Connecticut Form H 109 PDF Details

If you are a Connecticut resident and earn income from freelance work, you may be required to file Form H 109. This form is used to report self-employment income, and it is important to submit it on time in order to avoid any penalties. In this blog post, we will provide an overview of what Form H 109 is and what information it requires. We will also discuss the filing deadline and how to file this form. So if you are a freelancer in CT, be sure to read on for all the details!

QuestionAnswer
Form NameConnecticut Form H 109
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesct abandoned vehicle form, connecticut report abandoned vehicle, ct municipality motor form, ct h 109

Form Preview Example

MUNICIPALITY REPORT OF ABANDONED MOTOR VEHICLE

STATE OF CONNECTICUT

-

H-109 REV. 3-2018

DEPARTMENT OF MOTOR VEHICLES

 

TITLE SECTION

 

INSTRUCTIONS

60 STATE STREET, WETHERSFIELD, CT 06161

 

On The Web At ct.gov/dmv

 

1.Complete SECTION A for each abandoned motor vehicle which is determined to be: (a) valued at $500.00 or less; (b) unusable as a motor vehicle; and (c) without a valid marker plate (C.G.S. §14-150(d)).

2.Submit original form to the Department of Motor Vehicles within 48 HOURS of the time the motor vehicle is taken into custody.

3.Retain a copy and complete SECTION B when vehicle ownership is transferred. Submit copy to transferee in lieu of a vehicle title.

TO: DEPARTMENT OF MOTOR VEHICLES, TITLE SECTION, 60 STATE STREET, WETHERSFIELD, CT 06161

SECTION A - TO BE COMPLETED WHEN MUNICIPALITY TAKES POSSESSION OF MOTOR VEHICLES

NAME OF MUNICIPALITY (in which title is vested)

DATE AND TIME VEHICLE TAKEN INTO CUSTODY

NAME OF OFFICER OR INSPECTOR (who determines vehicle meets C.G.S. §14-150(d))

BADGE NUMBER

VEHICLE

INFORMATION

YEAR

MAKE/MODEL

VEHICLE IDENTIFICATION NUMBER

 

 

 

LOCATION VEHICLE ABANDONED

(No. & Street)

(City or Town)

BUSINESS NAME & ADDRESS OF TOWER

AMOUNT OF CHARGE IMPOSED BY TOWER

$

I hereby certify the above abandoned vehicle meets the specifications of C.G.S. §14-150(d) and that the vehicle identification number has been checked through NCIC.

DEPARTMENT NAME

AUTHORIZED SIGNATURE OF MUNICIPAL OFFICIAL

X

DATE SIGNED

SECTION B - TO BE COMPLETED WHEN MUNICIPALITY TRANSFERS OWNERSHIP OF MOTOR VEHICLE TO JUNKYARD

TRANSFEREE INFORMATION

NAME

ADDRESS

(No. & Street)

(City or Town)

(State)

(Zip Code)

DEPARTMENT NAME

AUTHORIZED SIGNATURE OF MUNICIPAL OFFICIAL

X

DATE SIGNED

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