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CT-941, 2016 Connecticut Quarterly Reconciliation …

Department of Revenue Services PO Box 2931 Form CT-941 2016 . Hartford CT 06104-2931 Connecticut Quarterly (Rev. 02/16). Reconciliation of Withholding 941 00 16W 01 9999. Form CT-941 is used to reconcile Quarterly Connecticut income tax withholding DRS use only (MMDDYYYY). from wages only. Name Connecticut Tax Registration Number This return MUST be filed electronically! . Address (number and street), apartment number, PO Box Federal Employer ID Number (FEIN). DO NOT MAIL paper return to DRS. City, town, or post office State ZIP code Enter reporting quarter (1, 2, 3, or 4).. If you no longer have employees in Connecticut Check . here (MMDDYYYY). check the box and enter the date of last payroll.

Section 2 - Summary of Connecticut Tax Liability for the Calendar Quarter: See Instructions. Column A - First Month Column B - Second Month Column C - Third Month

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