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Form CT-1120 EXT 2016

Department of Revenue Services State of Connecticut form CT-1120 EXT 2016 . PO Box 2974 Application for Extension of Time to File (Rev. 12/16). Hartford CT 06104-2974 Connecticut Corporation Business Tax Return 1120 EXT 1216W 01 9999. See instructions. Complete this form in blue or black ink only. Type or print. Enter Income Year Beginning and Ending For DRS. Use Only M M - D D - Y Y Y Y M M - D D - Y Y Y Y M M - D D - Y Y Y Y. Corporation/Designated Taxable Member name Connecticut Tax Registration Number This return MUST be filed electronically! . Number and street PO Box Federal Employer ID Number (FEIN). DO NOT MAIL paper tax return to DRS.

Form CT-1120 EXT (Rev. 12/16) Page 2 of 3 The following graduated penalty amounts will apply if you fail to remit payments electronically: • First offense – 10% penalty on the amount of the tax

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