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Connecticut Free Printable  for 2023 Connecticut Nonresident/Part-Year Resident Tax Return

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Nonresident/Part-Year Resident Tax Return
Form CT-1040NR-PY

2022 Form CT-1040NR/PY Department of Revenue Services State of Connecticut (Rev. 12/22) NRPY 1222W 01 9999 Connecticut Nonresident and Part-Year Resident Income Tax Return CT-1040NR/PY File and pay Form CT‑1040NR/PY electronically using myconneCT at portal.ct.gov/DRS-myconneCT. 2022 For January 1 ‑ December 31, 2022, or other tax year beginning 1  Print your SSN, name, mailing address, and city or town here. and ending M M - D D - Y Y Y Y Filing Status - Check only one box. Single Head of household Married filing jointly Qualifying surviving spouse M M - D D - Y Y Y Y Married filing separately  Enter spouse’s name here and SSN below. Your Social Security Number Spouse’s Social Security Number Your first name MI Last name (If two last names, insert a space between names.) Suffix (Jr./Sr.) If joint return, spouse’s first name MI Last name (If two last names, insert a space between names.) Suffix (Jr./Sr.) Mailing address (number and street) Mailing address 2 (apartment number, PO Box) City, town, or post office (If town is two words, leave a space between the words.) ZIP code State Enter city or town of residence if different from above. Clip check here. Do not use staples.  Do not send Forms W-2 or 1099, or Schedules CT K‑1. 2022 Resident Status ZIP code   Country code Nonresident Part-Year Resident Check the appropriate box to identify if you are attaching a completed: 2 Check if deceased Check if deceased Form CT-19IT, Title 19 Status Release Form CT-1040 CRC, Claim of Right Credit Form CT-8379, Nonobligated Spouse Claim Form CT-2210, Underpayment of Estimated Income Tax by Individuals, Trusts, and Estates, checking any box from Part 1. Federal Form 1310, Statement of Person Claiming Refund Due a Deceased Taxpayer Whole Dollars Only 1. Federal adjusted gross income from federal Form 1040, Line 11 or federal Form 1040‑SR, Line 11 1. .00 2. Additions to federal adjusted gross income from Schedule 1, Line 40 2. .00 3. Add Line 1 and Line 2. 3. .00 4. Subtractions from federal adjusted gross income from Schedule 1, Line 52 4. .00 5. Connecticut adjusted gross income: Subtract Line 4 from Line 3. 5. .00 6. Income from Connecticut sources from Schedule CT‑SI, Line 30 6. .00 7. Enter the greater of Line 5 or Line 6. If zero or less, go to Line 12 and enter “0.” 8. Income tax on the amount on Line 7 from tax tables or Tax Calculation Schedule: See instructions. 7. .00 8. .00 9. Divide Line 6 by Line 5. If Line 6 is equal to or greater than Line 5, enter 1.0000. 9. . 10. Multiply Line 9 by Line 8. 11. Credit for income taxes paid to qualifying jurisdictions during resident portion of taxable year — part‑year residents only (from Schedule 2, Line 61) 10. .00 11. .00 12. Subtract Line 11 from Line 10. If Line 11 is greater than Line 10, enter “0.” 12. .00 13. Connecticut alternative minimum tax from Form CT‑6251 13. .00 14. Add Line 12 and Line 13. 14. .00 15. Total allowable credits from Schedule CT‑IT Credit, Part 1, Line 11 15. .00 16. Connecticut income tax: Subtract Line 15 from Line 14. If less than zero, enter “0.” 16. .00 17. Individual use tax from Schedule 3, Line 62: If no tax is due, enter “0.” 17. .00 18. Add Line 16 and Line 17. 18. .00 Due date: April 15, 2023 - Attach a copy of all applicable schedules and forms to this return. Do not use staples. Taxpayers must sign declaration on reverse side. Complete return in blue or black ink only. Please note that each form is year specific. To prevent any delay in processing your return, the correct year’s form must be submitted to the Department of Revenue Services (DRS). Visit us at portal.ct.gov/DRS for more information. Form CT-1040NR/PY Page 2 of 4 (Rev. 12/22) NRPY 1222W 02 9999 3 Your Social Security Number  19. .00 Withholding Schedule: You must complete Columns A, B, and C or your withholding will be disallowed. Column C - Connecticut income tax withheld Column A - Employer’s federal ID No. from Box b of W-2, or Column B - Connecticut Schedule Check box at left if from Schedule CT K‑1. CT K-1 payer’s federal ID No. from Form 1099 or Schedule CT K­‑1 wages, tips, etc. 19. Enter amount from Line 18. Forms W-2 and 1099 Information Only enter information from your Forms W‑2 and 1099, and Schedules CT K‑1 if Connecticut income tax was withheld. 20a.   20a. .00 20b.   20b. .00 20c.   20c. .00 20d.   20d. .00 20e.   20e. .00 .00 20f. Additional CT withholding from Supplemental Schedule CT‑1040WH 20f. 4 20. Total Connecticut income tax withheld: Add amounts in Column C, Lines 20a, 20b, 20c, 20d, 20e, and 20f, and enter here. 20. .00 21. All 2022 estimated tax payments and any overpayments applied from a prior year 21. .00 22. Payments made with Form CT‑1040 EXT (request for extension of time to file) 22. .00 22a. Claim of right credit: From Form CT‑1040 CRC, Line 6. 22a. .00 22b. Pass‑Through Entity Tax Credit: From Schedule CT‑PE, Line 1. Schedule must be attached. 22b. .00 23. Total payments and refundable credits: Add Lines 20, 21, 22, 22a, and 22b. 23. .00 24. Overpayment: If Line 23 is more than Line 19, subtract Line 19 from Line 23. 24. .00 25. Amount of Line 24 overpayment you want applied to your 2023 estimated tax 25. .00 26. Amount of Line 24 overpayment you want applied as a CHET contribution from Schedule CT‑CHET, Line 4. 26. .00 26a. .00 27. .00 26a. Total contributions of refund to designated charities from Schedule 4, Line 63 27. Refund: Subtract Lines 25, 26, and 26a from Line 24. For direct deposit, complete Lines 27a, 27b, and 27c. Direct deposit is not available to first-time filers. 27a. Checking Savings 27c. Account number 27b. Routing number 27d. Will this refund go to a bank account outside the U.S.? If you do not elect direct deposit, a refund check will be issued and processing may be delayed. 5 6 Yes 28. Tax due: If Line 19 is more than Line 23, subtract Line 23 from Line 19. 28. .00 29. If late: Enter penalty. Multiply Line 28 by 10% (.10). 30. If late: Enter interest. Multiply Line 28 by number of months or fraction of a month late, then by 1% (.01). 29. .00 30. .00 31. Interest on underpayment of estimated tax from Form CT‑2210: See instructions. 32. Total amount due: Add Lines 28 through 31. 31. .00 32. .00 Declaration: I declare under penalty of law that I have examined this return and all accompanying schedules and statements, including reporting and payment of any use tax due, 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. The declaration of a paid preparer other than the taxpayer is based on all information of which the preparer has any knowledge. Your signature Sign Here Keep a copy of this return for your records. Date (MMDDYYYY)  Home/cell telephone number  Spouse’s signature (if joint return) Date (MMDDYYYY)  Daytime telephone number   Your email address Date (MMDDYYYY) Paid preparer’s signature Telephone number   Type or print paid preparer’s name  Firm’s Federal Employer Identification Number (FEIN) Firm’s name, address, and ZIP code Paid preparer’s PTIN Check if self-employed   Third Party Designee - Complete the following to authorize DRS to contact another person about this return. Designee’s name  Telephone number  Personal identification number (PIN)  Complete applicable schedules on Pages 3 and 4 and send all four pages of the return to DRS. Visit us at portal.ct.gov/DRS for more information. Form CT-1040NR/PY Page 3 of 4 (Rev. 12/22) NRPY 1222W 03 9999 Your Social Security Number  Schedule 1 - Modifications to Federal Adjusted Gross Income Enter all items as positive numbers. See instructions. 33. Interest on state and local government obligations other than Connecticut 34. Mutual fund exempt-interest dividends from non-Connecticut state or municipal government obligations 35. Taxable amount of lump-sum distributions from qualified plans not included in federal adjusted gross income 33. .00 34. .00 35. .00 36. Beneficiary’s share of Connecticut fiduciary adjustment: Enter only if greater than zero. 36. .00 37. Loss on sale of Connecticut state and local government bonds 37. .00 38. Section 168(k) federal bonus depreciation deduction allowed for property placed in service during this year. 38. .00 38a. 80% of Section 179 federal deduction. See instructions. 38a. .00 39. Other - specify  39. .00 40. Total additions: Add Lines 33 through 39. Enter here and on Line 2. 40. .00 41. Interest on U.S. government obligations 41. .00 42. Exempt dividends from certain qualifying mutual funds derived from U.S. government obligations 42. .00 43. Social Security benefit adjustment: See Social Security Benefit Adjustment Worksheet instructions. 43. .00 44. Refunds of state and local income taxes 44. .00 45. Tier 1 and Tier 2 railroad retirement benefits and supplemental annuities 45. .00 46. Military retirement pay 46. .00 47. 50% of income received from the Connecticut Teachers’ Retirement System 47. .00 48. Beneficiary’s share of Connecticut fiduciary adjustment: Enter only if less than zero. 48. .00 49. Gain on sale of Connecticut state and local government bonds 50. Connecticut Higher Education Trust (CHET) contributions made in 2022 or an excess carried forward from a prior year. See instructions. Enter CHET account number: Do not add spaces or dashes. 49. .00 50. .00 50a. 25% of Section 168(k) federal bonus depreciation deduction added back in preceding four years. 50a. .00 50b. 100% of pension or annuity income. See instructions. 50b. .00 51. Other - specify: Do not include out of state income. 51. .00  52. Total subtractions: Add Lines 41 through 51. Enter here and on Line 4. .00 52. Schedule 2 - Credit for Income Taxes Paid to Qualifying Jurisdictions - Part-Year Residents Only You must attach a copy of your return filed with the qualifying jurisdiction(s) or your credit will be disallowed. See instructions. 53. Connecticut adjusted gross income during the residency portion of the taxable year. ............ 53. See instructions. Column A  Name .00 54. Enter qualifying jurisdiction’s name and two‑letter code. .......................... 54. See instructions. 55. Non‑Connecticut income included on Line 53 and reported on a qualifying jurisdiction’s income tax return: Complete Schedule 2 Worksheet. ................. 55. 56. Divide Line 55 by Line 53. May not exceed 1.0000. .................................. 56. Column B  Code Name . .00 Code .00 . 57. Apportioned income tax: See instructions. ...................................................... 57. .00 .00 58. Multiply Line 56 by Line 57. ....................................................................... 58. .00 .00 59. Allowable income tax paid to a qualifying jurisdiction. See instructions. ... 59. .00 .00 60. Enter the lesser of Line 58 or Line 59. ...................................................... 60. .00 .00 61. Total credit: Add Line 60, all columns. Enter here and on Line 11. .......................................... 61. .00 Complete applicable schedules on Page 4 and send all four pages of the return to DRS. Visit us at portal.ct.gov/DRS for more information. Form CT-1040NR/PY Page 4 of 4 (Rev. 12/22) NRPY 1222W 04 9999 Your Social Security Number Schedule 3 - Individual Use Tax  Failure to report and pay use tax is subject to as much as a $5,000 fine, imprisonment for as much as 5 years, or both. Do you owe use tax for online or other purchases where you paid no sales tax? See instructions. Complete the Connecticut Individual Use Tax Worksheet to calculate your use tax liability. 62a. Total use tax due at 1%: From Connecticut Individual Use Tax Worksheet, Section A, Column 7 62a. .00 62b. Total use tax due at 6.35%: From Connecticut Individual Use Tax Worksheet, Section B, Column 7 62b. .00 62c. Total use tax due at 7.75%: From Connecticut Individual Use Tax Worksheet, Section C, Column 7 62c. .00 62d. Total use tax due at 2.99%: From Connecticut Individual Use Tax Worksheet, Section D, Column 7 62d. .00 62. Individual use tax: Add Lines 62a through 62d. If no use tax is due, you must enter “0.” Enter here and on Line 17. 62.  .00 Schedule 4 - Contributions to Designated Charities - For more information, see instructions. 63a. AIDS Research 63a. .00 63b. Organ Transplant 63b. .00 63c. Endangered Species/Wildlife 63c. .00 63d. Breast Cancer Research 63d. .00 63e. Safety Net Services 63e. .00 63f. Military Relief 63f. .00 63g. CHET Baby Scholars 63g. .00 63h. Mental Health Community Investment Account 63h. .00 63. .00 63. Total Contributions: Add Lines 63a through 63h. Enter amount here and on Line 26a. Complete and send all four pages of the return to DRS. Use the correct mailing address for returns with a payment or requesting a refund. For all tax forms with payment: Department of Revenue Services PO Box 2977 Hartford CT 06104‑2977 For refunds and all other tax forms without payment: Department of Revenue Services PO Box 2976 Hartford CT 06104‑2976 Make your check payable to: Commissioner of Revenue Services To ensure proper posting, write your SSN(s) (optional) and “2022 Form CT‑1040NR/PY” on your check. Visit us at portal.ct.gov/DRS for more information.
Extracted from PDF file 2022-connecticut-form-ct-1040nr-py.pdf, last modified December 2022

More about the Connecticut Form CT-1040NR-PY Individual Income Tax Nonresident TY 2022

CT-1040NR/PY is a special income tax return for nonresidents or part-time residents of Connecticut who file a Connecticut tax return.

We last updated the Nonresident/Part-Year Resident Tax Return in January 2023, so this is the latest version of Form CT-1040NR-PY, fully updated for tax year 2022. You can download or print current or past-year PDFs of Form CT-1040NR-PY directly from TaxFormFinder. You can print other Connecticut tax forms here.

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Related Connecticut Individual Income Tax Forms:

TaxFormFinder has an additional 85 Connecticut income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Connecticut Form CT-1040NR-PY.

Form Code Form Name
CT-1040NR/PY Instructions Tax Instruction Booklet: CT-1040 for Nonresidents/Part-Year Residents

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-1040NR-PY from the Department of Revenue Services in January 2023.

Show Sources >

Form CT-1040NR-PY is a Connecticut Individual Income Tax form. Many states have separate versions of their tax returns for nonresidents or part-year residents - that is, people who earn taxable income in that state live in a different state, or who live in the state for only a portion of the year. These nonresident returns allow taxpayers to specify which which income is subject to the state's taxes, and which is not.

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-1040NR-PY

We have a total of twelve past-year versions of Form CT-1040NR-PY in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:

2016 Form CT-1040NR-PY

CT-1040NRPY W 20161121.indd

2015 Connecticut Nonresident and Part-Year Resident  Income Tax Return 2015 Form CT-1040NR-PY

CT-1040NRPY, 2015 Connecticut Nonresident and Part-Year Resident Income Tax Return

2014 Connecticut Nonresident and Part-Year Resident Income Tax Return 2014 Form CT-1040NR-PY

CT-1040NRPY, 2014 Connecticut Nonresident and Part-Year Resident Income Tax Return

2013 Connecticut Nonresident and Part-Year Resident Income Tax Return 2013 Form CT-1040NR-PY

CT-1040NRPY, 2013 Connecticut Nonresident and Part-Year Resident Income Tax Return

2012 Connecticut Nonresident and Part-Year Resident Income Tax Return 2012 Form CT-1040NR-PY

CT-1040NRPY, 2012 Connecticut Nonresident and Part-Year Resident Income Tax Return

2011 Connecticut Nonresident and Part-Year Resident Income Tax Return 2011 Form CT-1040NR-PY

CT-1040NRPY, 2011 Connecticut Nonresident and Part-Year Resident Income Tax Return

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