Form Ct-1040 - Connecticut Resident Income Tax Return 2000

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STATE OF CONNECTICUT
FORM CT-1040
DEPARTMENT OF REVENUE SERVICES
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Connecticut Resident Income Tax Return
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For the year January 1 - December 31, 2000, or other taxable year
beginning ______________ , 2000,
ending ________________ , _______ .
Label
Social Security Number
Your First Name and Middle Initial
Last Name
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__ __ __
__ __
__ __ __ __
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A
Use the
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B
DRS label
Spouse’s Social Security Number
If a JOINT Return, Spouse’s First Name and Middle Initial
Last Name
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located on
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cover.
IMPORTANT!
Home Address (number and street)
PO Box
Apt. No.
Otherwise,
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You MUST enter your SSN(s) above.
print or
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type. ( See
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City, Town or Post Office
State
ZIP Code
DEPARTMENT USE ONLY
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instructions,
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Page 13)
ELECTRONIC FILING MAY SPEED YOUR REFUND
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Check here if you do not want forms sent to you next year. Checking this box does not relieve you of your responsibility to file ........................
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If you are required to file Form CT-2210 and checked any boxes on Part 1 of that form, check here ..........................................................................
NOTE: Your filing status must be the same as your federal income tax filing status for this year ( See instructions, Page 13 ).
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Filing
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A.
Single
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Status
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Married filing joint return or Qualifying widow(er) with dependent child
B.
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Check only
C.
Married filing SEPARATE return
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one box.
Spouse’s full name
Spouse’s Social Security Number
Head of household (with qualifying person)
D.
1. Federal Adjusted Gross Income (from federal Form 1040, Line 33; Form 1040A, Line 19;
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1
Form 1040EZ, Line 4; or federal Telefile Tax Record, Line
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)
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2. Additions, if any (from Schedule 1 , Line 37, on reverse)
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Income
3. Add Line 1 and Line 2
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4. Subtractions, if any (from Schedule 1 , Line 47, on reverse)
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5. Connecticut Adjusted Gross Income (Subtract Line 4 from Line 3)
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6. Income Tax: From Tax Tables or Tax Calculation Schedule ( See instructions, Page 13 )
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7. Credit for income taxes paid to qualifying jurisdictions (from Schedule 2 , Line 56 on reverse)
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8. Subtract Line 7 from Line 6. (If Line 7 is greater than Line 6, enter “0.”)
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9. Connecticut Alternative Minimum Tax (from Form CT-6251)
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10. Add Line 8 and Line 9
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11. Credit for property taxes paid on your primary residence and/or motor vehicle (You must complete
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Schedule 3 , on reverse and enter the amount from Line 64 here. See instructions, Page 14.)
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Tax
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12. Subtract Line 11 from Line 10 (If less than zero, enter “0.”)
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13. Adjusted Net Connecticut Minimum Tax Credit (from Form CT-8801)
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14. Connecticut Income Tax (Subtract Line 13 from Line 12. If less than zero, enter “0.”)
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15. Individual Use Tax (Complete the Individual Use Tax Worksheet.) You must enter zero on
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this line if no use tax is due. ( See instructions, Page 14 )
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16. Total Tax (Add Line 14 and Line 15)
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17. Connecticut tax withheld (Attach all W-2s and certain 1099s; see instructions, Page 14 )
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18. All 2000 estimated tax payments and any overpayments applied from a prior year
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Payments
19. Payments made with Form CT-1040 EXT (request for extension of time to file)
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20. Total Payments (Add Lines 17, 18, and 19)
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21. If Line 20 is greater than Line 16, enter amount overpaid. (Subtract Line 16 from Line 20)
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22. Amount of Line 21 you want applied to your 2001 estimated tax
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23. Amount of Line 21 you want to contribute to: ( See instructions, Page 14)
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AIDS Research
___ $2
___ $5
___ $15
other ______ .00
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Organ Transplant
___ $2
___ $5
___ $15
other ______ .00
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Refund
Endangered Species/Wildlife
___ $2
___ $5
___ $15
other ______ .00
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Breast Cancer Research
___ $2
___ $5
___ $15
other ______ .00
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Safety Net Services
___ $2
___ $5
___ $15
other ______ .00
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Total Contributions
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24. Amount of Line 21 you want refunded to you. (Subtract Line 22 and Line 23 from Line 21)
REFUND
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25. If Line 16 is greater than Line 20, enter the amount of tax you owe. (Subtract Line 20 from Line 16)
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26. If Late: Enter Penalty (Multiply Line 25 by 10% (.10))
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Amount
27. If Late: Enter Interest (Multiply Line 25 by number of months late or fraction thereof, then by 1% (.01))
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You Owe
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28. Interest on underpayment of estimated tax (from Form CT-2210; see instructions, Page 15 )
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AMOUNT YOU OWE
29. Amount you owe with this return (Add Lines 25 through 28)
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Make your check or money order payable to:
Use envelope provided, with correct mailing label, or mail to:
COMMISSIONER OF REVENUE SERVICES
For refund request or no tax due –
For payment –
Write your Social Security Number(s) and
Department of Revenue Services
Department of Revenue Services
“2000 Form CT-1040” on your check or
PO Box 2976
PO Box 2977
money order.
Hartford CT 06104-2976
Hartford CT 06104-2977
Taxpayers must sign declaration on reverse — Due date: April 17, 2001 — Attach a copy of all applicable schedules and forms to this return.

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