R229 Form Details

Form R 229 is a new form that was recently released by the IRS. This form is used to report information about certain foreign financial accounts. Taxpayers who have one or more of these types of accounts are required to file Form R 229 if the total value of all their foreign financial accounts exceeded $10,000 at any time during the calendar year. This form must be filed regardless of whether or not you have already reported this information on your federal income tax return. Failing to file this form can result in significant penalties, so it is important to understand exactly what is required and how to complete Form R 229 accurately. For more information on this new form, please contact our office today.

Here, you may find some details about form r 229 PDF. There, you will obtain the information regarding the document you intend to fill in, along with the likely time for you to fill it out along with other data.

QuestionAnswer
Form NameForm R 229
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesconnecticut permit applicant, r ct dmv, application r229, r 229 form

Form Preview Example

If yes, you are agreeing to be a donor and the designation will be on your license.

DMV USE

ONLY

NEW

OUT OF STATE TRANSFER

RETEST

CHANGE ENDORSEMENT/ RESTRICTION

EXCHANGE

APPLICATION FOR A NON-COMMERCIAL LEARNER PERMIT AND/OR DRIVER LICENSE R-229 REV. 2-2021

STATE OF CONNECTICUT

DEPARTMENT OF MOTOR VEHICLES

On The Web At ct.gov/dmv

INSTRUCTIONS: Complete 1-16, then present

1.Required Identification Documents & Proof of Connecticut Residency: see "Acceptable Forms of ID" at ct.gov/dmv

2.16 and 17 year olds: Certificate of Parental Consent Form 2D (if not accompanied by authorized individual)

3.Applicable Fees

LEARNER PERMIT NUMBER

DATE OF ISSUE

1.APPLICANT'S NAME (Last, First, Middle, Suffix)

2.GENDER

M F

X

3. DATE OF BIRTH

4. HEIGHT

ft. in.

5. COLOR OF EYES

6.MAILING ADDRESS (No., Street, City or Town, State, Zip Code)

7. RESIDENCE ADDRESS (IF DIFFERENT)

8.US CITIZEN?

Yes

No

If "NO", list ALIEN REGISTRATION NO.

9.CONNECTICUT RESIDENT?

Yes No

10. DO YOU WANT TO BE IN THE ORGAN/TISSUE DONOR REGISTRY?

Yes No

DAYTIME PHONE NO.

()

11. SOCIAL SECURITY NUMBER

12. LIST ANY OTHER NAMES EVER USED (Alias, Maiden, etc)

 

 

 

 

 

QUESTIONS

 

 

YES ( ) NO (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. Have you previously failed a driver's license

 

 

 

 

 

 

 

FAILED

 

 

 

 

 

 

 

 

 

 

 

 

LOCATION/DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

examination in Connecticut?

 

 

 

 

 

 

 

 

 

 

 

 

KNOWLEDGE

VISION

ROAD SKILLS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14. Do you now, or have you ever held a Connecticut Learner Permit,

 

 

 

 

 

 

IF YES, IN WHAT YEAR(S)?

 

 

 

CONNECTICUT PERMIT, LICENSE OR ID NO. (9 digits)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License or Non-Driver Identification card?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15. Do you now hold or have you ever held an operator's license or

 

 

 

 

 

 

 

STATE, DRIVER LICENSE OR ID. NO.

 

 

 

 

 

 

 

 

 

 

 

NO. OF YEARS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

identification card from another state?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16. Is your privilege to operate a motor vehicle suspended or subject to

 

 

IN WHAT STATE(S)?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

suspension in Connecticut or in any other state?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 14-36l of the Connecticut General Statutes requires the Commissioner to transmit my

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SELECTIVE

information to the Selective Service System. By signing and submitting this application, I consent

 

 

 

 

 

 

 

 

 

I hereby certify that I do not

 

 

to be registered with the Selective Service System, provided I am at least age 16 but under age

 

MEDICAL

 

 

have any health or vision

 

 

SERVICE

 

 

 

 

 

26 and meet the criteria for registration in accordance with the Military Selective Service Act. If I

CERTIFICATION

 

 

problems or conditions that

 

 

CONSENT

 

 

 

 

am under age 18, I understand that my information will be transmitted to Selective Service but I

 

 

 

 

 

 

 

 

 

prevent me from driving safely.

 

 

 

will not be registered until I reach age 18.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The information provided to the Commissioner of Motor Vehicles herein is

 

SIGNATURE OF APPLICANT

 

 

DATE SIGNED

 

 

CERTIFICATION

subscribed by me, under penalty of false statement, in accordance with

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the provisions of Section 14-110 and 53a-157b of the Connecticut General

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BY APPLICANT

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

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

prosecution under the above-cited laws.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DO NOT WRITE BELOW THIS LINE - OFFICE USE ONLY

 

 

 

 

 

 

 

 

 

 

 

PROOF OF

TYPE OF ACCEPTABLE I.D. SHOWN

 

 

 

 

 

 

 

 

 

 

I.D. SCANNED FIRST VISIT

 

EXAMINER INITIAL

 

 

 

STAMP NO.

 

 

IDENTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FULL LEGAL

If different than entered in name section above (# 1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PARENTAL

I hereby request that a learner's permit

RELATIONSHIP TO MINOR

SIGNED (Authorized Consenter)

 

 

 

 

 

CONSENTER'S LIC. NO. OR OTHER I.D.

 

 

CONSENT

and/or license be issued to the minor

 

 

 

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AGE 16 OR 17 ONLY

filing this application.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VISION

VISUAL AID USED

 

 

 

 

 

 

 

 

 

 

 

RESULTS

 

 

 

 

AGENTS INITIALS

 

PUNCH NO. AND PUNCH

 

 

 

SCREENING

NONE

 

 

GLASSES/CONTACTS

 

 

 

PASSED

FAILED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

KNOWLEDGE

 

 

 

 

 

 

 

 

TEST RESULTS

 

 

 

 

 

 

 

IDENTIFICATION DOCUMENTS

APPLICANT INITIALS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RETURNED

 

 

 

 

 

 

 

 

 

 

 

TEST

COMPUTER

 

WRITTEN

ORAL

 

WAIVED

 

PASSED

FAILED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERMIT

ISSUE LEARNER PERMIT

ISSUE MOTORCYCLE PERMIT

 

ISSUE PERMIT WITH CORRECTIVE LENSES

 

 

 

(B-RESTRICTION)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AGENT

I hereby certify that I have examined the applicant's identity

 

SIGNED (Agent)

 

 

 

 

 

 

 

PUNCH NO. AND PUNCH

 

 

DATE SIGNED

 

 

CERTIFICATION

correct.documents and the test results stated herein are true and

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLASSROOM

 

SCHOOL NAME

 

 

 

 

 

 

 

COMMERCIAL SCHOOL LICENSE NO.

 

 

 

 

DRIVER EDUCATION CERTIFICATE NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER

INSTRUCTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRAINING

PRACTICE

 

SCHOOL NAME (If same as above print "same")

COMMERCIAL SCHOOL LICENSE NO.

 

 

 

 

DRIVER EDUCATION CERTIFICATE NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby subscribe and certify under penalty of false statement, in accordance with the provisions of Section 14-110 and 53a-157b of the Connecticut General Statutes that 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, that,

 

 

HOME

I am qualified under Section 14-36, of the Connecticut General Statutes, over 20 years of age, have no suspensions within the previous 4 years and the Applicant has received the

 

 

TRAINING/

required training, including the equivalent of 22 hours classroom training; 40 hours on-the-road instruction; the 8 hours Safe Driver course, including a 2 hour Parent Training, as

 

 

supported by a parent log and/or driving school certificate.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMERCIAL

1

2

 

 

3

 

 

SIGNATURE OF INSTRUCTOR (Home Training/Commercial)

 

OPERATOR LICENSE NUMBER OR

 

 

TRAINING

Home Training

Comm/Sec and Home

 

Comm/Sec Only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHOOL LICENSE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CERTIFICATION

22 hr class equiv

 

30 hrs class/minimum

 

30 hrs class

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

40 hr on-the-road

8 hr safe driving plus home

40 hrs on-the-road

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8 hr safe driving

training 40 hrs on-the-road

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO FEE

 

 

 

 

SPECIAL EQUIPMENT

 

 

 

 

 

 

 

 

 

 

 

ROAD TEST

WAIVED

 

PASSED

 

FAILED

 

 

 

U.S.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SERVICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AND LICENSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NON-COMMERCIAL CLASS

ENDORSEMENT

RESTRICTIONS (Circle All Applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

 

 

M Q

 

 

B C D E F G R U

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AGENT

I hereby certify that I have verified the applicant's

SIGNED (Agent)

 

 

 

 

 

 

 

 

PUNCH NO. AND PUNCH

 

 

DATE SIGNED

 

 

CERTIFICATION

identity and the test results stated herein are true

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and correct.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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