Form CT-4852 or the "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." is a form issued by the Connecticut Department of Revenue Services.
Download a PDF version of the Form CT-4852 down below or find it on the Connecticut Department of Revenue Services Forms website.
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