Form Ct-1040 - Connecticut Resident Income Tax Return

Form CT-1040 - Page 3

Your Social

Security Number

Schedule 1 - Modifications to Federal Adjusted Gross Income

(Enter all items as positive numbers.)

(See Instructions, Page 18.)

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

31.

32. Mutual fund exempt-interest dividends from non-Connecticut state or municipal

government obligations

32.

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7

33. Allocated for future use

33.

34. Taxable amount of lump-sum distributions from qualified plans not included in federal

adjusted gross income

34.

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

35.

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

36.

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8

37. Allocated for future use

37.

38. Other - specify ________________________________________________________

38.

39. Total Additions (Add Lines 31 through 38.) Enter here and on Line 2.

39.

40. Interest on U.S. government obligations

40.

41. Exempt dividends from certain qualifying mutual funds derived from U.S. government obligations

41.

42. Social Security benefit adjustment (See Social Security Benefit Adjustment Worksheet, Page 20.)

42.

43. Refunds of state and local income taxes

43.

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

44.

45. Special depreciation allowance for qualified property placed in service during preceding year(s)

45.

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

46.

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

47.

48. Connecticut Higher Education Trust (CHET) contributions

48.

Enter CHET account number:

–

(can be up to 14 digits)

49. Other - specify (Do not include out of state income.) ___________________________

49.

50. Total Subtractions (Add Lines 40 through 49.) Enter here and on Line 4.

50.

Schedule 2 - Credit for Income Taxes Paid to Qualifying Jurisdictions

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

51. Modified Connecticut adjusted gross income

51.

(See instructions, Page 24.)

Column A

Column B

Name

Code

Name

Code

52. Enter qualifying jurisdiction’s name and two-letter

code (See instructions, Page 24.)

52.

53. Non-Connecticut income included on Line 51 and

reported on a qualifying jurisdiction’s income tax

return (Complete Schedule 2 Worksheet, Page 23.)

53.

54. Divide Line 53 by Line 51. (May not exceed 1.0000)

54.

55. Income tax liability (Subtract Line 11 from Line 6.)

55.

56. Multiply Line 54 by Line 55.

56.

57. Income tax paid to a qualifying jurisdiction

(See instructions, Page 25.)

57.

58. Enter the lesser of Line 56 or Line 57.

58.

59. Total Credit (Add Line 58, all columns.) Enter here and on Line 7.

59.

Complete applicable schedules on Form CT-1040 - Page 4.

Form Ct-1040 - Connecticut Resident Income Tax Return - 2006 Page 3

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