Form Ct-1120 Esa - Estimated Corporation Business Tax - 2012

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2012
Department of Revenue Services
Check here
if closing month has
CT-1120 ESA
PO Box 2965
changed and attach explanation.
Payment Coupon - First Installment
Hartford CT 06104-2965
FOR INCOME YEAR ENDING
Estimated Corporation Business Tax
A
(Rev. 01/12)
Complete this form in blue or black ink only
Connecticut Tax Registration Number
00
1. Tax shown on prior year return (including surtax) before any tax credits, multiplied by 30% (.30)
1.
00
2. Current year fi rst installment from Schedule 1, Line 5
2.
DRS use only
–
– 20
00
3. First installment due: Lesser of Line 1 or Line 2
3.
Federal Employer ID Number
00
4. Overpayment from prior year (see Informational Publication 2011(21))
4.
Type of return? (Check one, if applicable)
00
5. Payment due with this coupon: Subtract Line 4 from Line 3.
5.
Combined
Unitary
Due date:
15th day of the 3rd month of the income year.
See instructions on reverse.
If the due date falls on a Saturday, Sunday, or legal
holiday, the next business day is the due date.
Please
Visit the DRS website at to fi le and pay electronically.
correct name
Make check payable to:
and mailing
Commissioner of Revenue Services
address
Mail to:
Department of Revenue Services
if shown
PO Box 2965
incorrectly.
Hartford CT 06104-2965
2012
Department of Revenue Services
Check here
if closing month has
CT-1120 ESB
PO Box 2965
changed and attach explanation.
Payment Coupon - Second Installment
Hartford CT 06104-2965
FOR INCOME YEAR ENDING
Estimated Corporation Business Tax
B
(Rev. 01/12)
Complete this form in blue or black ink only
Connecticut Tax Registration Number
00
1. Tax shown on prior year return (including surtax) before any tax credits, multiplied by 70% (.70)
1.
00
2. Current year second installment from Schedule 1, Line 5
2.
DRS use only
–
– 20
00
3. Second installment due: Lesser of Line 1 or Line 2
3.
Federal Employer ID Number
00
4. Amount paid with Form CT-1120 ESA, plus overpayment from prior year
4.
Type of return? (Check one, if applicable)
00
5. Payment due with this coupon: Subtract Line 4 from Line 3.
5.
Combined
Unitary
Due date:
15th day of the 6th month of the income year.
See instructions on reverse.
If the due date falls on a Saturday, Sunday, or legal
holiday, the next business day is the due date.
Please
Visit the DRS website at to fi le and pay electronically.
correct name
Make check payable to:
and mailing
Commissioner of Revenue Services
address
Mail to:
Department of Revenue Services
if shown
PO Box 2965
incorrectly.
Hartford CT 06104-2965
2012
Check here
if closing month has
Department of Revenue Services
CT-1120 ESC
PO Box 2965
changed and attach explanation.
Payment Coupon - Third Installment
Hartford CT 06104-2965
FOR INCOME YEAR ENDING
Estimated Corporation Business Tax
C
(Rev. 01/12)
Complete this form in blue or black ink only
Connecticut Tax Registration Number
00
1. Tax shown on prior year return (including surtax) before any tax credits, multiplied by 80% (.80)
1.
00
2. Current year third installment from Schedule 1, Line 5
2.
DRS use only
–
– 20
00
3. Third installment due: Lesser of Line 1 or Line 2
3.
Federal Employer ID Number
Amount paid with Form CT-1120 ESA and Form CT-1120 ESB, plus overpayment from
00
4.
4.
prior year
Type of return? (Check one, if applicable)
00
5. Payment due with this coupon: Subtract Line 4 from Line 3.
5.
Combined
Unitary
Due date:
15th day of the 9th month of the income year.
See instructions on reverse.
If the due date falls on a Saturday, Sunday, or legal
holiday, the next business day is the due date.
Visit the DRS website at to fi le and pay electronically.
Please
correct name
Make check payable to:
and mailing
Commissioner of Revenue Services
address
Mail to:
Department of Revenue Services
if shown
PO Box 2965
incorrectly.
Hartford CT 06104-2965
2012
Department of Revenue Services
Check here
if closing month has
CT-1120 ESD
changed and attach explanation.
PO Box 2965
Payment Coupon - Fourth Installment
Hartford CT 06104-2965
FOR INCOME YEAR ENDING
Estimated Corporation Business Tax
D
(Rev. 01/12)
Complete this form in blue or black ink only
Connecticut Tax Registration Number
00
1. Tax shown on prior year return (including surtax) before any tax credits, multiplied by 100% (1.00)
1.
00
2. Current year fourth installment from Schedule 1, Line 5
2.
DRS use only
–
– 20
00
3. Fourth installment due: Lesser of Line 1 or Line 2
3.
Federal Employer ID Number
4. Amount paid with Form CT-1120 ESA, Form CT-1120 ESB, and Form CT-1120 ESC,
00
4.
plus overpayment from prior year
Type of return? (Check one, if applicable)
00
5. Payment due with this coupon: Subtract Line 4 from Line 3.
5.
Combined
Unitary
Due date:
15th day of the 12th month of the income year.
See instructions on reverse.
If the due date falls on a Saturday, Sunday, or legal
holiday, the next business day is the due date.
Please
Visit the DRS website at to fi le and pay electronically.
correct name
Make check payable to:
and mailing
Commissioner of Revenue Services
address
Mail to:
Department of Revenue Services
if shown
PO Box 2965
incorrectly.
Hartford CT 06104-2965

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