Form Tpg 196 PDF Details

For individuals who have established an online account with the Connecticut Department of Revenue Services, specifically through the Taxpayer Service Center (TSC-IND), forgetting a password or the answers to security questions can pose a significant barrier to managing their tax information. The TPG-196 form offers a solution by providing a way to request a temporary password. This process necessitates filling out the form with precise information, including personal details as they appear on the most recent return filed with the DRS, to authenticate the user's identity. It's critical that all information, from social security numbers to mailing addresses, is accurately and clearly printed to avoid processing delays. For joint filers, additional instructions are included to ensure both parties can access their account securely. The form also requires users to provide their TSC email address, the tax year of a previously filed return, and the federal adjusted gross income for that year, which helps further verify their identity. The completion of this form is followed by choosing a method of delivery for the new temporary password, a critical step that dictates how the requester will regain access to their TSC account. It's a straightforward yet vital process for taxpayers who need to reset their password, emphasizing the importance of maintaining access to personal tax information through the state’s online system.

QuestionAnswer
Form NameForm Tpg 196
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestpg 196 tpg 196 form

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State of Connecticut

Department of Revenue Services

25 Sigourney Street Ste. 2

Hartford CT 06106-5032

TPG-196 (Rev. 03/13)

TPG-196

Individual TSC Password Reset Request

Complete this form in blue or black ink only.

Purpose: Individuals who established an online account with the Department of Revenue Services (DRS), Taxpayer Service Center (TSC-IND) and cannot remember their password or their answers to the security questions may use TPG-196 to request a temporary password to access their account.

Part 1 - Personal Information (joint filers, see instructions below)

In order to authenticate your identity, print your name(s) and mailing address exactly as they appear on your last return already on file with DRS for this TSC account. This request will not be processed if the following information is not accurately completed and clearly printed.

Primary fi ler Last name

First name

Middle initial

Last 4 digits of primary fi ler’s Social Security Number (SSN)

__ __

__ __

 

 

 

 

 

 

Secondary fi ler (required for joint accounts) Last name

First name

Middle initial

Last 4 digits of secondary filer’s SSN

 

__ __

__ __

 

 

 

 

 

 

 

 

Address

Number and street

PO box City or town

 

 

State

ZIP code

Part 2 - Verification

Your password reset request will not be processed if the following information is not accurately completed and clearly printed.

1. Enter the TSC email address (as originally entered in the TSC):

2.

Enter the tax year of a prior income tax already on fi le with DRS.

2.

 

2 0 __ __

 

 

 

 

 

 

 

 

 

3.

Enter the Federal adjusted gross income (AGI) from income tax return for tax

 

 

 

 

 

 

year entered above. Enter amount from Section 2, Line 1.

3.

 

 

 

00

 

 

 

 

 

 

 

Part 3 - Confirmation Method

Indicate the delivery method DRS should use to send your new temporary password. Select only one method and provide any specific information.

Mail to the same mailing address listed in Part 1 - Personal Information.

Email to a different email address. Enter new email address:

Fax to the following FAX number:

Instructions for joint filers

You must use the SSN and password created by the primary filer to access the TSC. The primary filer is generally the first person listed on the joint return.

How to Submit Request

Submit your completed request using one of the following:

If you are not the primary taxpayer, we cannot provide you with a password to access the joint account unless both the primary and secondary sign and date TPG-196.

If there has been a change in filing status since your last return, you may not be able to file your return using the TSC. For additional information, visit the DRS website at www.ct.gov/DRS and select FAQS.

FAX to: 860-297-4929

MAIL to: Department of Revenue Services

TPS – TSC Coordinator 25 Sigourney Street Hartford CT 06106

If you are not the primary taxpayer listed above, both primary and secondary fi lers must sign below.

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 that the penalty for willfully delivering a false return or document to the DRS is subject to a fine of not more than $5,000, or imprisonment for not more than fi ve years, or both.

Sign Here

Keep a copy

for your records.

Primary filer’s signature

Date

Phone

( )

Secondary filer’s signature

Date

Phone

( )

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Form Tpg 196 writing process outlined (stage 1)

2. Just after performing the last step, go on to the next step and fill out the essential particulars in these blank fields - Part Confi rmation Method, Mail to the same mailing address, Fax to the following FAX number, Instructions for joint fi lers You, in fi ling status since your, How to Submit Request, Submit one of the following, your, completed, request using, FAX to, MAIL to Department of Revenue, TPS TSC Coordinator Sigourney, If you are not the primary, and Declaration I declare under.

How to fill in Form Tpg 196 step 2

Always be extremely mindful while filling in How to Submit Request and in fi ling status since your, because this is the section in which many people make a few mistakes.

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