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Form 4562 2018 2019 For Paperwork Reduction Act Notice see separate instructions. Cat. No. 12906N Form 4562 2018 Page 2 entertainment recreation or amusement. 10 Carryover of disallowed deduction from line 13 of your 2017 Form 4562. 11 Business income limitation. Enter the smaller of business income not less than zero or line 5. Form Depreciation and Amortization Attach Go to your tax return* to www*irs*gov/Form4562 for instructions and the latest information* Name s shown on return Attachment Sequence No* 179 Identifying number Business or activity to which this form relates Election To Expense Certain Property Under Section 179 Note If you have any listed property complete Part V before you complete Part I. Maximum amount see instructions. Total cost of section 179 property placed in service see instructions. Threshold cost of section 179 property before reduction in limitation see instructions. Reduction in limitation* Subtract line 3 from line 2. If zero or less enter -0-. Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less enter -0-. If separately see instructions. Including Information on Listed Property Department of the Treasury Internal Revenue Service 99 Part I OMB No* 1545-0172 a Description of property b Cost business use only. married. filing c Elected cost 7 Listed property. Enter the amount from line 29. 8 Total elected cost of section 179 property. Add amounts in column c lines 6 and 7. 9 Tentative deduction* Enter the smaller of line 5 or line 8. See instructions. 12 Section 179 expense deduction* Add lines 9 and 10 but don t enter more than line 11. Note Don t use Part II or Part III below for listed property. Instead use Part V. Part II Special Depreciation Allowance and Other Depreciation Don t include listed property. See instructions. 14 Special depreciation allowance for qualified property other than listed property placed in service during the tax year. See instructions. 15 Property subject to section 168 f 1 election. 16 Other depreciation including ACRS. Part III MACRS Depreciation Don t include listed property. See instructions. Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2018. 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts check here. Section B Assets Placed in Service During 2018 Tax Year Using the General Depreciation System a Classification of property 19a b c d e f g h i 20a b Month and year placed in service c Basis for depreciation business/investment use only see instructions d Recovery period e Convention f Method 3-year property Residential rental property Nonresidential real Class life 12-year 30-year Part IV Summary See instructions. 22 Total* Add amounts from line 12 lines 14 through 17 lines 19 and 20 in column g and line 21. Enter here and on the appropriate lines of your return* Partnerships and S corporations see instructions. 23 For assets shown above and placed in service during the current year enter the portion of the basis attributable to section 263A costs.

945 2018 2019 form Don t use Form 945-V to make federal tax deposits. Use Form 945-V when making any payment with Form 945. Phone no. Cat. No. 14584B Form 945 2018 Form 945-V Payment Voucher Purpose of Form Specific Instructions Complete Form 945-V if you re making a payment with Form 945. 945-V Don t staple this voucher or your payment to Form 945. 1 Enter your employer identification number EIN. Don t staple Form 945-V or your payment to the return or to each other. Detach Form 945-V and send it with your payment and Form 945 to the address provided in the Instructions for Note You must also complete the entity information above line A on Form 945. All filers If line 3 is less than 2 500 don t complete line 7 or Form 945-A. Semiweekly schedule depositors Complete Form 945-A and check here. Backup withholding Total taxes. If 2 500 or more this must equal line 7M below or Form 945-A line M. See Deposit Penalties in section 11 of Pub. 15. Detach Here and Mail With Your Payment and Form 945. However if you pay an amount with Form 945 that should ve been deposited CAUTION you may be subject to a penalty. Form Annual Return of Withheld Federal Income Tax Department of the Treasury Internal Revenue Service OMB No* 1545-1430 For withholding reported on Forms 1099 and W-2G* For more information on income tax withholding see Pub. 15 and Pub. 15-A. Go to www*irs*gov/Form945 for instructions and the latest information* Name as distinguished from trade name Employer identification number EIN If address is different from prior return check here. Trade name if any Type or Print Address number and street City or town state or province country and ZIP or foreign postal code A If you don t have to file returns in the future check here Federal income tax withheld from pensions annuities IRAs gambling winnings etc*. Balance due. If line 3 is more than line 4 enter the difference and see the separate instructions. Overpayment. If line 4 is more than line 3 enter the difference and enter date final payments made. Apply to next return* Check one Send a refund. Monthly schedule depositors Complete line 7 entries A through M and check here 7 Monthly Summary of Federal Tax Liability. Don t complete if you were a semiweekly schedule depositor. Tax liability for month B C D E January. February March. April. May. ThirdParty Designee Sign Here F G H I J June. July. August. September October. K November L December M Total liability for year add lines A through L. Do you want to allow another person to discuss this return with the IRS See separate instructions. name Phone no. Yes. Complete the following. No* Personal identification number PIN Under penalties of perjury I declare that I have examined this return including accompanying schedules and statements and to the best of my knowledge and belief it is true correct and complete. Declaration of preparer other than taxpayer is based on all information of which preparer has any knowledge. Signature Paid Preparer Use Only Print Your Name and Title Print/Type preparer s name Firm s name Preparer s signature Date Check if self-employed PTIN Firm s EIN Firm s address For Privacy Act and Paperwork Reduction Act Notice see the separate instructions.

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Irs gov tax forms 2013 2019 926 Household Employer s Tax Guide for how to correct that form. For more information see Treasury Decision 9405 at www.irs.gov/irb/2008-32IRB/ar13. html. Return to correct Form 1120 or 1120-A as originally filed or as Cat. No. 11200I later adjusted by an amended return a claim for refund or an examination or to make certain elections after the prescribed deadline see Regulations sections 301. 9100-1 through -3. Use Form 720X Amended Quarterly Federal Excise Tax Return to make adjustments to liability reported on Forms 720 you have filed for previous quarters. Effective August 28 2014 if you are filing Form 843 in response to Letter 5067C Annual Fee on Health Insurance Providers Final fee note that the following address is being added to the Where To File table on page 2 of the Instructions for Form 843 Rev* December 2013. The address to mail Form 843 in this case is Internal Revenue Service Mail Stop 4921 IPF 1973 N* Rulon White Blvd. Ogden UT 84404 The above address is effective ONLY if you are filing Form 843 in response to Letter 5067C Annual Fee on Health Insurance Providers Final Fee. Please see the modifications to the Where to File table below. Where To File IF you are filing Form 843 THEN mail the form to In response to an IRS notice regarding a tax or fee related to certain taxes such as income employment gift estate excise etc* The address shown in the notice. For penalties or for any other reason other than an IRS notice see above or Letter 4658 or 5067C see below The service center where you would be required to file a current year tax return for the tax to which your claim or request relates. See the instructions for the return you are filing. of Branded Prescription Drug Fee Note. To ensure proper processing write Branded Prescription Drug Fee across the top of Form 843. Caution* Use this address only if you are claiming a refund of the branded prescription drug fee. Fee on Health Insurance Providers Final Fee Health Insurance Providers across the For requests of a net interest rate of zero the health insurance provider your most recent return* This change will be reflected in the next revision of the Instructions for Form 843. Instructions for Form 843 Rev* December 2013 Department of the Treasury For use with Form 843 Rev* August 2011 Claim for Refund and Request for Abatement Section references are to the Internal Revenue Code unless otherwise noted* A refund of a branded prescription drug fee. If you received an IRS notice notifying you of a change to an item on your tax return or that you owe interest a penalty or addition to tax follow the instructions on the notice. You may not have to file Form 843. General Instructions Future Developments TIP For the latest information about developments related to Form 843 and its instructions such as legislation enacted after they were published go to www*irs*gov/form843. Purpose of Form Use Form 843 to claim a refund or request an abatement of certain taxes interest penalties fees and additions to tax.

8880 form 2018 2019 Credits from lines 46 and 47. 3. Subtract line 2 from line 1. Also enter this amount on Form 8880 line 11. Cat. No. 33394D Form 8880 2018 Page 2 General Instructions Section references are to the Internal Revenue Code. Use Form 8880 to figure the amount if any of your retirement savings designated Roth account. TIP This credit can be claimed in addition to any IRA deduction claimed on Schedule 1 Form 1040 line 32 or Form 1040NR line 32. What s New Designated beneficiary Achieving a Better Life Experience ABLE account contributions. Beginning in 2018 as part of a provision contained in the Tax Cuts and Jobs Act of 2017 a retirement savings contribution credit may be claimed for the amount of contributions you make before January 1 2026 to an ABLE account of which you are the Disabilities for more information. Future Developments For the latest information about developments related to Form 8880 and Note. Form Credit for Qualified Retirement Savings Contributions Department of the Treasury Internal Revenue Service Attach to Form 1040 or Form 1040NR. Go to www.irs.gov/Form8880 for the latest information. CAUTION Attachment Sequence No. 54 Your social security number Name s shown on return OMB No. 1545-0074 You cannot take this credit if either of the following applies. Specific Instructions Column b Complete column b only if you re filing a joint return. Line 2 Include on line 2 any of the following amounts. SIMPLE plan. Voluntary employee contributions to a qualified retirement plan as Contributions to a 501 c 18 D plan. These amounts may be shown in box 12 of your Form s W-2 for 2018. 401 k 403 b governmental 457 b 501 c 18 D SEP or SIMPLE plans. Qualified retirement plans as defined in section 4974 c including the federal Thrift Savings Plan. Don t include any of the following. Purpose of Form Distributions not taxable as the result of a rollover or a trustee-totrustee transfer. SIMPLE plan. Voluntary employee contributions to a qualified retirement plan as Contributions to a 501 c 18 D plan. These amounts may be shown in box 12 of your Form s W-2 for 2018. 2. Form 1040 filers Enter the total of your credits from Schedule 3 lines 48 through 50 and Schedule R line 22. The amount on Form 1040 line 7 or Form 1040NR line 36 is more than 31 500 47 250 if head of household 63 000 if married filing jointly. The person s who made the qualified contribution or elective deferral a was born after January 1 2001 b is claimed as a dependent on someone else s 2018 tax return or c was a student see instructions. a You Traditional and Roth IRA contributions and ABLE account contributions by the designated beneficiary for 2018. Do not include rollover contributions. Elective deferrals to a 401 k or other qualified employer plan voluntary employee contributions and 501 c 18 D plan contributions for 2018 see instructions. Add lines 1 and 2. Certain distributions received after 2015 and before the due date including extensions of your 2018 tax return see instructions.

Form os 114 2018 2019 Form OS-114 must be filed and paid on or before the last day of the month following the end of the period. CT Tax Registration All quarterly and monthly filers must file Form OS-114 and pay its associated taxes electronically. Form OS-114 SUT Department of Revenue Services PO Box 5030 Hartford CT 06102-5030 Rev. 12/18 OS114 0718W 01 9999 Connecticut Sales and Use Tax Return See Form O-88 Instructions for Form OS-114 Connecticut Sales and Use Tax Return. Type or print. Complete the return in blue or black ink only. Date electronically Telephone number M M - D D - Y Y Y Y paper tax return to DRS. Paid preparer s address Form OS-114 Page 2 Rev. 12/18 See instructions Form O-88 before completing. Do not use grayed-out fields. For period ending Due date Connecticut Tax Registration Number M - D Y Federal Employer Identification Number Taxpayer Name This return MUST be filed electronically Address Number and street apartment number PO Box DO NOT MAIL paper tax return to DRS. City town or post office ZIP code State If applicable provide the following information Check here if this is an amended return. Final Return Enter last business date Rounding You must round off cents to the nearest whole dollar on your return and schedules. Column 1 6. 35 Tax Rate 1. Gross receipts from sales of goods. 1. 4. Goods purchased by your business subject to use tax. 4. 5. Leases and rentals by your business subject to use tax. 5. 6. Services purchased by your business subject to use tax. Do not use grayed-out fields. For period ending Due date Connecticut Tax Registration Number M - D Y Federal Employer Identification Number Taxpayer Name This return MUST be filed electronically Address Number and street apartment number PO Box DO NOT MAIL paper tax return to DRS* City town or post office ZIP code State If applicable provide the following information Check here if this is an amended return* Final Return Enter last business date Rounding You must round off cents to the nearest whole dollar on your return and schedules. Column 1 6. 35 Tax Rate 1. Gross receipts from sales of goods. 1. 4. Goods purchased by your business subject to use tax. 4. 5. Leases and rentals by your business subject to use tax. 5. 6. Services purchased by your business subject to use tax. 6. 7. Total Add Lines 1 through 6. 7. 8. Deductions. See instructions. 8. 9. Subtract Line 8 from Line 7. If zero or less enter 0. 9. 10a* Amount of tax due Multiply Line 9 by Tax Rate. 10a* 10. Total tax due Add Line 10a Columns 1 2 and 3. 10. 11. For amended return only enter tax paid on prior return*. 11. 12. Net amount of tax due Subtract Line 11 from Line 10. 12. 13. Interest 14. Total amount due Add Line 12 and Line 13. 14. Penalty Declaration I declare under the 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 imprisonment for not more than five years or both.

State of hawaii tax form g 45... 30. Amended Returns add lines 30 and 31. 32. 33. PLEASE ENTER THE AMOUNT OF YOUR PAYMENT. Attach a check or money order payable to HAWAII STATE TAX COLLECTOR in U.S. dollars to Form G-45. FORM G-45 STATE OF HAWAII DEPARTMENT OF TAXATION DO NOT WRITE IN THIS AREA Rev. 2017 GENERAL EXCISE/USE TAX RETURN Fill in this oval ONLY if this is an AMENDED return / PERIOD ENDING mm/yy Last 4 digits of your FEIN or SSN HAWAII TAX I. SIGNATURE G45I 2017A 01 TITLE DATE DAYTIME PHONE NUMBER Continued on page 2 Parts V VI MUST be completed Form G-45 Page 2 of 2 Name Hawaii Tax I. D. NO. GE NAME Column a BUSINESS VALUES GROSS PROCEEDS ACTIVITIES OR GROSS INCOME EXEMPTIONS/DEDUCTIONS TAXABLE INCOME Attach Schedule GE Column a minus Column b PART I - GENERAL EXCISE and USE TAXES OF 1. 005 ATTACH CHECK OR MONEY ORDER HERE 1. Wholesaling 2. Manufacturing 3. Producing 4. Wholesale Services 5. Landed Value of Imports for Resale 6. Business Activities of Disabled Persons 7. Sum of Part I Column c Taxable Income Enter the result here and on page 2 line 21 Column a 8. Retailing 9. Services Including Professional 10. Contracting 11. Theater Amusement and Broadcasting 12. Commissions 13. Transient Accommodations Rentals 14. Other Rentals 15. Interest and All Others for Consumption DECLARATION - I declare under the penalties set forth in section 231-36 HRS that this return including any accompanying schedules or statements has been examined by me and to the best of my knowledge and belief is a true correct and complete return made in good faith for the tax period stated pursuant to the General Excise and Use Tax Laws and the rules issued thereunder. IN THE CASE OF A CORPORATION OR PARTNERSHIP THIS RETURN MUST BE SIGNED BY AN OFFICER PARTNER OR MEMBER OR DULY AUTHORIZED AGENT. D. No* PART III - INSURANCE COMMISSIONS. 15. 0015. 00. 00. 00 18. Insurance Enter this amount on line 23 Column a PART IV - CITY COUNTY OF HONOLULU SURCHARGE TAX OF 1. 005 19. Oahu Surcharge PART V SCHEDULE OF ASSIGNMENT OF TAXES BY DISTRICT ALL taxpayers MUST complete this Part and may be subject to a 10 penalty for noncompliance. See Instructions. DARKEN the oval of the taxation district in which you have conducted business. IF you did business in MORE THAN ONE district darken the oval MULTI and attach Form G-75. Oahu Maui PART VI - TOTAL PERIODIC RETURN 21. Enter the amount from Part I line 7. Hawaii Kauai TAX RATE TOTAL TAX Column c Column a X Column b x. 005 x. 04 25. TOTAL TAXES DUE* Add column c of lines 21 through 24 and enter result here but not less than zero. If you did not have any activity for the period enter 0. 00 here. 25. PENALTY 26. Amounts Assessed During the Period. INTEREST 26. For Amended Return ONLY TOTAL AMOUNT. Add lines 25 and 26. 27. 28. TOTAL PAYMENTS MADE FOR THE PERIOD For Amended Return ONLY. 28. 29. CREDIT TO BE REFUNDED. Line 28 minus line 27 For Amended Return ONLY. 29. 30. ADDITIONAL TAXES DUE* Line 27 minus line 28 For Amended Return ONLY. Write the filing period and your Hawaii Tax I. D. No* on your check or money order. Mail to HAWAII DEPARTMENT OF TAXATION P.

Fae 170 2017 2019 form RVR0011001 (10/17)TENNESSEE DEPARTMENT OF REVENUE Franchise and Excise Tax ReturnFAE 170Tax Year BeginningAccount NumberTax Year EndingFEINNAICSSOS Control NumberCheck all that apply: Amended return Final

Form 104 2018 2019 Additions to Federal Taxable Income 2. State Addback enter the state income tax deduction from your federal form 1040 schedule A line 5a see instructions 3. Other Additions explain see instructions Explain Name 4. Subtotal sum of lines 1 through 3 5. Subtractions from the DR 0104AD Schedule line 18 you must submit the DR 0104AD schedule with your return. 6. Colorado Taxable Income subtract line 5 from line 4 Tax Prepayments and Credits full-year residents use DR 0104CR and part-year and nonresidents use DR 0104PN 7. 180104 19999 DR 0104 09/17/18 COLORADO DEPARTMENT OF REVENUE Colorado. gov/Tax 2018 Colorado Individual Income Tax Return Full-Year Part-Year or Nonresident or resident part-year non-resident combination Must attach DR 0104PN Your Last Name Date of Birth MM/DD/YYYY Your First Name SSN Enter the following information from your current driver license or state identification card. If Joint Spouse s Last Name Spouse s Date of Birth MM/DD/YYYY Mark if Abroad on due date see instructions Deceased State of Issue Middle Initial If checked and claiming a refund you must submit the DR 0102 with your return* Last 4 characters of ID number Date of Issuance Spouse s First Name Spouse s SSN current driver license or state identification card. Mailing Address City Phone Number State Zip Code Foreign Country if applicable Round To The Next Dollar 1. Enter Federal Taxable Income from your federal income tax form 1040 line 10 1 Attach W-2s and 1099s with CO withholding here. Additions to Federal Taxable Income 2. State Addback enter the state income tax deduction from your federal form 1040 schedule A line 5a see instructions 3. Other Additions explain see instructions Explain Name 4. Subtotal sum of lines 1 through 3 5. Subtractions from the DR 0104AD Schedule line 18 you must submit the DR 0104AD schedule with your return* 6. Colorado Taxable Income subtract line 5 from line 4 Tax Prepayments and Credits full-year residents use DR 0104CR and part-year and nonresidents use DR 0104PN 7. Colorado Tax from tax table or the DR 0104PN line 36 you must submit the DR 0104PN with your return if applicable. 8. Alternative Minimum Tax from the DR 0104AMT you must submit the DR 0104AMT with your return* 9. Recapture of prior year credits 11. Nonrefundable Credits from the DR 0104CR line 39 the sum of lines 11 and 12 cannot exceed line 10 you must submit the DR 0104CR with your return* 12. Total Nonrefundable Enterprise Zone credits used as calculated or from the DR 1366 line 87 the sum of lines 11 and 12 cannot exceed line 10 you must submit the DR 1366 with your return* 13. Net Income Tax sum of lines 11 and 12. Subtract that sum from line 10. 13 14. Use Tax reported on the DR 0104US schedule line 7 you must submit 15. Net Colorado Tax sum of lines 13 and 14 15 16. CO Income Tax Withheld from W-2s and 1099s you must submit the W-2s and/or 1099s claiming Colorado withholding with your return* 17. Prior-year Estimated Tax Carryforward 18. Estimated Tax Payments enter the sum of the quarterly payments remitted for this tax year 19.

Form inheritance tax 2015 2019 Print TENNESSEE DEPARTMENT OF REVENUE SHORT FORM INHERITANCE TAX RETURN INH Reset AMENDED RETURN INSTRUCTIONS 1. Ann. Section 67-8-316 the representative of the estate may file the Short Form-Inheritance Tax Return. In the case of resident decedent s dying between January 1 2006 and December 31 2012 the allowable exemption is 1 000 000 in 2013 the allowable exemption is 1 250 000 in 2014 the allowable exemption is 2 000 000 and in 2015 the allowable exemption is 5 000 000. GENERAL FILING REQUIREMENT The Tennessee Inheritance Tax is a tax upon the privilege of receiving property by transfer because of a decedent s death. The personal representative or person s in possession of property of the decedent is required to file a return of the estate with the Department of Revenue. 2. FILING THE SHORT FORM If the gross estate of a resident decedent is less than the single exemption allowed by Tenn. Code. GENERAL FILING REQUIREMENT The Tennessee Inheritance Tax is a tax upon the privilege of receiving property by transfer because of a decedent s death. The personal representative or person s in possession of property of the decedent is required to file a return of the estate with the Department of Revenue. 2. FILING THE SHORT FORM If the gross estate of a resident decedent is less than the single exemption allowed by Tenn* Code. In 2016 and thereafter no inheritance tax is imposed* 3. DUE DATE The return is due nine 9 months after the date of the decedent s death unless an extension of time is granted by the Department. 4. FILING Please print in blue or black ink. Mail the return to Tennessee Department of Revenue Andrew Jackson State Office Building 500 Deaderick Street Nashville TN 37242. 5. FOR ASSISTANCE Contact Taxpayer Services Division by calling in-state toll free 1-800-342-1003 or 615 253-0600. Name of Decedent Last Name First Name Social Security No* Did decedent have a will Date of Death Yes MI Age of Decedent County of TN Probate No If Yes attach a copy to the return. If spouse is deceased enter Last Name Personal Representative s Name executor etc* Last Name Address Street Mi City Return Preparer Last Name/Firm Attorney For the Estate Last Name/Firm State Zip Code Phone Please Complete in Blue or Black Ink ROUND TO THE NEAREST DOLLAR CENTS DOLLARS 1. Real Estate Total from Schedule A reverse side. 2. Personal and Miscellaneous Property Total from Schedule B reverse side. 3. Jointly-Owned Property Total from Schedule C reverse side. 4. Transfers during decedent s life Total from Schedule D reverse side. 5. Total Gross Estate Add lines 1 through 4. 6. Allowable Exemption. IF THE GROSS ESTATE Line 5 above IS LESS THAN THE EXEMPTION TOTAL Line 6 above YOU MAY USE THIS SHORT FORM. 7. TOTAL GROSS ESTATE from Line 5. 8. TOTAL DEDUCTIONS from Schedule E. 9. NET ESTATE subtract Line 8 from Line 7. Under penalties of perjury I declare this report to be true accurate and complete to the best of my knowledge. FOR OFFICE USE ONLY Signature of Personal Representative Date Acct* No* Date Received RV-R0001702 INTERNET 2-15 SCHEDULES Date of Valuation of assets check one Value of assets at date of death SCHEDULE A - REAL ESTATE Individually owned and located in Tennessee Description Location Full Value Cash Notes Mortgages Life Insurance Stocks Bonds Annuities Furnishings Automobiles Jewelry etc* Owned Individually 11.

Iowa income tax forms fillable... 2017 IA 1040 Iowa Individual Income Tax Return For fiscal year beginning ___/___ 2017 and ending ___/___ /___ Step 1: Fill in all spaces. You must fill in your Social Security Number (SSN). Your last

Ct 1040 2018 2019 form CT-1040 Complete return in blue or black ink only. For January 1 December 31 2018 or other taxable year Year Beginning Form CT-1040 Department of Revenue Services State of Connecticut Rev. 12/18 1040 1218W 01 9999 and Ending M M - D D - Y Y Y Y Filing Status - Check only one box. 19. All 2018 estimated tax payments and any overpayments applied from a prior year 20. Payments made with Form CT-1040 EXT request for extension of time to file 20a. Connecticut earned income tax credit From Schedule CT-EITC Line 16. 20a. 20b. Claim of right credit From Form CT-1040CRC Line 6. 20b. 20c. Pass-Through Entity Tax Credit From Schedule CT-PE Line 1. For all tax forms with payment PO Box 2977 Hartford CT 06104 2977 Make your check payable to For refunds and all other tax forms without payment Commissioner of Revenue Services To ensure proper posting write your SSN s optional and 2018 Form CT 1040 on your check. State Enter city or town of residence if different from above. ZIP code Check the appropriate box to identify if you Filed Form CT-1040CRC Filed Form CT-8379 Whole Dollars Only Clip check here. Do not staple. Do not send Forms W-2 or 1099. 1. Federal adjusted gross income from federal Form 1040 Line 7 2. Column C Connecticut income tax withheld 18a. 18b. 18c. 18d. 18e. 18f. 18. Total Connecticut income tax withheld Add amounts in Column C and enter here. 19. All 2018 estimated tax payments and any overpayments applied from a prior year 20. Payments made with Form CT-1040 EXT request for extension of time to file 20a. Connecticut earned income tax credit From Schedule CT-EITC Line 16. Connecticut Resident Income Tax Return Taxpayers must sign declaration on reverse side. Print your SSN name mailing address and city or town here. Single Head of household Married filing jointly Qualifying widow er with dependent child Your Social Security Number Enter spouse s name here and SSN below. Spouse s Social Security Number Check if deceased Your first name MI Last name If two last names insert a space between names. Suffix Jr. /Sr. If joint return spouse s first name Mailing address number and street apartment number suite number PO Box City town or post office If town is two words leave a space between the words. State Enter city or town of residence if different from above. ZIP code Check the appropriate box to identify if you Filed Form CT-1040CRC Filed Form CT-8379 Whole Dollars Only Clip check here. Do not staple. Do not send Forms W-2 or 1099. 1. Federal adjusted gross income from federal Form 1040 Line 7 2. Additions to federal adjusted gross income from Schedule 1 Line 38 3. Add Line 1 and Line 2. 4. Subtractions from federal adjusted gross income from Schedule 1 Line 50 5. Connecticut adjusted gross income Subtract Line 4 from Line 3. 6. Income tax from tax tables or Tax Calculation Schedule See instructions. 7. Credit for income taxes paid to qualifying jurisdictions from Schedule 2 Line 59 8. Subtract Line 7 from Line 6. If Line 7 is greater than Line 6 enter 0. 10. Add Line 8 and Line 9. 11. Credit for property taxes paid on your primary residence motor vehicle or both 13.

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