Form Ct-8809 - Request For Extension Of Time To File Informational Returns Page 2

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Form CT-8809 Instructions
Block 4. Enter the name of someone to contact if additional information
Complete this form in blue or black ink only. Use Form CT-8809 to
request an extension of time to file Forms W-2, W-2G, 1099-R, and
is required.
1099-MISC. Do not use this form to request an extension of time to
Block 5. Enter the telephone number, including area code, of the
furnish the statement to the recipient or for an extension of time to
contact person shown in Block 4.
file Form CT-1040, Connecticut Resident Income Tax Return. For
rules on extending the time to file Form CT-1040, see Form CT-1040
Block 6. Indicate the type(s) of informational return(s) for which you
Instructions.
are requesting an extension of time to file and method of
filing by checking the appropriate box(es).
Who May File: Filers of informational returns
An employer or payer filing 25 or more Forms W-2, W-2G,
submitted electronically through the Taxpayer
1099-R, or 1099-MISC per form type, must file these forms
Service Center (TSC) or on CD may use this form
electronically through the TSC. An employer or payer filing
to request an extension of time to file. A transmitter
24 or fewer Forms W-2, W-2G, 1099-R, or 1099- MISC with
for multiple filers may file this form, but must attach a list of the names,
DRS is encouraged to file those forms electronically and do
addresses, and Federal Employer Identification Numbers (FEIN) of
not need to request a waiver. The Key and Send method
those for whom the transmitter will be filing.
is recommended for employers and payers submitting 50
or fewer informational returns to DRS. See Informational
When to File: Department of Revenue Services (DRS) encourages
Publication 2011(11), Forms 1099-R, 1099-MISC, and
you to file Form CT-8809 as soon as you know an extension of time
W-2G Electronic Filing Requirements for Tax Year 2011, or
to file is necessary. However, Form CT-8809 must be filed on or
Informational Publication 2011(12), Form W-2 Electronic
before the last day of March if filing electronically, or the last day of
Filing Requirements for Tax Year 2011.
February if not filing electronically. If the due date falls on a Saturday,
Sunday, or legal holiday, the next business day is the due date. If you
Block 7. Indicate whether or not the filer applied for an extension
are requesting an extension of time to file several types of forms, you
of time to file federal informational returns. If an extension
may use one Form CT-8809. You can request an extension for only
was requested, a copy of the federal Form 8809, Request
one calendar year on this form. An extension cannot be granted if
for Extension of Time to File Informational Returns, must
a request is filed after the original due date of the returns.
be attached. If a federal extension was requested, indicate
whether or not it was approved by the Internal Revenue
Filing Due Dates:
Services (IRS). If the extension was approved, attach a copy
Form Number
Due Date
of the approval.
W-2, W-2G,
Last day of March if filing
1099-R,
electronically, or last day of
Block 8. Explain why you need an extension of time to file your
1099-MISC
February if not filing
informational returns.
electronically.
Block 9. Check the appropriate box to indicate whether you will
provide, or have provided, a copy of the informational returns
Where to File:
or the required statement to the recipients on time.
Department of Revenue Services
State of Connecticut
If this extension request is approved, it will only extend the
PO Box 2930
due date for filing the returns with DRS. It will not extend
Hartford CT 06104-2930
the January 31 due date for furnishing the required copies
of statements to recipients.
Approval or Denial of Request: Requests for extensions of time to
file informational returns are not automatically granted. Approval or
Signature: The extension request must be signed by you or a
denial is based on administrative criteria and guidelines. DRS will send
person who is duly authorized to sign a return, statement, or other
document.
you a letter of explanation only if your request is denied.
Failure to properly complete and sign this form may cause a delay
Extension Period: If your extension request is approved, an extension
in processing or result in the denial of your request. Be sure you are
is granted for 30 days from the original due date.
requesting an extension of time only for returns listed on this form.
Additional Extension: If you need additional time to file, you may
For More Information: Call DRS during business hours, Monday
request an additional 30 days by submitting another Form CT-8809.
through Friday:
Specific Instructions
1-800-382-9463 (Connecticut calls outside the Greater Hartford
calling area only); or
Block 1. Enter the name and complete mailing address, including
860-297-5962 (from anywhere).
room or suite number, of the filer requesting the extension
of time. If you act as transmitter for a group of filers, enter
TTY, TDD, and Text Telephone users only may transmit inquiries
the transmitter’s name and address and attach a list of filer
anytime by calling 860-297-4911.
names, addresses, Connecticut Tax Registration Numbers,
and FEINs. Notification of denial is sent only to the person
Forms and Publications: Visit the DRS website at
who requested the extension.
to download and print Connecticut tax forms.
Block 2. Enter your Connecticut Tax Registration Number.
Block 3. Enter your FEIN or Social Security Number (SSN) if you
are not required to have an employer identification number.
Do not enter hyphens. A transmitter should enter the
transmitter’s FEIN in this box.
Form CT-8809 Back (Rev. 01/12)

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