Form Ct 3911 PDF Details

State of Connecticut Form Ct 3911 is a document used to calculate the amount of child support that is owed by one parent to the other. The calculation is based on a number of factors, including each parent's gross income and the number of children involved. The form can be completed and submitted to the court to help establish or modify a child support order. detailed instructions are included on how to complete the form. Whether you are owed child support or are paying it, it's important to understand how Form Ct 3911 works. This article will provide an overview of what goes into calculating child support payments, using State of Connecticut Form Ct 3911 as an example. We'll also look at some tips for completing the form correctly. So let's get started!

QuestionAnswer
Form NameForm Ct 3911
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesct ct 3911 tax, 3911 statement tax, ct 3911 form, 3911 statement tax form

Form Preview Example

Other ___________________________________
Business
Individual

Department of Revenue Services State of Connecticut

Form CT-3911

(Rev. 07/16)

Taxpayer Statement Regarding State of Connecticut Tax Refund

 

Use Form CT-3911 to report a missing or stolen Connecticut tax refund that was a direct deposit or issued as a check.

Do not use this form to report a missing debit card. Contact CHASE CUSTOMER SERVICE at 866-586-1705 to report lost, stolen, not received, or damaged debit cards and to request a new card(s).

General Instructions

Complete this form in blue or black ink only.

Attach copies of any correspondence received from DRS concerning this refund to Form CT-3911.

If you do not receive any information from DRS within six weeks after filing Form CT-3911, contact DRS at 800-382-9463 (Connecticut calls outside the Greater Hartford calling area only) or 860-297-5962 (from anywhere).

The Department of Revenue Services (DRS) will provide information in writing concerning your refund. If DRS determines that your refund check was cashed, a copy of the cashed check will be mailed to you. If DRS determines that your refund check was not cashed, a stop payment will be placed on the original check and a replacement check will be mailed to you.

Where to File

Mail to: Department of Revenue Services Revenue Accounting Unit

PO Box 5035

Hartford CT 06102-5035

Fax to: 860-297-5703

Part I Refund Information

Prior to completing Part I, verify with your bank that the refund has not been deposited.

1. Type of return filed:

Form:____________________ Tax period: _________________ Date filed: _____________________________

2.Type of refund requested: Direct Deposit Check

If Direct Deposit, enter your bank information:

Bank name: __________________________________________ Account #:

____________________________

If Check, identify if the refund check was:

Never received; or

Lost, stolen or destroyed.

Part II Taxpayer Information

Print your name, Taxpayer Identification Number (TIN), and mailing address. For individuals, the TIN is your Social Security Number (SSN); for businesses, the TIN is your Connecticut Tax Registration Number or Federal Employer Identification Number (FEIN). Check the box to indicate which TIN you are listing. If you filed a joint return, you must complete Lines 1, 2, and 3.

1. Your name (or business name)

Enter your TIN and check the appropriate box.

SSN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CT Reg. No.

 

 

 

 

 

 

 

 

FEIN

 

 

 

 

 

 

 

 

2. Spouse’s name (if joint return)

Spouse’s SSN

 

 

 

 

 

 

 

 

 

•

 

•

 

 

 

 

 

 

•

 

•

 

 

 

 

___ ___ ___

•

___ ___

•

___ ___ ___ ___

 

 

•

•

 

 

 

 

 

 

 

 

 

 

3. Address (number and street)

Apt. no.

PO Box

City

State

ZIP Code

Home/cell telephone number

()

Part III

Signature

Sign below exactly as you signed the original return. For a joint return, both you and your spouse must sign. For business returns, the signature must be of the person authorized to sign the check.

Declaration: I declare under penalty of law that I have examined this document and, to the best of my knowledge and belief, it is true, complete, and correct. I understand the penalty for willfully delivering a false return or document to DRS is a fine of not more than $5,000, or imprisonment for not more than fi ve years, or both.

Please

sign

here.

Your signature

Title (if business return)

Date

 

 

 

Spouse’s signature (if joint return)

 

Date

 

 

 

How to Edit Form Ct 3911 Online for Free

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Step 2: As you open the PDF editor, you will see the document ready to be completed. Apart from filling in different fields, you may as well do many other things with the file, such as putting on custom text, changing the initial textual content, inserting illustrations or photos, affixing your signature to the form, and a lot more.

When it comes to blanks of this particular form, this is what you should do:

1. It is recommended to fill out the 3911 taxpayer statement refund form properly, therefore be attentive while working with the sections containing these fields:

Find out how to prepare ct 3911 tax portion 1

2. After finishing the previous section, go to the next stage and fill in the necessary details in all these blanks - Your signature, Title if business return, Date, Please, sign here, Spouses signature if joint return, and Date.

ct 3911 tax writing process described (step 2)

You can potentially make errors when filling in the Date, therefore ensure that you take another look prior to deciding to submit it.

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