Form CT-8809 "Request for Extension of Time to File Information Returns (For Forms W-2, W-2g, 1099-r, and 1099-misc)" - Connecticut

What Is Form CT-8809?

This is a legal form that was released by the Connecticut Department of Revenue Services - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2015;
  • The latest edition provided by the Connecticut Department of Revenue Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form CT-8809 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Revenue Services.

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Download Form CT-8809 "Request for Extension of Time to File Information Returns (For Forms W-2, W-2g, 1099-r, and 1099-misc)" - Connecticut

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Department of Revenue Services
Form CT-8809
State of Connecticut
PO Box 2930
Request for Extension of Time to
Hartford CT 06104-2930
File Information Returns
(Rev. 10/15)
(For Forms W-2, W-2G, 1099-R, and 1099-MISC)
Complete this form in blue or black ink only. See instructions on reverse.
1. Filer or transmitter name and mailing address (number and street including room
2. Connecticut Tax Registration Number
Extension
or suite number, or PO Box, city, state, and ZIP code)
Request
for
3. Federal Employer Identifi cation Number (FEIN)
Calendar
Year
4. Person to be contacted about this request
5. Telephone number
201__
(
)
6. Check the boxes that apply. You need not enter the number of returns.
Media Type
W-2
W-2G
1099-R
1099-MISC
Electronic
CD
7. Has an extension of time to fi le federal information returns been requested from the Internal Revenue Service (IRS)?
No
Yes
(If Yes, attach a copy of federal Form 8809, Application for Extension of Time to File
Information Returns.)
If Yes, was the request for extension approved?
No
Yes
Pending
(If Yes, attach a copy of the extension request approval.)
8. State in detail why you need an extension. If more space is required, attach additional page(s).
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
9. Will you provide, or have you provided, a copy of the information return or the required statement to the recipient on time?
No
Yes
Declaration: I declare under the 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 the Department of
Revenue Services (DRS) is a fi ne of not more than $5,000, or imprisonment for not more than fi ve 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.
Signature
Title
Date
Department of Revenue Services
Form CT-8809
State of Connecticut
PO Box 2930
Request for Extension of Time to
Hartford CT 06104-2930
File Information Returns
(Rev. 10/15)
(For Forms W-2, W-2G, 1099-R, and 1099-MISC)
Complete this form in blue or black ink only. See instructions on reverse.
1. Filer or transmitter name and mailing address (number and street including room
2. Connecticut Tax Registration Number
Extension
or suite number, or PO Box, city, state, and ZIP code)
Request
for
3. Federal Employer Identifi cation Number (FEIN)
Calendar
Year
4. Person to be contacted about this request
5. Telephone number
201__
(
)
6. Check the boxes that apply. You need not enter the number of returns.
Media Type
W-2
W-2G
1099-R
1099-MISC
Electronic
CD
7. Has an extension of time to fi le federal information returns been requested from the Internal Revenue Service (IRS)?
No
Yes
(If Yes, attach a copy of federal Form 8809, Application for Extension of Time to File
Information Returns.)
If Yes, was the request for extension approved?
No
Yes
Pending
(If Yes, attach a copy of the extension request approval.)
8. State in detail why you need an extension. If more space is required, attach additional page(s).
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
9. Will you provide, or have you provided, a copy of the information return or the required statement to the recipient on time?
No
Yes
Declaration: I declare under the 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 the Department of
Revenue Services (DRS) is a fi ne of not more than $5,000, or imprisonment for not more than fi ve 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.
Signature
Title
Date
Form CT-8809 - Instructions
Complete this form in blue or black ink only.
Block 2
Enter your Connecticut Tax Registration Number.
Use Form CT-8809 to request an extension of time to fi le
Forms W-2, W-2G, 1099-R, and 1099-MISC. Do not use this
Block 3
form to request an extension of time to furnish the statement to
Enter your FEIN or Social Security Number (SSN) if you are
the recipient or for an extension of time to fi le Form CT-1040,
not required to have an employer identifi cation number. Do
Connecticut Resident Income Tax Return. For rules on extending
not enter hyphens. A transmitter should enter the transmitter’s
the time to fi le Form CT-1040, see Form CT-1040 Instructions.
FEIN in this box.
Who May File: Filers of information
Block 4
returns submitted electronically through the
Enter the name of someone to contact if additional information
Taxpayer Service Center (TSC) or on CD
is required.
may use this form to request an extension
of time to fi le. A transmitter for multiple fi lers may fi le this form,
Block 5
but must attach a list of the names, addresses, and Federal
Enter the telephone number, including area code, of the contact
Employer Identifi cation Numbers (FEIN) of those for whom the
person shown in Block 4.
transmitter will be fi ling.
Block 6
When to File: Department of Revenue Services (DRS)
Indicate the type(s) of information return(s) for which you are
encourages you to fi le Form CT-8809 as soon as you know an
requesting an extension of time to fi le and method of fi ling by
extension of time to fi le is necessary. However, Form CT-8809
checking the appropriate box(es).
must be fi led on or before the following due dates:
Block 7
Form Number
Due Date
Indicate whether or not the fi ler applied for an extension of time to
W-2
January 31
fi le federal information returns. If an extension was requested, a
W-2G, 1099-R, and
Last day of March if fi ling
copy of the federal Form 8809, Request for Extension of Time to
1099-MISC
electronically, or last day of
File Information Returns, must be attached. If a federal extension
February if not fi ling
was requested, indicate whether or not it was approved by the
electronically.
Internal Revenue Services (IRS). If the extension was approved,
attach a copy of the approval.
If the due date falls on a Saturday, Sunday, or legal holiday, the
request will be considered timely if fi led by the next business day.
Block 8
If you are requesting an extension of time to fi le several types
Explain why you need an extension of time to fi le your information
of forms, you may use one Form CT-8809. You can request an
returns.
extension for only one calendar year on this form. An extension
Block 9
cannot be granted if a request is fi led after the original due
Check the appropriate box to indicate whether you will provide, or
date of the returns.
have provided, a copy of the information returns or the required
Where to File:
statement to the recipients on time.
Department of Revenue Services
If this extension request is approved, it will only extend the due
State of Connecticut
date for fi ling the returns with DRS. It will not extend the January 31
PO Box 2930
due date for furnishing the required copies of statements to
Hartford CT 06104-2930
recipients.
Approval or Denial of Request: Requests for extensions of
Signature: The extension request must be signed by you or a
time to fi le information returns are not automatically granted.
person who is duly authorized to sign a return, statement, or
Approval or denial is based on administrative criteria and
other document.
guidelines. DRS will send you a letter of explanation only if
Failure to properly complete and sign this form may cause a
your request is denied.
delay in processing or result in the denial of your request. Be
Extension Period: If your extension request is approved, an
sure you are requesting an extension of time only for returns
extension is granted for 30 days from the original due date.
listed on this form.
Additional Extension: If you need additional time to fi le, you
For More Information: Call DRS during business hours,
may request an additional 30 days by submitting another Form
Monday through Friday:
CT-8809.
1-800-382-9463 (Connecticut calls outside the Greater
Hartford calling area only); or
Specifi c Instructions
860-297-5962 (from anywhere).
Block 1
TTY, TDD, and Text Telephone users only may transmit
Enter the name and complete mailing address, including room
inquiries anytime by calling 860-297-4911.
or suite number, of the fi ler requesting the extension of time. If
you act as transmitter for a group of fi lers, enter the transmitter’s
Forms and Publications: Visit the DRS website at
name and address and attach a list of fi ler names, addresses,
www.ct.gov/DRS to download and print Connecticut tax forms.
Connecticut Tax Registration Numbers, and FEINs. Notifi cation
of denial is sent only to the person who requested the extension.
Form CT-8809 Back (Rev. 10/15)
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