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Department of Revenue Services State of Connecticut

(Rev. 12/12)

Form CT-W4P

Withholding Certiﬁ cate for Pension or Annuity Payments

Complete this certiﬁ cate in blue or black ink only.

2013

CT-W4P

Form CT-W4P allows Connecticut residents who receive pensions or annuities to instruct the payer of the pension or annuity to withhold Connecticut income tax.

General Instructions

You are not required to have Connecticut income tax withheld from your pension or annuity payments. However, you must make estimated Connecticut income tax payments if your Connecticut income tax (after tax credits) minus Connecticut income tax withheld is $1,000 or more, and you expect your Connecticut income tax withheld to be less than your required annual payment.

Your required annual payment is the lesser of:

•90% of the income tax shown on your 2013 Connecticut income tax return; or

•100% of the income tax shown on your 2012 Connecticut income tax return if you ﬁled a 2012 Connecticut income tax return that covered a 12-month period.

You do not have to make estimated income tax payments if:

•You were a Connecticut resident during the 2012 taxable year and you did not ﬁle a 2012 income tax return because you had no Connecticut income tax liability; or

•You were a nonresident or part-year resident with Connecticut- sourced income during the 2012 taxable year and you did not ﬁle a 2012 income tax return because you had no Connecticut income tax liability.

If you were a nonresident or part-year resident and you did not have Connecticut-sourced income during the 2012 taxable year, then you must use 90% of the income tax shown on your 2013 Connecticut income tax return as your required annual payment.

If you are a spouse in a same sex marriage, you must recalculate your federal adjusted gross income as if your ﬁling status for federal income tax purposes were married ﬁling jointly or married ﬁling separately.

If you wish to have Connecticut income tax withheld from your pension or annuity payments, you may either:

•Complete the worksheet on the back of this form to estimate how much income tax to have withheld, round to the nearest whole dollar, but not less than $10, and enter this amount on Line 1. This option is for people who want to include all income in determining their withholding amount; or

•If you know how much you want your payer to withhold from each payment, you may ﬁll in a whole dollar amount, but not less than $10, on Line 1.

Where to File

Send this form to the payer of your pension or annuity. Do not send this form to the Department of Revenue Services (DRS). If you do not want tax withheld from your pension or annuity payments do not complete or mail this form.

For More Information

Call DRS during business hours, Monday through Friday:

•800-382-9463 (Connecticut calls outside the Greater Hartford calling area only); or

•860-297-5962 (from anywhere).

TTY, TDD, and Text Telephone users only may transmit inquiries anytime by calling 860-297-4911.

Forms and Publications

Visit the DRS website at www.ct.gov/DRS to download and print Connecticut tax forms and publications.



Separate here and mail to the payer of your pension.



Department of Revenue Services		Withholding Certiﬁcate for		2013 Form CT-W4P
State of Connecticut		Pension or Annuity Payments		2013 Form CT-W4P
State of Connecticut		Pension or Annuity Payments

First name	Middle initial	Last name		Social Security Number
				•	•
				___ ___ ___ •• ___	___ •• ___ ___ ___ ___
Home address		PO Box		Claim or Identification Number (if any) of your
				Pension or Annuity Contract

City or town		State	ZIP code

1. Amount of Connecticut income tax you want withheld from each payment ........................... 1.					.00

Sign	Signature			Date
Here

Page 1 of 6

	2013 Form CT-W4P Estimated Income Tax Worksheet
	Use this worksheet if you wish to include all 2013 estimated income in determining withholding amount.

1.	Federal adjusted gross income you expect in the 2013 taxable year (from 2013
	federal Form 1040ES, 2013 Estimated Tax Worksheet, Line 1)	1.	_______________________
2.	Allowable Connecticut modiﬁ cations: See subtractions or additions below	2.	_______________________
3.	Connecticut adjusted gross income: Combine Line 1 and Line 2	3.	_______________________
	Nonresidents and part-year residents: Enter your Connecticut-sourced income if greater
	than your Connecticut adjusted gross income.
4.	Connecticut income tax: Complete the Tax Calculation Schedule below	4.	_______________________
5.	Apportionment factor: Connecticut residents enter 1.0000. Nonresidents and part-year
	residents, see instructions on Page 3	5.	•
6.	Multiply Line 5 by Line 4	6.	_______________________
7.	Credit for income taxes paid to qualifying jurisdictions: See instructions on Page 3	7.	_______________________
8.	Subtract Line 7 from Line 6	8.	_______________________
9.	Estimated Connecticut alternative minimum tax: See instructions on Page 3	9.	_______________________
10.	Add Line 8 and Line 9	10.	_______________________
11.	Estimated allowable credits from Schedule CT-IT Credit. See instructions on Page 3	11.	_______________________
12.	Total estimated income tax: Subtract Line 11 from Line 10	12.	_______________________
13.	Connecticut income tax withheld or expected to be withheld during the 2013 taxable year
	on income other than this pension or annuity	13.	_______________________
14.	Subtract Line 13 from Line 12. If this amount is less than $1,000, no estimated payment
	is required	14.	_______________________
15.	Amount to be withheld from each payment: Divide Line 14 by the number of payments
	you will receive in 2013. Round to the nearest whole dollar but not less than $10	15.	_______________________

2013 Tax Calculation Schedule

1. Enter the amount from Line 3 above.		1.		00

2.	Enter exemption from Table A - Personal EXemptions, If zero, enter “0.”	2.		00

3.	Connecticut taxable income: Subtract Line 2 from Line 1. If less than zero, enter “0.”	3.		00

4.	Tax calculation: See Table B - Withholding Tax Calculation.	4.		00

5.	Enter the amount from Table C - 3% Tax Rate Phase-Out Add Back. If zero, enter “0.”	5.		00

6.	Enter the amount from Table D - Tax Recapture. If zero, enter “0.”	6.		00

7.	Connecticut income tax: Add Line 4, Line 5, and Line 6.	7.		00

8.	Enter decimal amount from Table E - Personal Tax Credits. If zero, enter “0.”	8.	0.

9.	Multiply the amount on Line 7 by the decimal amount on Line 8.	9.		00

10.	Connecticut Income Tax: Subtract Line 9 from Line 7. Enter this amount on Line 4 of 2013
	Form CT-W4P Estimated Income Tax Worksheet above.	10.		00

Caution: If you expect to owe $1,000 or more in Connecticut income tax after subtracting Connecticut income tax withheld, you may be required to make estimated payments. Generally, if you do not prepay (through timely estimated tax payments or withholding, or both) the lesser of 100% of the income tax shown on your 2012 Connecticut income tax return or 90% of the income tax shown on your 2013 Connecticut income tax return, you may owe interest at the rate of 1% per month or fraction of a month.

2013 Form CT-W4P Estimated Income Tax Worksheet Instructions

Any reference in these instructions to ﬁling jointly includes ﬁling jointly for federal and Connecticut and ﬁling jointly for Connecticut only. Likewise, ﬁling separately includes ﬁling separately for federal and Connecticut and ﬁling separately for Connecticut only.

Line 1: Your estimated federal adjusted gross income.

Adjusted gross income means wages, interest, dividends, alimony received, and all income minus certain adjustments to income such as alimony paid and qualiﬁed contributions to an IRA.

Line 2: Enter the total of your estimated allowable Connecticut modiﬁcations.

Subtractions include any items included in federal adjusted gross income that are not taxable under Connecticut law.

Additions include items taxable under Connecticut law but not included in federal adjusted gross income.

See Form CT-1040, Connecticut Resident Income Tax Return, or Form CT-1040NR/PY, Connecticut Nonresident and Part-Year Resident Income Tax Return, Schedule 1 - Modiﬁ cations to Federal Adjusted Gross Income instructions.

2013 Form CT-W4P (Rev. 12/12)

Page 2 of 6

Social Security Beneﬁt Adjustment Worksheet

Enter the amount you expect to enter on Form CT-1040 or Form CT-1040NR/PY, Line 1			___________________
If your ﬁ ling status is single or ﬁling separately, is the amount on Line 1		$50,000 or more?
Yes	Complete this worksheet.
No	Do not complete this worksheet.*

If your ﬁling status is ﬁling jointly, qualifying widow(er) with dependent child, or head of household, is the amount on Line 1 $60,000 or more? Yes Complete this worksheet.

No Do not complete this worksheet.*

*Enter the amount of federally taxable Social Security beneﬁts you expect to report on federal Form 1040, Line 20b, or federal Form 1040A, Line 14b, on the 2013 Form CT-W4P Estimated Income Tax Worksheet, Line 2.

A.Enter the amount you reported on federal Publication 505, Tax Withholding and Estimated Tax, Worksheet 2–1,

	2013 Estimated Tax Worksheet–Line 1, Expected Taxable Social Security and Railroad Retirement Beneﬁ ts, Line 1.	A.
	If Line A is zero or less, stop here. Otherwise, go to Line B.
B. Enter the amount you reported on federal Publication 505, Worksheet 2–1, Line 10.		B.
	If Line B is zero or less, stop here. Otherwise, go to Line C.

C.	Enter the lesser of Line A or Line B.	C.

D.	Multiply Line C by 25% (.25).	D.

E. Expected taxable amount of Social Security beneﬁ ts you reported on federal Publication 505*,		E.
	Worksheet 2–1, Line 19

F.	Social Security Beneﬁt Adjustment: Subtract Line D from Line E. Enter the amount here	F.
	and as a subtraction on the 2013 Form CT-W4P, Line 2. If Line D is greater than or equal to
	Line E, enter “0.”

*You may obtain federal Publication 505 by visiting the IRS website at www.irs.gov or by calling the Internal Revenue Service (IRS) at 800-829-3676.

Line 2 (continued)

Social Security Beneﬁt Adjustment: If you ﬁle a federal income tax return as single or married ﬁling separately and you expect your 2013 federal adjusted gross income will be less than $50,000, enter as a subtraction the amount of federally taxable Social Security beneﬁts you expect to report on your 2013 federal Form 1040, Line 20b, or federal Form 1040A, Line 14b.

If you will ﬁle a federal income tax return as married ﬁling jointly, qualifying widow(er) with dependent child, or head of household and you expect your 2013 federal adjusted gross income will be less than $60,000, enter as a subtraction the amount of federally taxable Social Security beneﬁts you expect to report on your 2013 federal Form 1040, Line 20b, or federal Form 1040A, Line 14b.

If you expect your federal adjusted gross income will be above the threshold for your ﬁling status, complete the Social Security Beneﬁt Adjustment Worksheet above. Enter the Line F amount as a subtraction on Line 2.

Military Pensions: If you are a retired member of the U.S. armed forces or the National Guard, enter as a subtraction 50% of the amount of federally taxable military retirement pay you expect to report on your 2013 federal income tax return.

Line 3 - Nonresidents and Part-Year Residents: If your Connecticut-sourced income is greater than your Connecticut adjusted gross income, enter your Connecticut-sourced income.

Line 5 - Nonresidents and Part-Year Residents: If your Connecticut-sourced income is greater than or equal to your Connecticut adjusted gross income, enter 1.0000. If your Connecticut-sourced income is less than your Connecticut

adjusted gross income, complete the following calculation and enter the result on Line 5.

Connecticut-Sourced Income

= Line 5

Connecticut Adjusted Gross Income (Line 3)

Do not enter a number less than zero or greater than 1. If the result is less than zero, enter “0”; if greater than 1, enter 1.0000. Round to four decimal places.

Line 7 - Resident and Part-Year Residents: Enter estimated allowable credit for income taxes paid to qualifying jurisdictions. Enter “0” if not applicable. See instructions for Schedule 2

-Credit for Income Taxes Paid to Qualifying Jurisdictions of Form CT-1040 or Form CT-1040NR/PY.

Line 9: If you expect to owe federal alternative minimum tax for the 2013 taxable year, you may also owe Connecticut alternative minimum tax. Enter your estimated Connecticut alternative minimum tax liability. See instructions for Form CT-6251, Connecticut Alternative Minimum Tax Return - Individuals.

Line 11: Enter estimated allowable Connecticut income tax credit(s). Enter “0” if you are not entitled to a credit. (Credit for a prior year alternative minimum tax is not allowed if you entered an amount on Line 9.) See the instructions for Schedule CT-IT Credit, Income Tax Credit Summary.

Line 15: Divide the amount on Line 14 by the number of pension or annuity payments you will receive in 2013. Round to nearest whole dollar but not less than $10. Enter this amount on Line 1 of the certiﬁ cate on the front of this form.

2013 Form CT-W4P (Rev. 12/12)

Page 3 of 6

Table A - Personal exemptions for 2013 Taxable Year

Use the ﬁling status you expect to report on your 2013 tax return and your Connecticut AGI *** (from Tax Calculation Schedule, Line 1) to determine your exemption.

		Single				Filing Jointly or					Filing Separately					Head of Household
		Single				Qualiﬁed Widow(er)					Filing Separately					Head of Household
						Qualiﬁed Widow(er)

Connecticut AGI ***			Exemption		Connecticut AGI ***			Exemption		Connecticut AGI ***			Exemption		Connecticut AGI ***			Exemption
More Than		Less Than			More Than		Less Than			More Than		Less Than			More Than		Less Than
		or Equal To					or Equal To					or Equal To					or Equal To
$	0	$28,000	$	14,000	$	0	$48,000	$	24,000	$	0	$24,000	$	12,000	$	0	$38,000	$	19,000
$	28,000	$29,000	$	13,000	$	48,000	$49,000	$	23,000	$	24,000	$25,000	$	11,000	$	38,000	$39,000	$	18,000
$	29,000	$30,000	$	12,000	$	49,000	$50,000	$	22,000	$	25,000	$26,000	$	10,000	$	39,000	$40,000	$	17,000
$	30,000	$31,000	$	11,000	$	50,000	$51,000	$	21,000	$	26,000	$27,000	$	9,000	$	40,000	$41,000	$	16,000
$	31,000	$32,000	$	10,000	$	51,000	$52,000	$	20,000	$	27,000	$28,000	$	8,000	$	41,000	$42,000	$	15,000
$	32,000	$33,000	$	9,000	$	52,000	$53,000	$	19,000	$	28,000	$29,000	$	7,000	$	42,000	$43,000	$	14,000
$	33,000	$34,000	$	8,000	$	53,000	$54,000	$	18,000	$	29,000	$30,000	$	6,000	$	43,000	$44,000	$	13,000
$	34,000	$35,000	$	7,000	$	54,000	$55,000	$	17,000	$	30,000	$31,000	$	5,000	$	44,000	$45,000	$	12,000
$	35,000	$36,000	$	6,000	$	55,000	$56,000	$	16,000	$	31,000	$32,000	$	4,000	$	45,000	$46,000	$	11,000
$	36,000	$37,000	$	5,000	$	56,000	$57,000	$	15,000	$	32,000	$33,000	$	3,000	$	46,000	$47,000	$	10,000

$	37,000	$38,000	$	4,000	$	57,000	$58,000	$	14,000	$	33,000	$34,000	$	2,000	$	47,000	$48,000	$	9,000
$	38,000	$39,000	$	3,000	$	58,000	$59,000	$	13,000	$	34,000	$35,000	$	1,000	$	48,000	$49,000	$	8,000
$	39,000	$40,000	$	2,000	$	59,000	$60,000	$	12,000	$	35,000	and up	$	0	$	49,000	$50,000	$	7,000
$	40,000	$41,000	$	1,000	$	60,000	$61,000	$	11,000						$	50,000	$51,000	$	6,000
$	41,000	and up	$	0	$	61,000	$62,000	$	10,000						$	51,000	$52,000	$	5,000
					$	62,000	$63,000	$	9,000						$	52,000	$53,000	$	4,000
					$	63,000	$64,000	$	8,000						$	53,000	$54,000	$	3,000
					$	64,000	$65,000	$	7,000						$	54,000	$55,000	$	2,000
					$	65,000	$66,000	$	6,000						$	55,000	$56,000	$	1,000
					$	66,000	$67,000	$	5,000						$	56,000	and up	$	0
					$	67,000	$68,000	$	4,000
					$	68,000	$69,000	$	3,000
					$	69,000	$70,000	$	2,000
					$	70,000	$71,000	$	01,000
					$	71,000	and up	$	,00000

*** Form CT-1040NR/PY ﬁlers must use income from Connecticut sources if it exceeds Connecticut adjusted gross income.

Table B - Tax Calculation for 2013 Taxable Year

Use the ﬁling status you expect to report on your 2013 tax return. This initial tax calculation does not include personal tax credits, 3% tax rate phase-out add-back, or tax recapture.

Single or Filing Separately - If the amount on the Tax Calculation Schedule, Line 3 is:

Less than or equal to:		$ 10,000	3.00%
More than $10,000, but less than or equal to		$ 50,000	$300 plus 5.0% of the excess over $10,000
More than $50,000, but less than or equal to		$100,000	$2,300 plus 5.5% of the excess over $50,000
More than $100,000, but less than or equal to		$200,000	$5,050 plus 6.0% of the excess over $100,000
More than $200,000, but less than or equal to		$250,000	$11,050 plus 6.5% of the excess over $200,000
More than $250,000			$14,300 plus 6.7% of the excess over $250,000

	Single or Filing Separately Examples:
Line 3 is $13,000, Line 4 is $450			Line 3 is $525,000, Line 4 is $32,725
$13,000 - $10,000	=	$3,000	$525,000 - $250,000	=	$275,000
$3,000 X .05	=	$150	$275,000 x .067	=	$18,425
$300 + $150	=	$450	$14,300 + $18,425	=	$32,725
Filing Jointly/Qualifying Widow(er) - If the amount on the Tax Calculation Schedule, Line 3 is:
Less than or equal to:		$ 20,000	3.00%
More than $20,000, but less than or equal to		$100,000	$600 plus 5.0% of the excess over $20,000
More than $100,000, but less than or equal to		$200,000	$4,600 plus 5.5% of the excess over $100,000
More than $200,000, but less than or equal to		$400,000	$10,100 plus 6.0% of the excess over $200,000
More than $400,000, but less than or equal to		$500,000	$22,100 plus 6.5% of the excess over $400,000
More than $500,000			$28,600 plus 6.7% of the excess over $500,000

	Filing Jointly/Qualifying Widow(er) Examples:
Line 3 is $22,500, Line 4 is $725			Line 3 is $1,100,000, Line 4 is $68,800
$22,500 - $20,000	=	$2,500	$1,100,000 - $500,000	=	$600,000
$2,500 x .05	=	$125	$600,000 x .067	=	$40,200
$600 + $125	=	$725	$28,600 + $40,200	=	$68,800
Head of Household - If the amount on the Tax Calculation Schedule, Line 3 is:
Less than or equal to:		$ 16,000	3.00%
More than $16,000, but less than or equal to		$ 80,000	$480 plus 5.0% of the excess over $16,000
More than $80,000, but less than or equal to		$160,000	$3,680 plus 5.5% of the excess over $80,000
More than $160,000, but less than or equal to		$320,000	$8,080 plus 6.0% of the excess over $160,000
More than $320,000, but less than or equal to		$400,000	$17,680 plus 6.5% of the excess over $320,000
More than $400,000			$22,880 plus 6.7% of the excess over $400,000

		Head of Household Examples:
Line 3 is $20,000, Line 4 is $680			Line 3 is $825,000, Line 4 is $51,355
$20,000 - $16,000	=	$4,000	$825,000 - $400,000	=	$425,000
$4,000 x .05	=	$200	$425,000 x .067	=	$28,475
$480 + $200	=	$680	$22,880 + $28,475	=	$51,355

*Form CT-1040NR/PY ﬁlers must use income from Connecticut sources if it exceeds Connecticut adjusted gross income. 2013 Form CT-W4P (Rev. 12/12)

Page 4 of 6

Table C - 3% Tax Rate Phase-Out Add-Back

Use the ﬁling status you expect to report on your 2013 tax return and your Connecticut AGI * (Tax Calculation Schedule, Line 1) to determine your phase-out amount.

		Single				Filing Jointly or						Filing Separately					Head of Household
		Single				Qualiﬁed Widow(er)						Filing Separately					Head of Household
						Qualiﬁed Widow(er)

Connecticut AGI*			3%		Connecticut AGI*			3%		Connecticut AGI*				3%		Connecticut AGI*			3%
			3%					3%						3%					3%
More Than		Less Than	Phase-Out		More Than		Less Than	Phase-Out		More Than			Less Than	Phase-Out		More Than		Less Than	Phase-Out
		or Equal To	Add-Back				or Equal To	Add-Back					or Equal To	Add-Back				or Equal To	Add-Back

$	0	$ 56,500	$	0	$	0	$100,500	$	0	$	0	$50,250		$	0	$	0	$ 78,500	$	0
$	56,500	$ 61,500	$	20	$100,500		$105,500	$	40	$	50,250	$52,750		$	20	$	78,500	$ 82,500	$	32
$	61,500	$ 66,500	$	40	$105,500		$110,500	$	80	$	52,750	$55,250		$	40	$	82,500	$ 86,500	$	64
$	66,500	$ 71,500	$	60	$110,500		$115,500	$	120	$	55,250	$57,750		$	60	$	86,500	$ 90,500	$	96
$	71,500	$ 76,500	$	80	$115,500		$120,500	$	160	$	57,750	$60,250		$	80	$	90,500	$ 94,500	$	128
$	76,500	$ 81,500	$	100	$120,500		$125,500	$	200	$	60,250	$62,750		$	100	$	94,500	$ 98,500	$	160
$	81,500	$ 86,500	$	120	$125,500		$130,500	$	240	$	62,750	$65,250		$	120	$	98,500	$102,500	$	192
$	86,500	$ 91,500	$	140	$130,500		$135,500	$	280	$	65,250	$67,750		$	140	$102,500		$106,500	$	224
$	91,500	$ 96,500	$	160	$135,500		$140,500	$	320	$	67,750	$70,250		$	160	$106,500		$110,500	$	256
$	96,500	$101,500	$	180	$140,500		$145,500	$	360	$	70,250	$72,750		$	180	$110,500		$114,500	$	288
$101,500		and up	$	200	$145,500		and up	$	400	$	72,750		and up	$	200	$114,500		and up	$	320

*Form CT-1040NR/PY ﬁlers must use income from Connecticut sources if it exceeds Connecticut adjusted gross income.

Table D - Tax Recapture

Use the ﬁling status you expect to report on your 2013 tax return and your Connecticut AGI * (Tax Calculation Schedule, Line 1) to determine your recapture amount.

	Single or Filing Separately					Filing Jointly or					Head of Household
	Single or Filing Separately				Qualiﬁed Widow(er)						Head of Household
					Qualiﬁed Widow(er)

	Connecticut AGI*		Recapture		Connecticut AGI*			Recapture		Connecticut AGI*			Recapture
More Than		Less Than	Amount		More Than		Less Than	Amount		More Than		Less Than	Amount
		or Equal To					or Equal To					or Equal To

$	0	$200,000	$	0	$ 0	$400,000		$	0	$ 0	$320,000		$	0
$	200,000	$205,000	$	75	$400,000	$410,000		$	150	$320,000	$328,000		$	120
$	205,000	$210,000	$	150	$410,000	$420,000		$	300	$328,000	$336,000		$	240
$	210,000	$215,000	$	225	$420,000	$430,000		$	450	$336,000	$344,000		$	360
$	215,000	$220,000	$	300	$430,000	$440,000		$	600	$344,000	$352,000		$	480

$	220,000	$225,000	$	375	$440,000	$450,000		$	750	$352,000	$360,000		$	600
$	225,000	$230,000	$	450	$450,000	$460,000		$	900	$360,000	$368,000		$	720
$	230,000	$235,000	$	525	$460,000	$470,000		$	1,050	$368,000	$376,000		$	840
$	235,000	$240,000	$	600	$470,000	$480,000		$	1,200	$376,000	$384,000		$	960
$	240,000	$245,000	$	675	$480,000	$490,000		$	1,350	$384,000	$392,000		$	1,080
$	245,000	$250,000	$	750	$490,000	$500,000		$	1,500	$392,000	$400,000		$	1,200
$	250,000	$255,000	$	825	$500,000	$510,000		$	1,650	$400,000	$408,000		$	1,320
$	255,000	$260,000	$	900	$510,000	$520,000		$	1,800	$408,000	$416,000		$	1,440
$	260,000	$265,000	$	975	$520,000	$530,000		$	1,950	$416,000	$424,000		$	1,560
$	265,000	$270,000	$	1,050	$530,000	$540,000		$	2,100	$424,000	$432,000		$	1,680
$	270,000	$275,000	$	1,125	$540,000	$550,000		$	2,250	$432,000	$440,000		$	1,800
$	275,000	$280,000	$	1,200	$550,000	$560,000		$	2,400	$440,000	$448,000		$	1,920
$	280,000	$285,000	$	1,275	$560,000	$570,000		$	2,550	$448,000	$456,000		$	2,040
$	285,000	$290,000	$	1,350	$570,000	$580,000		$	2,700	$456,000	$464,000		$	2,160
$	290,000	$295,000	$	1,425	$580,000	$590,000		$	2,850	$464,000	$472,000		$	2,280
$	295,000	$300,000	$	1,500	$590,000	$600,000		$	3,000	$472,000	$480,000		$	2,400
$	300,000	$305,000	$	1,575	$600,000	$610,000		$	3,150	$480,000	$488,000		$	2,520
$	305,000	$310,000	$	1,650	$610,000	$620,000		$	3,300	$488,000	$496,000		$	2,640
$	310,000	$315,000	$	1,725	$620,000	$630,000		$	3,450	$496,000	$504,000		$	2,760
$	315,000	$320,000	$	1,800	$630,000	$640,000		$	3,600	$504,000	$512,000		$	2,880
$	320,000	$325,000	$	1,875	$640,000	$650,000		$	3,750	$512,000	$520,000		$	3,000
$	325,000	$330,000	$	1,950	$650,000	$660,000		$	3,900	$520,000	$528,000		$	3,120
$	330,000	$335,000	$	2,025	$660,000	$670,000		$	4,050	$528,000	$536,000		$	3,240
$	335,000	$340,000	$	2,100	$670,000	$680,000		$	4,200	$536,000	$544,000		$	3,360
$	340,000	$345,000	$	2,175	$680,000	$690,000		$	4,350	$544,000	$552,000		$	3,480
$	345,000	and up	$	2,250	$690,000		and up	$	4,500	$552,000		and up	$	3,600

2013 Form CT-W4P (Rev. 12/12)

Page 5 of 6

Table E - Personal Tax Credits for 2013 Taxable Year

Use the ﬁling status you expect to report on your 2013 tax return and your Connecticut AGI * (Tax Calculation Schedule, Line 1) to determine your decimal amount.

	Single		Filing Jointly or			Filing Separately			Head of Household
	Single		Qualiﬁed Widow(er)			Filing Separately			Head of Household
			Qualiﬁed Widow(er)

Connecticut AGI*		Decimal	Connecticut AGI*		Decimal	Connecticut AGI*		Decimal	Connecticut AGI*		Decimal
		Decimal			Decimal			Decimal			Decimal
More Than	Less Than	Amount	More Than	Less Than	Amount	More Than	Less Than	Amount	More Than	Less Than	Amount
	or Equal To			or Equal To			or Equal To			or Equal To
$14,000	$17,500	.75	$24,000	$30,000	.75	$12,000	$15,000	.75	$19,000	$24,000	.75
$17,500	$18,000	.70	$30,000	$30,500	.70	$15,000	$15,500	.70	$24,000	$24,500	.70
$18,000	$18,500	.65	$30,500	$31,000	.65	$15,500	$16,000	.65	$24,500	$25,000	.65
$18,500	$19,000	.60	$31,000	$31,500	.60	$16,000	$16,500	.60	$25,000	$25,500	.60
$19,000	$19,500	.55	$31,500	$32,000	.55	$16,500	$17,000	.55	$25,500	$26,000	.55
$19,500	$20,000	.50	$32,000	$32,500	.50	$17,000	$17,500	.50	$26,000	$26,500	.50
$20,000	$20,500	.45	$32,500	$33,000	.45	$17,500	$18,000	.45	$26,500	$27,000	.45
$20,500	$21,000	.40	$33,000	$33,500	.40	$18,000	$18,500	.40	$27,000	$27,500	.40
$21,000	$23,300	.35	$33,500	$40,000	.35	$18,500	$20,000	.35	$27,500	$34,000	.35
$23,300	$23,800	.30	$40,000	$40,500	.30	$20,000	$20,500	.30	$34,000	$34,500	.30
$23,800	$24,300	.25	$40,500	$41,000	.25	$20,500	$21,000	.25	$34,500	$35,000	.25
$24,300	$24,800	.20	$41,000	$41,500	.20	$21,000	$21,500	.20	$35,000	$35,500	.20
$24,800	$29,200	.15	$41,500	$50,000	.15	$21,500	$25,000	.15	$35,500	$44,000	.15
$29,200	$29,700	.14	$50,000	$50,500	.14	$25,000	$25,500	.14	$44,000	$44,500	.14
$29,700	$30,200	.13	$50,500	$51,000	.13	$25,500	$26,000	.13	$44,500	$45,000	.13
$30,200	$30,700	.12	$51,000	$51,500	.12	$26,000	$26,500	.12	$45,000	$45,500	.12
$30,700	$31,200	.11	$51,500	$52,000	.11	$26,500	$27,000	.11	$45,500	$46,000	.11
$31,200	$56,000	.10	$52,000	$96,000	.10	$27,000	$48,000	.10	$46,000	$74,000	.10
$56,000	$56,500	.09	$96,000	$96,500	.09	$48,000	$48,500	.09	$74,000	$74,500	.09
$56,500	$57,000	.08	$96,500	$97,000	.08	$48,500	$49,000	.08	$74,500	$75,000	.08
$57,000	$57,500	.07	$97,000	$97,500	.07	$49,000	$49,500	.07	$75,000	$75,500	.07
$57,500	$58,000	.06	$97,500	$98,000	.06	$49,500	$50,000	.06	$75,500	$76,000	.06
$58,000	$58,500	.05	$98,000	$98,500	.05	$50,000	$50,500	.05	$76,000	$76,500	.05
$58,500	$59,000	.04	$98,500	$99,000	.04	$50,500	$51,000	.04	$76,500	$77,000	.04
$59,000	$59,500	.03	$99,000	$99,500	.03	$51,000	$51,500	.03	$77,000	$77,500	.03
$59,500	$60,000	.02	$99,500	$100,000	.02	$51,500	$52,000	.02	$77,500	$78,000	.02
$60,000	$60,500	.01	$100,000	$100,500	.01	$52,000	$52,500	.01	$78,000	$78,500	.01
$60,500	and up	.00	$100,500	and up	.00	$52,500	and up	.00	$78,500	and up	.00

*Form CT-1040NR/PY ﬁlers must use income from Connecticut sources if it exceeds Connecticut adjusted gross income.

2013 Form CT-W4P (Rev. 12/12)

Page 6 of 6

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