Form Ct-1040 Nr/py - Connecticut Nonresident And Part-Year Resident Income Tax Return And Instructions - 2012 Page 4

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For taxable years commencing on or after January 1, 2011,
sign original returns, amended returns, or requests for fi ling
in computing Connecticut adjusted gross income, a taxpayer
extensions by rubber stamp, mechanical device, or computer
receiving a distribution from an MRA, must add back to his or
software program. These alternative methods of signing
her federal adjusted gross income, to the extent not properly
must include either a facsimile of the individual preparer’s
includible in gross income for federal income tax purposes.
signature or the individual preparer’s printed name.
See Special Notice 2012(6), 2012 Legislative Changes
Income tax return preparers who use alternative methods of
Aff ecting the Income Tax.
signing must provide all of the other preparer information
that is required on returns and extensions, such as the
Vocational Rehabilitation Job Creation Tax
name, address, relevant employer identifi cation number, the
Credit Expires
preparer’s individual identifi cation number (social security
number or preparer tax identifi cation number), and phone
The Vocational Rehabilitation Job Creation Tax Credit has
number.
expired. You may not claim this credit for taxable year 2012.
Paid preparers can follow the same procedure with respect
to paper Connecticut income tax returns prepared on behalf
Alternative Signature Methods
of their clients. This procedure only applies to preparers’
DRS conforms to IRS Notice 2004-54, which provides for
signatures. It does not aff ect other signature requirements
alternative preparer signature procedures for federal income
for taxpayers, and does not apply to documents other than
tax paper returns that paid practitioners prepare on behalf of
tax returns.
their clients. Specifi cally, income tax return preparers may
Contributions to Designated Charities
Below is a list of charities for which you may use your tax return to contribute all or a portion of your refund. Enter your total contributions
on Schedule 4, Line 63, of Form CT-1040NR/PY, Connecticut Nonresident and Part-Year Resident Income Tax Return. Your contribution
is irrevocable. To contribute directly, send your contribution to the address shown below.
Endangered Species,
Natural Area
Breast Cancer
Preserves,
Aids Research
Organ Transplant
and Watchable
Research and
Safety Net
Military Family
Education Fund
Wildlife Fund
Fund
Education Fund
Services Fund
Relief Fund
Assists research,
Assists Connecticut
Helps preserve, protect,
Assists research, education,
Makes grants to the
Protects the children
education, and
residents in paying for
and manage Connecticut’s
and community service
immediate family
of families who are no
community service
endangered plants and
the unmet medical and
programs related
members of service
longer eligible for public
programs related to
ancillary needs of organ
animals, wildlife and their
members domiciled in
to breast cancer.
assistance benefi ts.
Acquired Immune
transplant candidates and
habitats.
Connecticut for essential
Defi ciency Syndrome
recipients.
goods and services when
(AIDS).
military services creates
family fi nancial hardship.
Department of Energy &
Department of
Military Department,
Department of
Department of Public
Department of Public
Environmental Protection
Social Services
Military Family Relief
Social Services
Health - Community
Health - HIV Prevention
Bureau of Administration
Accounts Receivable
Fund Fiscal Offi ce
Accounts Receivable
Health and Prevention
Program
Financial Management
25 Sigourney St Ste 1
360 Broad St
25 Sigourney St Ste 1
Section
MS #11APV
Hartford CT 06105-3795
79 Elm Street
Hartford CT 06106-5033
Hartford CT 06106-5033
MS #11 CCS
PO Box 340308
Hartford CT 06106-1591
PO Box 340308
Hartford CT 06134-0308
Hartford CT 06134-0308
Make check payable to:
Make check payable to:
Make check payable to:
Make check payable to:
Make check payable to:
Make check payable to:
Treasurer, State of
Commissioner of
DEEP-Endangered
Treasurer, State of
Commissioner of Social
Treasurer, State of
Connecticut/Military
Social Services/Organ
Species/ Wildlife Fund
Connecticut/Breast
Services/Safety Net Fund
Connecticut/AIDS Fund
Family Relief Fund
Transplant Fund
Cancer Fund
Page 4

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