Form Ct-1040 - Connecticut Resident Income Tax Return 2000 (Page 2 of 2) in pdf

SCHEDULE 1 - MODIFICATIONS TO FEDERAL ADJUSTED GROSS INCOME (See instructions, Page 16)

Additions To Federal Adjusted Gross Income - Enter All Amounts as Positive Numbers

30. Interest on state and local government obligations other than Connecticut

31. Exempt-interest dividends from a mutual fund derived from state or municipal government obligations

other than Connecticut

32. Shareholder’s pro rata share of S corporation nonseparately computed loss

33. Taxable amount of lump sum distributions from qualified plans not included in federal adjusted gross income

34. Beneficiary’s share of Connecticut fiduciary adjustment (Enter only if greater than zero)

35. Loss on sale of Connecticut state and local government bonds

36. Other - specify

37. TOTAL ADDITIONS (Add Lines 30 through 36) Enter here and on Line 2 on the front of this form.

Subtractions From Federal Adjusted Gross Income - Enter All Amounts as Positive Numbers

38. Interest on United States government obligations

39. Exempt dividends from certain qualifying mutual funds derived from United States government obligations

40. Social Security benefit adjustment ( See Social Security Benefit Adjustment Worksheet, Page 18)

41. Refunds of state and local income taxes

42. Tier 1 and Tier 2 railroad retirement benefits and supplemental annuities

43. Shareholder’s pro rata share of S corporation nonseparately computed income

44. Beneficiary’s share of Connecticut fiduciary adjustment (Enter only if less than zero)

45. Gain on sale of Connecticut state and local government bonds

46. Other - specify (Do not include out-of-state income) ____________________________________________________

47. TOTAL SUBTRACTIONS (Add Lines 38 through 46) Enter here and on Line 4 on the front of this form.

SCHEDULE 2 - CREDIT FOR INCOME TAXES PAID TO QUALIFYING JURISDICTIONS

Important: You must attach a copy of your return filed with the qualifying jurisdiction(s) or the credit will be disallowed.

48. MODIFIED CONNECTICUT ADJUSTED GROSS INCOME ( See instructions, Page 21)

COLUMN A

COLUMN B

FOR EACH COLUMN, ENTER THE FOLLOWING:

Name

Code

Name

Code

49. Enter qualifying jurisdiction’s name and two-letter code ( See instructions, Page 21)

50. Non-Connecticut income included on Line 48 and reported on a qualifying

jurisdiction’s income tax return (Complete Schedule 2 Worksheet, Page 21)

51. Divide Line 50 by Line 48 (may not exceed 1.0000)

52. Income tax liability (Subtract Line 11 from Line 6; see instructions, Page 22)

53. Multiply Line 51 by Line 52

54. Income tax paid to a qualifying jurisdiction ( See instructions, Page 22)

55. Enter the lesser of Line 53 or Line 54

56. TOTAL CREDIT (Add Line 55, all columns)

Enter this amount here and on Line 7 on the front of this form.

SCHEDULE 3 - CREDIT FOR PROPERTY TAXES PAID ON YOUR PRIMARY RESIDENCE AND/OR MOTOR VEHICLE

Failure to complete this schedule could result in the disallowance of this credit.

COLUMN A

COLUMN B

COLUMN C

COLUMN D

COLUMN E

QUALIFYING

NAME OF

DESCRIPTION OF PROPERTY

LIST OR BILL

DATE PAID

AMOUNT PAID

PROPERTY

CONNECTICUT TAX

NUMBER

If primary residence, enter street address

(See instructions,

If motor vehicle, enter year, make, and model

(If available)

Page 23)

TOWN OR DISTRICT

PRIMARY

RESIDENCE

AUTO 1

MARRIED FILING

JOINTLY ONLY - AUTO 2

60. TOTAL PROPERTY TAX PAID (Add all amounts for Column E)

500 00

61. MAXIMUM PROPERTY TAX CREDIT ALLOWED

62. Enter the Lesser of Line 60 or Line 61. (If $100 or less, enter this amount on Line 64. If greater than $100, go to Line 63.)

63. Limitation - Enter the result from the Property Tax Credit Limitation Worksheet ( See Page 25 )

64. Subtract Line 63 from Line 62. Enter here and on Line 11 on the front of this form.

DECLARATION: I declare under the penalties of false statement 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. The penalties for false statement are imprisonment not to exceed one year or a fine not to exceed two thousand

dollars, or both. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Your Signature

Date

Daytime Telephone Number

May DRS contact the preparer

(

)

Sign

shown below about this return?

Here

Spouse’s Signature (if joint return)

Date