Form Ct-8508 - Request For Waiver From Filing Informational Returns Electronically

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Department of Revenue Services
For DRS Use Only
State of Connecticut
Form CT-8508
PO Box 2930
Hartford CT 06104-2930
Request for Waiver From Filing
(Rev. 01/12)
Informational Returns Electronically
Only the person required to file electronically may file Form CT-8508. A submitter may not file Form CT-8508 for the filer, unless
he or she has a power of attorney. If you have a power of attorney attach Form LGL-001, Power of Attorney, to this request.
Complete this form in blue or black ink only . See instructions on reverse.
__
r
r
201
1. Submission type:
Original
Reconsideration
2. Requesting waiver for calendar year (one year only)
3. Connecticut Tax Registration Number
Federal Employer ID Number (FEIN)
4.
5. Filer’s name
Street address or PO Box
City
State
Zip code
6. Person to contact about this request
Telephone number
( )
7. Return(s) waiver is requested for:
(a)
(b)
(c)
Number of returns you wish
Number of returns you will be
Number of returns you expect to file
Form Type(s)
to file on compact disc (CD)
filing in total with Connecticut
next calendar year with Connecticut
W-2
W-2G
1099-R
1099-MISC
8. Have you applied for a waiver from filing electronically with the Internal Revenue Service (IRS) for the current calendar year?
r
r
Yes (If Yes, attach a copy of federal Form 8508.)
No
If Yes, was the waiver approved?
r
r
r
Yes (If Yes, attach a copy of the waiver approval.)
No
Pending
9. Is this the first time you have requested a waiver from Connecticut electronic filing requirements for Forms W-2, W-2G, or 1099?
r
r
Yes (If Yes, skip to Declaration.)
No (If No, complete Line 10.)
10.
Provide a brief explanation of the hardship:
_________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
Declaration: I declare under penalty of law that I have examined this return (including any accompanying schedules and statements) and,
to the best of my knowledge and belief, it is true, complete, and correct. I understand the penalty for willfully delivering a false return or
document to the Department of Revenue Services (DRS) is a fine of not more than $5,000, or imprisonment for not more than five years, or
both. The declaration of a paid preparer other than the taxpayer is based on all information of which the preparer has any knowledge.
Signature
Title
Date

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