Form Ct-W4p - Withholding Certifi Cate For Pension Or Annuity Payments - 2013 Page 4
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6Table A - Personal exemptions for 2013 Taxable Year
Use the fi ling status you expect to report on your 2013 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
$28,000
$14,000
$
0
$48,000
$24,000
$
0
$24,000
$12,000
$
0
$38,000
$19,000
$28,000
$29,000
$13,000
$48,000
$49,000
$23,000
$24,000
$25,000
$11,000
$38,000
$39,000
$18,000
$29,000
$30,000
$12,000
$49,000
$50,000
$22,000
$25,000
$26,000
$10,000
$39,000
$40,000
$17,000
$30,000
$31,000
$11,000
$50,000
$51,000
$21,000
$26,000
$27,000
$ 9,000
$40,000
$41,000
$16,000
$31,000
$32,000
$ 10,000
$51,000
$52,000
$20,000
$27,000
$28,000
$ 8,000
$41,000
$42,000
$15,000
$32,000
$33,000
$ 9,000
$52,000
$53,000
$19,000
$28,000
$29,000
$ 7,000
$42,000
$43,000
$14,000
$33,000
$34,000
$ 8,000
$53,000
$54,000
$18,000
$29,000
$30,000
$ 6,000
$43,000
$44,000
$13,000
$34,000
$35,000
$ 7,000
$54,000
$55,000
$17,000
$30,000
$31,000
$ 5,000
$44,000
$45,000
$12,000
$35,000
$36,000
$ 6,000
$55,000
$56,000
$16,000
$31,000
$32,000
$ 4,000
$45,000
$46,000
$11,000
$36,000
$37,000
$ 5,000
$56,000
$57,000
$15,000
$32,000
$33,000
$ 3,000
$46,000
$47,000
$10,000
$37,000
$38,000
$ 4,000
$57,000
$58,000
$14,000
$33,000
$34,000
$ 2,000
$47,000
$48,000
$ 9,000
$38,000
$39,000
$ 3,000
$58,000
$59,000
$13,000
$34,000
$35,000
$ 1,000
$48,000
$49,000
$ 8,000
$39,000
$40,000
$ 2,000
$59,000
$60,000
$12,000
$35,000
and up
$
0
$49,000
$50,000
$ 7,000
$40,000
$41,000
$
1,000
$60,000
$61,000
$11,000
$50,000
$51,000
$ 6,000
$41,000
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
$01,000
$71,000
and up
$,00000
*** Form CT-1040NR/PY fi lers must use income from Connecticut sources if it exceeds Connecticut adjusted gross income.
Table B - Tax Calculation for 2013 Taxable Year
Use the fi ling status you expect to report on your 2013 tax return. This initial tax calculation does not include personal tax credits,
3% tax rate phase-out add-back, or tax recapture.
Single or Filing Separately - If the amount on the Tax Calculation Schedule, Line 3 is:
Less than or equal to: ......................................................... $ 10,000 ...................... 3.00%
More than $10,000, but less than or equal to ..................... $ 50,000 ...................... $300 plus 5.0% of the excess over $10,000
More than $50,000, but less than or equal to ..................... $100,000 ..................... $2,300 plus 5.5% of the excess over $50,000
More than $100,000, but less than or equal to ................... $200,000 ..................... $5,050 plus 6.0% of the excess over $100,000
More than $200,000, but less than or equal to ................... $250,000 ..................... $11,050 plus 6.5% of the excess over $200,000
More than $250,000 ................................................................................................ $14,300 plus 6.7% of the excess over $250,000
Single or Filing Separately Examples:
Line 3 is $525,000, Line 4 is $32,725
Line 3 is $13,000, Line 4 is $450
$525,000 - $250,000
=
$275,000
$13,000 - $10,000
=
$3,000
$275,000 x .067
=
$18,425
$3,000 X .05
=
$150
$14,300 + $18,425
=
$32,725
$300 + $150
=
$450
Filing Jointly/Qualifying Widow(er) - If the amount on the Tax Calculation Schedule, Line 3 is:
Less than or equal to: ......................................................... $ 20,000 ...................... 3.00%
More than $20,000, but less than or equal to ..................... $100,000 ..................... $600 plus 5.0% of the excess over $20,000
More than $100,000, but less than or equal to ................... $200,000 ..................... $4,600 plus 5.5% of the excess over $100,000
More than $200,000, but less than or equal to ................... $400,000 ..................... $10,100 plus 6.0% of the excess over $200,000
More than $400,000, but less than or equal to ................... $500,000 ..................... $22,100 plus 6.5% of the excess over $400,000
More than $500,000 ................................................................................................ $28,600 plus 6.7% of the excess over $500,000
Filing Jointly/Qualifying Widow(er) Examples:
Line 3 is $22,500, Line 4 is $725
Line 3 is $1,100,000, Line 4 is $68,800
$22,500 - $20,000
=
$2,500
$1,100,000 - $500,000
=
$600,000
$2,500 x .05
=
$125
$600,000 x .067
=
$40,200
$600 + $125
=
$725
$28,600 + $40,200
=
$68,800
Head of Household - If the amount on the Tax Calculation Schedule, Line 3 is:
Less than or equal to: ......................................................... $ 16,000 ...................... 3.00%
More than $16,000, but less than or equal to ..................... $ 80,000 ...................... $480 plus 5.0% of the excess over $16,000
More than $80,000, but less than or equal to ..................... $160,000 ..................... $3,680 plus 5.5% of the excess over $80,000
More than $160,000, but less than or equal to ................... $320,000 ..................... $8,080 plus 6.0% of the excess over $160,000
More than $320,000, but less than or equal to ................... $400,000 ..................... $17,680 plus 6.5% of the excess over $320,000
More than $400,000 ................................................................................................ $22,880 plus 6.7% of the excess over $400,000
Head of Household Examples:
Line 3 is $825,000, Line 4 is $51,355
Line 3 is $20,000, Line 4 is $680
$825,000 - $400,000
=
$425,000
$20,000 - $16,000
=
$4,000
$425,000 x .067
=
$28,475
$4,000 x .05
=
$200
$22,880 + $28,475
=
$51,355
$480 + $200
=
$680
* Form CT-1040NR/PY fi lers must use income from Connecticut sources if it exceeds Connecticut adjusted gross income.
2013 Form CT-W4P (Rev. 12/12)
Page 4 of 6
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