Form Ct-W4p - Withholding Certifi Cate For Pension Or Annuity Payments - 2013 Page 2
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62013 Form CT-W4P Estimated Income Tax Worksheet
Use this worksheet if you wish to include all 2013 estimated income in determining withholding amount.
1. Federal adjusted gross income you expect in the 2013 taxable year (from 2013
federal Form 1040ES, 2013 Estimated Tax Worksheet, Line 1) ....................................................... 1. _______________________
2. Allowable Connecticut modifi cations: See subtractions or additions below. .................................... 2. _______________________
3. Connecticut adjusted gross income: Combine Line 1 and Line 2. ................................................... 3. _______________________
Nonresidents and part-year residents: Enter your Connecticut-sourced income if greater
than your Connecticut adjusted gross income.
4. Connecticut income tax: Complete the Tax Calculation Schedule below. ....................................... 4. _______________________
5. Apportionment factor: Connecticut residents enter 1.0000. Nonresidents and part-year
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residents, see instructions on Page 3. ............................................................................................. 5. _______________________
6. Multiply Line 5 by Line 4. .................................................................................................................. 6. _______________________
7. Credit for income taxes paid to qualifying jurisdictions: See instructions on Page 3. ...................... 7. _______________________
8. Subtract Line 7 from Line 6. ............................................................................................................. 8. _______________________
9. Estimated Connecticut alternative minimum tax: See instructions on Page 3. ................................ 9. _______________________
10. Add Line 8 and Line 9. ................................................................................................................... 10. _______________________
11. Estimated allowable credits from Schedule CT-IT Credit. See instructions on Page 3. ................. 11. _______________________
12. Total estimated income tax: Subtract Line 11 from Line 10. .......................................................... 12. _______________________
13. Connecticut income tax withheld or expected to be withheld during the 2013 taxable year
on income other than this pension or annuity ................................................................................ 13. _______________________
14. Subtract Line 13 from Line 12. If this amount is less than $1,000, no estimated payment
is required. ..................................................................................................................................... 14. _______________________
15. Amount to be withheld from each payment: Divide Line 14 by the number of payments
you will receive in 2013. Round to the nearest whole dollar but not less than $10. ........................ 15. _______________________
2013 Tax Calculation Schedule
1. Enter the amount from Line 3 above.
1.
00
2. Enter exemption from Table A - Personal EXemptions, If zero, enter “0.”
2.
00
3. Connecticut taxable income: Subtract Line 2 from Line 1. If less than zero, enter “0.”
3.
00
4. Tax calculation: See Table B - Withholding Tax Calculation.
4.
00
5. Enter the amount from Table C - 3% Tax Rate Phase-Out Add Back. If zero, enter “0.”
5.
00
6. Enter the amount from Table D - Tax Recapture. If zero, enter “0.”
6.
00
7. Connecticut income tax: Add Line 4, Line 5, and Line 6.
7.
00
8. Enter decimal amount from Table E - Personal Tax Credits. If zero, enter “0.”
8.
0.
9. Multiply the amount on Line 7 by the decimal amount on Line 8.
9.
00
10. Connecticut Income Tax: Subtract Line 9 from Line 7. Enter this amount on Line 4 of 2013
Form CT-W4P Estimated Income Tax Worksheet above.
10.
00
Caution: If you expect to owe $1,000 or more in Connecticut income tax after subtracting Connecticut income tax withheld, you may
be required to make estimated payments. Generally, if you do not prepay (through timely estimated tax payments or withholding, or
both) the lesser of 100% of the income tax shown on your 2012 Connecticut income tax return or 90% of the income tax shown on
your 2013 Connecticut income tax return, you may owe interest at the rate of 1% per month or fraction of a month.
2013 Form CT-W4P Estimated Income Tax Worksheet Instructions
Any reference in these instructions to fi ling jointly includes
Line 2: Enter the total of your estimated allowable Connecticut
fi ling jointly for federal and Connecticut and fi ling jointly for
modifi cations.
Connecticut only. Likewise, fi ling separately includes fi ling
Subtractions include any items included in federal adjusted
separately for federal and Connecticut and fi ling separately
gross income that are not taxable under Connecticut law.
for Connecticut only.
Additions include items taxable under Connecticut law but not
Line 1: Your estimated federal adjusted gross income.
included in federal adjusted gross income.
Adjusted gross income means wages, interest, dividends,
See Form CT-1040, Connecticut Resident Income Tax Return,
alimony received, and all income minus certain adjustments
or Form CT-1040NR/PY, Connecticut Nonresident and
to income such as alimony paid and qualifi ed contributions to
Part-Year Resident Income Tax Return, Schedule 1 -
an IRA.
Modifi cations to Federal Adjusted Gross Income instructions.
2013 Form CT-W4P (Rev. 12/12)
Page 2 of 6
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