Form Ct-1040 Nr/py - Connecticut Nonresident And Part-Year Resident Income Tax Return And Instructions - 2011 Page 2
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TAXPAYER SERVICE CENTER (TSC)
FOR INDIVIDUALS
Connecticut Organ Donor ()
File Electronically
Give the gift of hope by registering to become an organ and
tissue donor. Information about organ donation and various
organ donor programs is available from the following websites.
FAST
... it’s
money!
Donate Life Connecticut
Organ Donation
National Marrow Donor Program
United Network for Organ Sharing (UNOS)
LifeChoice Donor Services
New England Organ Bank
Visit to learn
more about free fi ling options.
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
Research and
and Watchable
Safety Net
Military Family
Education Fund
Fund
Wildlife Fund
Education Fund
Services Fund
Relief Fund
Helps preserve, protect,
Assists research,
Assists Connecticut
Assists research, education,
Protects the children
Makes grants to the
and manage Connecticut’s
education, and
residents in paying for
and community service
of families who are no
immediate family members
endangered plants and
community service
the unmet medical and
programs related
longer eligible for public
of service members
animals, wildlife and their
programs related to
ancillary needs of organ
to breast cancer.
assistance benefi ts.
domiciled in Connecticut
habitats.
Acquired Immune
transplant candidates and
for essential goods and
Defi ciency Syndrome
recipients.
services when military
(AIDS).
services creates family
fi nancial hardship.
Department of
Department of Public Health
Department of
Military Department,
Department of Public
Department of
Social Services
Social Services
Comprehensive Cancer Section
Military Family Relief Fund
Health AIDS and Chronic
Environmental Protection-
Accounts Receivable
Diseases Division
Accounts Receivable
Breast and Cervical Cancer
Fiscal Offi ce
Bureau of Administration
25 Sigourney St Ste 1
25 Sigourney St Ste 1
Early Detection Program
360 Broad St
Financial Management
MS #11APV
Hartford CT 06106-5033
Hartford CT 06106-5033
MS #11 CCS
Hartford CT 06105-3795
79 Elm Street
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:
Commissioner of Social
Treasurer, State of
Treasurer, State of
Commissioner of
Treasurer, State of
DEP-Endangered
Services/Safety Net Fund
Connecticut/Military
Connecticut/AIDS Fund
Social Services/Organ
Connecticut/Breast
Species/ Wildlife Fund
Family Relief Fund
Transplant Fund
Cancer Fund
Page 2
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