Form Ct W3 Hhe – Fill Out and Use This PDF

Department of Revenue Services

State of Connecticut

PO Box 2930

Hartford CT 06104-2930

(Rev. 12/11)

Form CT-W3 HHE

2011

Connecticut Annual Reconciliation of Withholding for

Household Employers

General Instructions

Complete this return in blue or black ink only.

Form CT-W3 HHE is used by household employers only. Do not make a payment with this return.

A household employer not registered with the Department of Revenue Services (DRS) for Connecticut income tax withholding purposes should enter the words “HOUSEHOLD EMPLOYER” in the space reserved for the Connecticut Tax Registration Number on this return.

When to File

If filing electronically, you will file a Form CT-W3, which is due the last day of March 2012 and will be completed as part of the electronic filing process when you upload Copy 1 of federal Forms W-2, Wage and Tax Statement. If filing electronically do not mail Form CT-W3 HHE. If filing by paper, Form CT-W3 HHE is due the last day of February 2012.

If the due date falls on a Saturday, Sunday, or legal holiday, the next business day is the due date.

Employers must file every Copy 1 of federal Form W-2 with Form CT-W3 HHE even if Connecticut income tax was not withheld.

Where to File

Use the Taxpayer Service Center (TSC)

to electronically file this return. You must have a Connecticut household employer Tax Registration Number to file through the TSC. See TSC on back. If filing by paper, mail

completed return including Forms W-2 to the address on the return.

Rounding Off to Whole Dollars

You must round off cents to the nearest whole dollar on your returns and schedules. If you do not round, DRS will disregard the cents.

Round down to the next lowest dollar all amounts that include 1 through 49 cents. Round up to the next highest dollar all amounts that include 50 through 99 cents. However, if you need to add two or more amounts to compute the amount to enter on a line, include cents and round off only the total.

Example: Add two amounts ($1.29 + $3.21) to compute the total ($4.50) to enter on a line. $4.50 is rounded to $5.00 and entered on the line.

Line Instructions

Line 1

Enter total Connecticut income tax withheld from wages during calendar year 2011. This should equal the Total line on the back of this return.

Line 2

Enter total Connecticut wages reported during calendar year 2011. Connecticut wages are all wages paid to employees who are residents of Connecticut, even if those wages are paid for work performed outside Connecticut by those resident employees, and wages paid to employees who are nonresidents of Connecticut if those wages are paid for work performed in Connecticut by those nonresident employees.

Line 3

Enter the number of W-2 forms submitted with this return.

Reminders

Complete all requested information on the front and back of this return.

Do not send a payment with this return. Payments are made using Form CT-941 HHE, Connecticut Reconciliation of Withholding for Household Employers or Form CT-941X, Amended Connecticut Reconciliation of Withholding.

Sign and date the return in the space provided.



CT-W3 HHE

Separate here and mail return to DRS. Make a copy for your records.

Connecticut Annual Reconciliation of Withholding for Household Employers



2011

City

State

ZIP code

Check if you are a household employer and you withhold Connecticut income tax from the wages of household employees.

Check if you are a household employer and you do not withhold Connecticut income tax from the wages of household employees.

Do not send payment with this return.

Mail to:	Department of Revenue Services
	State of Connecticut
	PO Box 2930
	Hartford CT 06104-2930

I declare under penalty of law that I have examined this return (including any accompanying schedules and statements) 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, or both.

Signature ______________________________________________________

Title ____________________________________ Date _________________

Electronic Reporting Information

Connecticut taxpayers can either key in or upload their Form CT-W3 and Forms W-2 electronically through the TSC. The TSC does not have a separate form designation for household employers.

Electronic reporting requirements are available on the DRS website at www.ct.gov/DRS/ew2 or by calling DRS at 1-800-382-9463 (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 by calling 860-297-4911.

Taxpayer Service Center

T h e T S C a l l o w s t a x p a y e r s t o

electronically file, pay, and manage state tax responsibilities. To make electronic

transactions or administer your tax account online visit www.ct.gov/TSC and select Business.



Complete for Each Period

Separate here and mail return to DRS. Make a copy for your records.



Include Copy 1 of all wage and tax statements reporting Connecticut wages paid during the calendar year with this return.

Period			Connecticut Income
			Tax Withheld From Wages
January 1 -		1st Quarter
March 31
April 1 -		2nd Quarter
June 30
July 1 -		3rd Quarter
September 30
October 1 -		4th Quarter
December 31

Total	00

Electronic Reporting Information

Connecticut taxpayers can either key in or upload their Form CT-W3 and Forms W-2 electronically through the TSC. The TSC does not have a separate form designation for household employers.

Electronic reporting requirements are available on the DRS website at www.ct.gov/DRS/ew2 or by calling DRS at 1-800-382-9463 (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 by calling 860-297-4911.

	This should equal Line 1 on the front of this return.