When self-employed individuals in Connecticut seek to take advantage of the Earned Income Tax Credit (EITC), Form CT-EITC SEQ becomes a critical document following contact from the Department of Revenue Services (DRS). Designed to gather supplemental information about a taxpayer's self-employment activities, this form is necessary when the DRS requires more details than what was initially provided on Schedule CT-EITC. This document asks for an array of specific information in three main sections: Taxpayer Information, Business Information, and a Declaration and Signature area. Taxpayers are prompted to fill the form out using blue or black ink and attach copies of all required documents, such as any 1099 MISC Forms, business licenses, and records that substantiate business income and expenses. The document provides a structured way for individuals to detail their business operations, including types of products or services offered, advertising methods, and the maintenance of adequate business records as per Connecticut Law. It emphasizes that this form should not be filed with your tax return but mailed directly to the DRS, highlighting its role as a follow-up instrument rather than a standard tax document. The CT-EITC SEQ's thorough approach to collecting data helps ensure that eligible taxpayers can benefit from the EITC while maintaining the integrity of the tax system through accurate and complete reporting of self-employment income.
| Question | Answer |
|---|---|
| Form Name | Form Ct Eitc Seq |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | DRS, preparers, preparer, ve |
Department of Revenue Services State of Connecticut
(Rev. 12/12)
Form |
2012 |
Earned Income Tax Credit
Complete in blue or black ink only.
Purpose: Complete Form
Form
Enter all applicable information in Sections 1, 2, and 3 and attach copies of all required documents.
Mail completed Form
Department of Revenue Services State of Connecticut
PO Box 2980
Hartford, CT
Do not file Form
Section 1 - Taxpayer Information
Taxpayer
Information
Please type
or print.
Your fi rst name and middle initial |
Last name |
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Your Social Security Number |
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If joint return, spouse’s fi rst name and middle initial |
Last name |
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Spouse’s Social Security Number |
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Name of business |
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Employer Identification Number |
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Business mailing address (number and street, apartment number, suite number, PO Box) |
Home telephone number |
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City, town, or post offi ce |
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ZIP code |
Business telephone number |
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Business website (if any) |
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Cell telephone number |
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Section 2 - Business Information
Provide a description of your business (type of work, products sold, services provided, and hours of operation): _____________________________
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1.Have you received any Forms 1099 MISC for income you earned?
No |
Yes If YES, attach a copy of each 1099 MISC Form. |
2.If your occupation requires you to have a license, attach a copy of that license.
3.Indicate if you use any of the following methods to advertise your business. Attach copies of advertisements along with any paid receipts.
Newspaper |
Internet/website |
Flyers |
Other______________________________________ |
4.Under Connecticut Law, you must keep adequate business records. Indicate which of the following types of records you keep to verify your business income and expenses.
Accounting records |
Computer records |
Insurance |
Business bank account(s) |
Ledgers |
Rental expenses |
Car/truck expenses |
Log books |
Suppliers (name and address) |
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Paid invoices/receipts |
Other ________________________________________________________________________ |
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Attach copies of these records covering at least two months of the tax year in question.
5.Date business began:______________ / ____ /_______ Date business began in Connecticut:______________ / ____ /_______
Section 3 - Declaration and Signature
Declaration: I declare under penalty of law that I have examined the information contained on this questionnaire 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 five years nor less than one year, or both. The declaration of a paid preparer other than the taxpayer is based on all information of which the preparer has any knowledge.
Sign
Here
Keep a
copy
for your records.
Your signature |
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Spouse’s signature |
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Paid preparer’s signature |
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Telephone |
Preparer’s SSN or PTIN |
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Firm’s name, address, and ZIP code |
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