×
tax forms found in
Tax Form Code
Tax Form Name

Connecticut Free Printable  for 2024 Connecticut Taxpayer Statement Regarding State of Connecticut Tax Refund

There are only 18 days left until tax day on April 16th! eFile your return online here , or request a six-month extension here .

It appears you don't have a PDF plugin for this browser. Please use the link below to download 2023-connecticut-form-ct-3911.pdf, and you can print it directly from your computer.

Taxpayer Statement Regarding State of Connecticut Tax Refund
Form CT-3911

Department of Revenue Services State of Connecticut (Rev. 12/23) Form CT-3911 Taxpayer Statement Regarding State of Connecticut Tax Refund File Form CT-3911 using myconneCT at portal.ct.gov/DRS-myconneCT. Purpose: Use Form CT-3911 to report a missing or stolen Connecticut tax refund that was a direct deposit or issued as a check. Attach copies of any correspondence received from DRS concerning this refund to Form CT-3911. The Department of Revenue Services (DRS) will provide information in writing concerning your refund. If DRS determines that your refund check was cashed, a copy of the cashed check will be mailed to you. If DRS determines that your refund check was not cashed, a stop payment will be placed on the original check and a replacement check will be mailed to you. If you do not receive any information from DRS within six weeks after filing Form CT-3911, call DRS Monday through Friday, 8:30 a.m. to 4:30 p.m. at 800-382-9463 (Connecticut calls outside the Greater Hartford calling area only) or 860-297-5962 (from anywhere). Part 1 Refund Information Prior to completing Part 1, verify with your bank that the refund has not been deposited. 1. Type of return filed:  Individual  Business  Other____________________________________ Form:_____________________ Tax period:__________________ Date filed:______________________________ 2. Type of refund requested:  Direct Deposit  Check If Direct Deposit, enter your bank information: Bank name: ___________________________________________ Account #: _____________________________ If Check, identify if the refund check was: Part 2  Never received; or  Lost, stolen or destroyed. Taxpayer Information Print your name, Taxpayer Identification Number (TIN), and mailing address. For individuals, the TIN is your Social Security Number (SSN); for businesses, the TIN is your Connecticut Tax Registration Number or Federal Employer Identification Number (FEIN). Check the box to indicate which TIN you are listing. If you filed a joint return, you must complete Lines 1, 2, and 3. 1. Your name (or business name) Enter your TIN and check the appropriate box. 2. Spouse’s name (if joint return) Spouse’s SSN  SSN  CT Reg. No.  FEIN •• •• ___ ___ ___ •• ___ ___ •• ___ ___ ___ ___ 3. Address (number and street) Part 3 Apt. no. PO Box City State ZIP Code Home/cell telephone number – – Signature Sign below exactly as you signed the original return. For a joint return, both you and your spouse must sign. For business returns, the signature must be of the person authorized to sign the check. 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 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. Please sign here. Your signature Title (if business return) Date Spouse’s signature (if joint return) Date Visit us at portal.ct.gov/DRS for more information.
Extracted from PDF file 2023-connecticut-form-ct-3911.pdf, last modified December 2023

More about the Connecticut Form CT-3911 Individual Income Tax TY 2023

Use this form to report a lost, stolen or missing refund check.

We last updated the Taxpayer Statement Regarding State of Connecticut Tax Refund in February 2024, so this is the latest version of Form CT-3911, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form CT-3911 directly from TaxFormFinder. You can print other Connecticut tax forms here.


eFile your Connecticut tax return now

eFiling is easier, faster, and safer than filling out paper tax forms. File your Connecticut and Federal tax returns online with TurboTax in minutes. FREE for simple returns, with discounts available for TaxFormFinder users!

File Now with TurboTax

Other Connecticut Individual Income Tax Forms:

TaxFormFinder has an additional 85 Connecticut income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form CT-1040 Connecticut Resident Income Tax Return
Tax Instruction Booklet Form CT-1040 Instruction Booklet
CT-1040NR/PY Instructions Tax Instruction Booklet: CT-1040 for Nonresidents/Part-Year Residents
Form CT-W4P Withholding Certificate for Pension or Annuity Payments
Form CT-1040NR-PY Nonresident/Part-Year Resident Tax Return

Download all CT tax forms View all 86 Connecticut Income Tax Forms


Form Sources:

Connecticut usually releases forms for the current tax year between January and April. We last updated Connecticut Form CT-3911 from the Department of Revenue Services in February 2024.

Show Sources >

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Connecticut Form CT-3911

We have a total of thirteen past-year versions of Form CT-3911 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2020 Form CT-3911

CT-3911 Approved 20160711.indd

2019 Form CT-3911

CT-3911 Approved 20160711.indd

2018 Form CT-3911

CT-3911 Approved 20160711.indd

2017 Form CT-3911

CT-3911 Approved 20160711.indd

2016 Form CT-3911

CT-3911 Approved 20160711.indd

2015 Taxpayer Statement Regarding State of Connecticut Tax Refund 2015 Form CT-3911

CT-3911, 2015 Taxpayer Statement Regarding State of Connecticut Tax Refund

Taxpayer Statement Regarding State of Connecticut Tax Refund 2014 Form CT-3911

CT-3911, Taxpayer Statement Regarding State of Connecticut Tax Refund

Taxpayer Statement Regarding State of Connecticut Tax Refund 2013 Form CT-3911

CT-3911, Taxpayer Statement Regarding State of Connecticut Tax Refund

Taxpayer Statement Regarding State of Connecticut Tax Refund 2012 Form CT-3911

Form CT-3911, Taxpayer Statement Regarding State of Connecticut Tax Refund

Taxpayer Statement Regarding State of Connecticut Tax Refund 2011 Form CT-3911

Form CT-3911, Taxpayer Statement Regarding State of Connecticut Tax Refund


TaxFormFinder Disclaimer:

While we do our best to keep our list of Connecticut Income Tax Forms up to date and complete, we cannot be held liable for errors or omissions. Is the form on this page out-of-date or not working? Please let us know and we will fix it ASAP.

** This Document Provided By TaxFormFinder.org **
Source: http://www.taxformfinder.org/connecticut/form-ct-3911