
For a faster refund, see Page 2 of the booklet for electronic fi ling options.
Due date: April 15, 2010 - Attach a copy of all applicable schedules and forms to this return.
1. Federal adjusted gross income from federal Form 1040, Line 37;
Form 1040A, Line 21; or Form 1040EZ, Line 4 1.
2. Additions to federal adjusted gross income from Schedule 1, Line 39 2.
3. Add Line 1 and Line 2. 3.
4. Subtractions from federal adjusted gross income from Schedule 1, Line 50 4.
5. Connecticut adjusted gross income: Subtract Line 4 from Line 3. 5.
6. Income tax from tax tables or Tax Calculation Schedule: See instructions, Page 15. 6.
7. Credit for income taxes paid to qualifying jurisdictions from Schedule 2, Line 59 7.
8. Subtract Line 7 from Line 6. If Line 7 is greater than Line 6, enter “0.” 8.
9. Connecticut alternative minimum tax from Form CT-6251 9.
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. Adjusted net Connecticut minimum tax credit from Form CT-8801 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.
Whole Dollars Only
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Form CT-1040
Connecticut Resident Income Tax Return
2009
CT-1040
For DRS
Use Only
20
2
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Form CT-8379
Form CT-1040CRC
Check here if you are fi ling the
following and attach the form to the
front of the return.
Check here if you fi led
Form CT-2210 and checked
any boxes on Part 1.
Check here if you do not want forms sent to
you next year. This does not relieve you of
your responsibility to fi le.
For the year January 1 - December 31, 2009, or other taxable year beginning: _________________ , 2009 and ending: __________________, ______ .
Complete return in blue or black ink only.
Taxpayers must sign declaration on reverse side.
Clip check here. Do not staple.
Do not send W-2 or 1099 forms.
Filing separately for
federal and Connecticut
Filing separately for
Connecticut only
Filing Status
Single
Filing jointly
for federal and
Connecticut
Filing jointly for
Connecticut
only
Head of
household
Qualifying widow(er)
with dependent child
Enter spouse’s name here and SSN below.
MI
Last name (If two last names, insert a space between names.)
Last name (If two last names, insert a space between names.)
Suffi x (Jr./Sr.)
Suffi x (Jr./Sr.)
Your fi rst name
Mailing address (number and street, apartment number, suite number, PO Box)
MI
If joint return, spouse’s fi rst name
City, town, or post offi ce (If town is two words, leave a space between the words.)
State ZIP code
-
Your Social Security Number
-
-
Check if
deceased
--
Check if
deceased
Spouse Social Security Number
Print your name,
address, and SSN here.
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1