Form Ct 1040 - Connecticut Resident Income Tax Return - 2007 Page 2
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4Form CT-1040 - Page 2 of 4
Your Social
-
-
Security Number
00
.
17. Enter amount from Line 16.
17.
,
,
Column A
Column B
Column C
3
Connecticut Wages, Tips, etc.
Connecticut Income Tax Withheld
Employer’s federal ID No. from Box b of W-2,
or Payer’s federal ID No. from Form 1099
.
–
00
00
.
18a.
18a.
,
,
W-2 and 1099
Information
.
–
00
00
.
18b.
18b.
,
,
Only enter
information
.
–
00
00
18c.
.
18c.
from your W-2
,
,
and 1099 forms
.
–
00
00
.
18d.
if Connecticut
18d.
,
,
income tax
.
–
00
00
.
was withheld.
18e.
18e.
,
,
.
–
00
00
.
18f.
18f.
,
,
.
–
00
00
.
18g.
,
,
18g.
00
.
18h. Enter amount from Supplemental Schedule CT-1040WH, Line 3.
18h.
,
,
00
.
,
,
18. Total Connecticut Income Tax Withheld: Add amounts in Column C and enter here.
18.
You must complete Columns A, B, and C or your withholding will be disallowed.
00
.
,
,
19. All 2007 estimated tax payments and any overpayments applied from a prior year 19.
00
.
,
,
20. Payments made with Form CT-1040 EXT (Request for extension of time to file)
20.
00
.
,
,
21. Total Payments: Add Lines 18, 19, and 20.
21.
00
.
,
,
4
22. Overpayment: If Line 21 is more than Line 17, subtract Line 17 from Line 21.
22.
.
00
,
,
23. Amount of Line 22 you want applied to your 2008 estimated tax
23.
00
.
,
,
24. Total Contributions of Refund to Designated Charities from Schedule 5, Line 70
24.
25. Refund: Subtract Lines 23 and 24 from Line 22.
00
.
,
,
For faster refund, use Direct Deposit by completing Lines 25a, 25b, and 25c.
25.
25a.Type:
25b. Routing
25c. Account
checking
Number
Number
savings
00
.
5
,
,
26. Tax Due: If Line 17 is more than Line 21, subtract Line 21 from Line 17.
26.
00
.
,
,
27. If Late: Enter penalty. Multiply Line 26 by 10% (.10).
27.
28. If Late: Enter interest. Multiply Line 26 by number of months or fraction of a month
00
.
,
,
late, then by 1% (.01).
28.
00
.
29. Interest on underpayment of estimated tax from Form CT-2210:
,
,
29.
See instructions, Page 17.
00
.
,
,
30.
30. Total Amount Due: Add Lines 26 through 29.
Declaration: I declare under penalty of law that I have examined this return (including any accompanying
6
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 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.
Your Signature
Date
Daytime Telephone Number
(
)
Spouse’s Signature (if joint return)
Date
Daytime Telephone Number
(
)
Paid Preparer’s Signature
Date
Telephone Number
Preparer’s SSN or PTIN
(
)
Firm’s Name, Address, and ZIP Code
FEIN
Third Party Designee - Complete the following to authorize DRS to contact another person about this return.
Designee’s Name
Telephone Number
Personal Identification Number (PIN)
Complete applicable schedules on Pages 3 and 4.
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