 4,000
$63,000
$64,000
$ 8,000
$53,000
$54,000
$ 3,000
$64,000
$65,000
$ 7,000
$54,000
$55,000
$ 2,000
$65,000
$66,000
$ 6,000
$55,000
$56,000
$ 1,000
$66,000
$67,000
$ 5,000
$56,000
and up
$
0
$67,000
$68,000
$ 4,000
$68,000
$69,000
$ 3,000
$69,000
$70,000
$ 2,000
$70,000
$71,000
$ 1,000
$71,000
and up
$
0
*** Form CT-1040NR/PY fi lers must use income from Connecticut sources if it exceeds Connecticut adjusted gross income.
Form CT-1040ES (Rev. 1/12)
Page 3 of 6
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