Form Ct-1040ez - Connecticut Resident Ez Income Tax Return - 2002 Page 2
ADVERTISEMENT
1
2SCHEDULE 1 EZ - 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
Date(s) Paid
List or Bill
PROPERTY
Connecticut Tax
If primary residence, enter street address
Number
(See instructions,
Amount Paid
Town or District
If motor vehicle, enter year, make, and model
Page 11)
(if available)
Primary
18
Residence
Auto 1
19
Married Filing
20
Jointly Only - Auto 2
21. TOTAL PROPERTY TAX PAID (Add all amounts for Column E)
21
22. MAXIMUM PROPERTY TAX CREDIT ALLOWED
22
500 00
23. Enter the Lesser of Line 21 or Line 22 (If $100 or less, enter this amount on Line 25. If greater than $100, go to Line 24.)
23
24. Limitation - Enter the result from the Property Tax Credit Limitation Worksheet . (See note below)
24
25. Subtract Line 24 from Line 23. Enter here and on Line 5.
25
Note: Enter “0” on Line 24 and do not complete the Property Tax Credit Limitation Worksheet if your filing status is:
Single and your Connecticut AGI is $54,500 or less;
Married Filing Jointly and your Connecticut AGI is $100,500 or less;
Married Filing Separately and your Connecticut AGI is $50,250 or less;
Head of Household and your Connecticut AGI is $78,500 or less.
Otherwise, complete the Property Tax Credit Limitation Worksheet on the inside back cover of this booklet and enter the amount from the worksheet on
Line 24. DRS will help you calculate your property tax credit by using the Property Tax Credit Calculator on the DRS Web site at:
SCHEDULE 2 EZ - INDIVIDUAL USE TAX
Complete this schedule if you have a Connecticut individual use tax liability. You owe use tax if you purchased taxable goods or services during the
taxable year and did not pay Connecticut sales tax on the purchases. Individual items with the purchase price of $300 or more must be listed separately
below. Although you do not need to list separately any individual item with a purchase price of less than $300, such items are subject to tax and the total
of the purchase prices of these items should be reported on Line A. Multiply the sales and use tax rate by the purchase price of the item and enter the
result in Column E.
COLUMN D
COLUMN E
COLUMN F
COLUMN G
COLUMN A
COLUMN B
COLUMN C
Balance Due
Tax, if any,
Date of
Description of
Retailer or
Purchase
CT Tax Due
(Col. E – Col. F but
Paid to Another
Price
(.06 X Column D)
Purchase
Goods or Services
Service Provider
Jurisdiction
not less than zero)
A
A. TOTAL OF INDIVIDUAL PURCHASES UNDER $300 NOT LISTED ABOVE
26. Individual Use Tax (Add all amounts for Column G) Enter here and on Line 7.
26
See Informational Publication 2002(21), Q & A on the Connecticut Individual Use Tax, for more information.
SCHEDULE 3 EZ – CONTRIBUTIONS OF REFUND TO DESIGNATED CHARITIES (See instructions, Page 12)
AIDS Research
__ $2
__ $5
__ $15
other ___ .00
Breast Cancer Research
___ $2
__ $5
_ $15
other ___ .00
Organ Transplant
__ $2
__ $5
__ $15
other ___ .00
Safety Net Services
___ $2
__ $5
_ $15
other ___ .00
Endangered Species/Wildlife
__ $2
__ $5
__ $15
other ___ .00
00
27. TOTAL CONTRIBUTIONS. Enter here and on Line 15.
27
Do you authorize DRS to contact another person about this return? (See Page 10)
Yes. Complete the following.
No
Third Party
Designee’s Name
Telephone Number
Personal Identification
Designee
(
)
Number (PIN)
I declare under 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 that the penalty for willfully delivering a false return 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.
Sign Here
Your Signature
Date
Daytime Telephone Number
(
)
Keep a
copy for
Spouse’s Signature (if joint return)
Date
Daytime Telephone Number
(
)
your
records.
Paid Preparer’s Signature
Date
Telephone Number
Preparer’s SSN or PTIN
(
)
Firm’s Name, Address, and ZIP Code
FEIN
Form CT-1040EZ Back (Rev. 12/02)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial