Form CT-592 "Athlete or Entertainer Income Tax Withholding Statement" - Connecticut

What Is Form CT-592?

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 November 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;
  • Fill out the form in our online filing application.

Download a printable version of Form CT-592 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-592 "Athlete or Entertainer Income Tax Withholding Statement" - Connecticut

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Department of Revenue Services
State of Connecticut
(Rev. 11/17)
Form CT-592
Athlete or Entertainer Income Tax Withholding Statement
For Connecticut income tax withheld during calendar year 20___.
Performing entity: Complete this form in blue or black ink only. Complete and provide this form to each participant.
Keep a copy for your records.
Participant: Attach this form to your completed Form CT-1040, Connecticut Resident Income Tax Return, or
Form CT-1040NR/PY, Connecticut Nonresident and Part-Year Resident Income Tax Return.
Part 1 Participant Information
Part 2 Designated Withholding Agent Information
Name, address (number and street), city, state, ZIP code
Name, address (number and street), city, state, ZIP code
Social Security Number or Federal Employer ID Number
Connecticut Tax Registration Number
Federal Employer ID Number
Part 3 Performing Entity Information
Name, address (number and street), city, state, ZIP code, and telephone number
Connecticut Tax Registration Number, Federal Employer ID Number, or Social Security Number
Part 5 Tax Withheld
Part 4 Date(s) for Which Payment Is Rendered
Date(s) of performance
1. Amount subject to withholding
1. $
2. Total Connecticut tax withheld
2. $
Department of Revenue Services
State of Connecticut
(Rev. 11/17)
Form CT-592
Athlete or Entertainer Income Tax Withholding Statement
For Connecticut income tax withheld during calendar year 20___.
Performing entity: Complete this form in blue or black ink only. Complete and provide this form to each participant.
Keep a copy for your records.
Participant: Attach this form to your completed Form CT-1040, Connecticut Resident Income Tax Return, or
Form CT-1040NR/PY, Connecticut Nonresident and Part-Year Resident Income Tax Return.
Part 1 Participant Information
Part 2 Designated Withholding Agent Information
Name, address (number and street), city, state, ZIP code
Name, address (number and street), city, state, ZIP code
Social Security Number or Federal Employer ID Number
Connecticut Tax Registration Number
Federal Employer ID Number
Part 3 Performing Entity Information
Name, address (number and street), city, state, ZIP code, and telephone number
Connecticut Tax Registration Number, Federal Employer ID Number, or Social Security Number
Part 5 Tax Withheld
Part 4 Date(s) for Which Payment Is Rendered
Date(s) of performance
1. Amount subject to withholding
1. $
2. Total Connecticut tax withheld
2. $