Connecticut Form H 110 PDF Details

The Connecticut Form H-110 is a document that business owners in the state use to report their annual income and pay their taxes. The form is due by April 15th each year, and must be filed with the Connecticut Department of Revenue Services. There are several sections on the form, including information about your business, its income and expenses, and your tax liability. Completing the H-110 accurately is essential for ensuring that you pay the correct amount of taxes owed. If you need help filing or understanding the form, consult with an accountant or tax specialist.

QuestionAnswer
Form NameConnecticut Form H 110
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesabandoned motor notification form, ct abandoned form, ct h 110, ct abandoned vehicle form

Form Preview Example

STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
TITLE SECTION
60 STATE STREET, WETHERSFIELD, CT 06161
On The Web at ct.gov/dmv

ABANDONED MOTOR VEHICLE SALE NOTIFICATION

H-110 REV. 3-2016

INSTRUCTIONS:

1. Print clearly or type.

2.Attach H-110 to the Affidavit of Compliance (H-76)

3.Mail copy to former owner of record.

YEAR

MAKE/MODEL

ODOMETER READING

COLOR

VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

VEHICLE IDENTIFICATION NUMBER

 

 

 

 

 

 

APPROXIMATE VALUE OF VEHICLE

 

 

 

 

 

 

 

 

 

 

 

$1500 OR LESS

OVER $1500

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

WAS NOTICE OF INTENT TO SELL SENT TO OWNER?

OWNER OF

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RECORD

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF DEALER/REPAIRER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SELLER

ADDRESS OF DEALER/REPAIRER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE VEHICLE PLACED IN CUSTODY OF DEALER/REPAIRER

 

DEALER/REPAIRER LICENSE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STORAGE CHARGES (If any)

 

 

TOWING CHARGES (If any)

 

 

REPAIR CHARGES (If any)

 

 

 

LIEN

$

 

 

 

 

 

$

 

 

 

 

 

INFORMATION

OTHER CHARGES (If any, specify)

 

 

 

 

 

 

TOTAL OF ALL CHARGES

 

 

 

 

 

$

 

 

 

 

 

$

 

 

 

 

 

 

 

NAME (Owner)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

PURCHASER(S)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF SALE

PLACE OF SALE

 

 

 

 

 

 

 

SALES PRICE

 

 

 

 

 

 

 

 

 

 

$

 

 

 

I have mailed this notification to the former owner of record identified above and have complied with all relevant legal requirements. The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, under penalties of false statement, in accordance with the provisions of Section 14-110 and 53a-157b of the Connecticut General Statutes. I understand that if I make a statement which I do not believe to be true, with the intent to mislead the Commissioner, I will be subject to prosecution under the above cited laws.

SIGNATURE OF SELLER

X

DATE SIGNED

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