Form Op-186 - Connecticut Individual Use Tax Return printable pdf download

Department of Revenue Services

Form OP-186

PO Box 2973

Hartford CT 06104-2973

Connecticut Individual Use Tax Return

(Rev. 09/15)

Complete the return in blue or black ink only.

OP186 00 15W 01 9999



Enter Income Year Beginning

(MMDDYYYY) and Ending

(MMDDYYYY).

Taxpayer

Your ﬁ rst name

Middle initial Last name

Your Social Security Number



Type

If a joint return, spouse’s ﬁ rst name

Middle initial Last name

Spouse’s Social Security Number



Home address

Number and street

PO Box

DRS use only



City, town, or post ofﬁ ce

State

ZIP code



Summary of Use Tax Due

1a. Total tax due at 1% from Schedule A, Column 7 ...............

.00



1b. Total tax due at 6.35% from Schedule B, Column 7 ...........

.00



1c. Total tax due at 7% and 7.75% from Schedule C, Column 7

.00



. 00

1. Total tax due: Add Lines 1a, 1b, and 1c. ...................................................................



2. Penalty: 10% (.10) of the total tax due. .....................................................................

.00



3. Interest: 1% (.01) of the total tax due per month or fraction of a month. ...................

.00



4. Total amount due: Add Lines 1, 2, and 3. .................................................................

.00



Enter the calendar year the purchases being reported were made at the top of this return.

See Informational Publication 2015(21), Q & A on the Connecticut Individual Use Tax.

Enter your name and Social Security Number (SSN) in the spaces provided above.

If no tax is due, do not ﬁ le this return.

You may ﬁ le a separate return or a joint return. If you are ﬁ ling a joint return, enter your

Due Date: This return may be ﬁ led at the time of purchase, but not later than April 15

spouse’s name and SSN. Your ﬁ ling status for income tax purposes does not affect

for purchases made during the preceding calendar year. Do not mail this return with

your ﬁ ling status for use tax purposes.

your income tax return.

Use this form to report and pay Connecticut use tax. This form may be used to

Make your check payable to Commissioner of Revenue Services. To ensure

report a single transaction or multiple transactions occurring in the same calendar

your payment is applied to your account, write the calendar year of the return,

year. You may ﬁ le more than one use tax return for a given calendar year, but you

“Form OP-186”, and your SSN (optional) on the front of your check. Do not send

cannot combine transactions from different years. Use tax may also be reported on

cash. The Department of Revenue Services (DRS) may submit your check to your

your Connecticut income tax return (Forms CT-1040 or CT-1040NR/PY).

bank electronically.

Items listed below are subject to a 7% tax rate if purchased between July 1, 2011 and

Mail this return with your check to:

June 30, 2015, and 7.75% if purchased on or after July 1, 2015.

Department of Revenue Services

• Most motor vehicles exceeding $50,000;

State of Connecticut

• A vessel exceeding $100,000 purchased between July 1, 2011 and June 30, 2013;

PO Box 2973

Hartford CT 06104-2973

• Each piece of jewelry exceeding $5,000;

• Each piece of clothing or pair of footwear exceeding $1,000; and

• A handbag, luggage, umbrella, wallet, or watch exceeding $1,000.

Declaration: 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 the penalty for willfully delivering a false return or document to DRS is a ﬁ ne

of not more than $5,000, imprisonment for not more than ﬁ ve 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.

Your signature

Date

Spouse’s signature

(

)

Sign Here

Paid preparer’s signature

Date

Preparer’s SSN or PTIN

Keep a

copy of