Form CT-4852 Substitute for Form W-2, Wage and Tax Statement, or Form 1099r, Distribution From Pensions, Annuities, Retirement or Profi T-Sharing Plans, IRAs, Insurance Contracts, Etc. - Connecticut

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form CT-4852 for the current year.

Form CT-4852 Substitute for Form W-2, Wage and Tax Statement, or Form 1099r, Distribution From Pensions, Annuities, Retirement or Profi T-Sharing Plans, IRAs, Insurance Contracts, Etc. - Connecticut

What Is Form CT-4852?

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.

FAQ

Q: What is Form CT-4852?
A: Form CT-4852 is a substitute for Form W-2 or Form 1099-R.

Q: When should I use Form CT-4852?
A: You should use Form CT-4852 when you are unable to obtain your Form W-2 or Form 1099-R.

Q: What information is required on Form CT-4852?
A: You will need to provide your personal information, such as name, address, and Social Security number, as well as information about your wages or retirement distributions.

Q: How do I fill out Form CT-4852?
A: You should carefully follow the instructions provided with the form and accurately fill in the required information.

Q: Can I e-file Form CT-4852?
A: No, Form CT-4852 cannot be e-filed. You must mail it to the Connecticut Department of Revenue Services.

Q: Is there a deadline for filing Form CT-4852?
A: Yes, you should file Form CT-4852 as soon as possible after you realize you are unable to obtain your Form W-2 or Form 1099-R.

Q: Will filing Form CT-4852 affect my tax refund?
A: Filing Form CT-4852 may delay the processing of your tax return and refund, as the information provided on the form needs to be verified.

Q: Can I use Form CT-4852 for federal income tax purposes?
A: No, Form CT-4852 is specific to the state of Connecticut and cannot be used for federal income tax purposes.

Q: What should I do if I later receive my Form W-2 or Form 1099-R after filing Form CT-4852?
A: If you receive your missing form after filing Form CT-4852, you should file an amended return to correct any discrepancies.

ADVERTISEMENT

Form Details:

  • Released on December 1, 2017;
  • 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-4852 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Revenue Services.

Download Form CT-4852 Substitute for Form W-2, Wage and Tax Statement, or Form 1099r, Distribution From Pensions, Annuities, Retirement or Profi T-Sharing Plans, IRAs, Insurance Contracts, Etc. - Connecticut

4.3 of 5 (28 votes)
  • Form CT-4852 Substitute for Form W-2, Wage and Tax Statement, or Form 1099r, Distribution From Pensions, Annuities, Retirement or Profi T-Sharing Plans, IRAs, Insurance Contracts, Etc. - Connecticut, Page 1
ADVERTISEMENT