Form Ct-1040 - Connecticut Resident Income Tax Return

2012

Form CT-1040

For DRS

2 0

Use Only

Connecticut Resident Income Tax Return

CT-1040

Taxpayers must sign declaration on reverse side.

Complete return in blue or black ink only.

For the year January 1 - December 31, 2012, or other taxable year beginning: _________________ , 2012 and ending: __________________, ______ .

Filing separately for

Filing Status - Check only one box.

federal and Connecticut

Connecticut only

Filing jointly

Head of

Qualifying widow(er)

Filing jointly for

Single

for federal and

household

with dependent child

Connecticut



Connecticut

only

Enter spouse’s name here and SSN below.

Your Social Security Number

Spouse Social Security Number

Check if

deceased

Your ﬁ rst name

Last name (If two last names, insert a space between names.)

Sufﬁ x (Jr./Sr.)

If joint return, spouse’s ﬁ rst name

Last name (If two last names, insert a space between names.)

Sufﬁ x (Jr./Sr.)

Mailing address (number and street, apartment number, suite number, PO Box)

City, town, or post ofﬁ ce

State

ZIP code

(If town is two words, leave a space between the words.)

Enter city or town of residence if different from above.

ZIP code

Check if you ﬁ led Form CT-2210

Check here if you are ﬁ ling these forms. Attach the form(s) to the front of the return.

and checked any boxes on Part 1.

Form CT-8379

Form CT-1040CRC

Whole Dollars Only

1. Federal adjusted gross income from federal Form 1040, Line 37;

Form 1040A, Line 21; or Form 1040EZ, Line 4

2. Additions to federal adjusted gross income from Schedule 1, Line 39

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, Page 18.

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.”

9. Connecticut alternative minimum tax from Form CT-6251

10. Add Line 8 and Line 9.

10.

11. Credit for property taxes paid on your primary residence, motor vehicle, or both:

Complete and attach Schedule 3 on Page 4 or your credit will be disallowed.

11.

12. Subtract Line 11 from Line 10. If less than zero, enter “0.”

12.

13. Total allowable credits from Schedule CT-IT Credit, Part I, Line 11

13.

14. Connecticut income tax: Subtract Line 13 from Line 12. If less than zero, enter “0.”

14.

15. Individual use tax from Schedule 4, Line 69: If no tax is due, enter “0.”

15.

16. Add Line 14 and Line 15.

16.

Due date: April 15, 2013 - Attach a copy of all applicable schedules and forms to this return.

For a faster refund, ﬁ le your return electronically at and choose direct deposit.

Form Ct-1040 - Connecticut Resident Income Tax Return - 2012

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