Connecticut Application for Extension of Time to File Income Tax Return for Individuals Form

If a person who is a resident of the State of Connecticut wishes to extend the time that he/she has before submitting their individual income tax return, he/she has to use this form. Complete the form and send it to request this time extension.

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Form CT-1040 EXT	
Application for Extension of Time to File	
Connecticut Income Tax Return	 for Individuals	
              –              – 20
Your Social Security Number (SSN)
Spouse’s Social Security Number	
Important!	You must enter your SSN(s) above.	
Daytime telephone number	
1.  Total income tax liability for 2012
  You must enter an amount on Line 1. If you do not expect to owe income tax, enter “0.” ........ 1.	
 00	
2.   Total individual use tax liability for 2012
  You must enter an amount on Line 2. If you do not expect to owe use tax, enter “0.” .............. 2.	
 00	
3.   Add Line 1 and Line 2. ............................................................................................................... 3.	 00	 	
4.   Connecticut income tax withheld: Do not attach W-2s or 1099s ....4.	 00	
5.   2012 estimated Connecticut income tax payments including any
    2011 overpayments applied to 2012  ................................................5.	
 	00	
6.   Add Line 4 and Line 5 . .............................................................................................................. 6.	 00	
7.   Connecticut income tax and use tax balance due: Subtract Line 6 from Line 3.
    If Line 6 is greater than Line 3, enter “0.”  Amount due with this form  ................................	
	7. 00	
Your fi rst name and middle initial  Last name   
If a joint return, spouse’s fi rst name and middle initial  Last name   
Home address (number and street), apartment number, PO box 
City, town, or post offi ce  State  ZIP code 
   	
See the instructions before you complete this form. Complete this form in blue or black ink only.	
Please type
or print.	
2012	
EXT	
I request a six-month extension of time to October 15, 2013, to fi le my Connecticut income tax return for the year beginning
January 1, 2012, and ending December 31, 2012.  
If you are not a calendar year taxpayer, complete the following statement:  
I request a six-month extension of time to ____________________________ ,  to fi le my Connecticut income tax return for the 
year beginning   _____________________________ and ending 	
   _____________________________ .
I have requested a federal extension on federal Form 4868, Application for Automatic Extension of Time to File U.S. Individual 
Income Tax Return, for taxable year 2012.     	
	 Yes   		 No
If No, the reason for the Connecticut extension is ____________________________________________________________	
______________________________________________________________________________________________________________
You must fi le this form by the due date of your original return or your request will be denied. See instructions. However, if you expect 
to owe no additional Connecticut income tax for the 2012 taxable year, after taking into account any Connecticut income tax 
withheld from your wages or any estimated Connecticut income tax payments you have made, or both, and you have requested 
an extension of time to fi  le your 2012 federal income tax return, you are not required to fi le Form CT-1040 EXT. You will be 
subject to interest and may be subject to a penalty on any amount of tax not paid on or before the original due date of your return.	
This is not an extension of time to pay your tax. 
To request an extension of time to pay, fi le Form CT-1127, 
Application for Extension of Time for Payment of Income Tax. 	
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DRS use only	
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Department of Revenue Services
State of Connecticut
(Rev. 12/12)	
You will be notifi ed only if your extension request is denied.	
Make your check payable to:  
Commissioner of Revenue Services
To ensure proper posting, write your SSN (optional) and 
“2012 Form CT-1040 EXT” on your check.
Forms with payment, mail to:
 Department of Revenue Services
  PO Box 2977
  Hartford CT 06104-2977Forms without payment:
  Department of Revenue Services
  PO Box 2976
  Hartford CT 06104-2976	
Do not mail this return if you do not 
owe any tax and you have requested 
an extension of time to fi le your 2012 
federal income tax return.

Form CT-1040 EXT Instructions	
Form CT-1040 EXT only extends the time to fi le your Connecticut 
income tax return. Form CT-1040 EXT does not extend the time 
to pay your income tax. You must pay the amount of tax that you 
expect to owe on or before the original due date of the return. See 
Interest and Penalty.
You may qualify for a six-month extension of time to pay your tax. 
To request this extension, you must fi le Form CT-1127, Application 
for Extension of Time for Payment of Income Tax, with your timely 
fi led Connecticut income tax return or extension. 
Purpose: Use Form CT-1040 EXT to request a six-month 
extension to fi le your Connecticut income tax return for individuals. 
This form also extends the time to fi le your individual use tax. It is 
not  necessary to include a reason for the Connecticut extension 
request if you have already fi led an extension request on federal 
Form 4868 with the Internal Revenue Service. If you did not fi le 
federal Form 4868, you can apply for a six-month extension to fi le 
your Connecticut income tax return provided you have good cause 
for your request.
Exception: If you expect to owe no additional Connecticut 
income tax for the 2012 taxable year, after taking into account any 
Connecticut income tax withheld from your wages or any estimated 
Connecticut income tax payments you have made, or both, and 
you have requested an extension of time to fi le your 2012 federal 
income tax return, you are not required to fi le Form CT-1040 EXT. 
The Department of Revenue Services (DRS) will automatically grant 
you a six-month extension of time to fi le your 2012 Connecticut 
income tax return. If you did not request an extension of time to fi le 
your federal income tax return, but you are requesting an extension 
of time to fi le your Connecticut income tax return, you must fi le 
Form CT-1040 EXT whether or not you owe additional Connecticut 
income tax.
Electronically File Form CT-1040 EXT
All taxpayers can fi le Form CT-1040 EXT over 
the Internet using the Taxpayer Service 
Center (TSC). DRS encourages Connecticut 
income tax fi lers to electronically fi le through 
the TSC. The TSC is an interactive tool that 
offers a free, fast, easy, and secure way to conduct business. The 
TSC allows taxpayers to securely fi le, pay, and manage their state 
tax responsibilities electronically at www.ct.gov/DRS.
How to Get an Extension to File
To obtain a Connecticut extension of time to fi le if the exception 
above does not apply, you must:
• Complete Form CT-1040 EXT in its entirety; 
• File it on or before the due date of your return; and 
• Pay the amount shown on Line 7.  
Any payment made with this form is considered an income tax  
payment regardless of the amounts you enter on Line 1 and Line 2. 
Your signature is not required on this form. DRS will notify you only 
if your request is denied.
U.S. Citizens or Residents Living Outside the U.S. and Puerto Rico
You must fi le this form if you are:
• A U.S. citizen or resident living outside the U.S. and Puerto Rico 
and your tax home (within the meaning of Internal Revenue Code 
(IRC) §162(a)(2)) is outside the U.S. and Puerto Rico; or
• In the armed forces of the U.S. serving outside the U.S. and 
Puerto Rico on the date your federal income tax return is due 
and are unable to fi le a timely Connecticut income tax return.
Explain on the front of this form that you are a U.S. citizen or resident 
living outside the U.S. and Puerto Rico, or are in the armed forces 
of the U.S. serving outside the U.S. and Puerto Rico, and that you 
qualify for an automatic, two-month federal income tax extension.If your application is approved, the due date will be extended for 
six months (October 15, 2013, for calendar year taxpayers). If you 
are still unable to fi le your return by the extended due date and 
you have applied for and were granted an extension of time to fi le 
for federal purposes using federal Form 2350, you must fi le  your 
Connecticut return using the federal extension due date. You must 
attach a copy of the federal Form 2350 approval notice to the front 
of your Connecticut return.	
When to File Form CT-1040 EXT
File Form CT-1040 EXT on or before April 15, 2013. If your taxable 
year is other than the calendar year, fi le Form CT-1040 EXT on or 
before the fi fteenth day of the fourth month following the close of 
your taxable year. If the due date falls on a Saturday, Sunday, or 
legal holiday, the next business day is the due date.
Payment Options
Pay Electronically: This option is only available if you fi le  Form 
CT-1040 EXT electronically and make a payment electronically 
on the DRS website through the TSC. You can fi le your return any 
time before the due date and designate the amount of payment 
and date of transfer. Your bank account will be debited on the 
date you indicate. You must pay the balance due on or before 
the due date (April 15, 2013), to avoid penalty and interest. 
Pay by Credit Card or Debit Card: You may elect to pay your 
expected 2012 Connecticut income tax liability using your credit 
card (American Express®, Discover®, MasterCard®, VISA®) or 
comparable debit card. A convenience fee will be charged by the 
service provider. You will be informed of the amount of the fee and 
you may elect to cancel the transaction. At the end of the transaction, 
you will be given a confi rmation number for your records. 
• 	Visit: www.offi cialpayments.com and select State Payments; or	
• 	Call Offi cial Payments Corporation toll-free at 1-800-2PAY-TAX 
(1-800-272-9829) and follow the instructions. You will be asked 
to enter the Connecticut Jurisdiction Code: 1777.
Do not send in Form CT-1040 EXT if you make your payment by 
credit card. All credit card payments for extension requests will 
be accepted by the credit card service provider. However, if your 
payment is late, DRS will notify you in writing that your request is denied.
Pay by Mail: Make your check payable to Commissioner of Revenue 
Services. To ensure proper posting of your payment, write “2012 Form 
CT-1040 EXT” and your Social Security Number(s) (optional) on the 
front of your check. Be sure to sign your check and paper clip it to 
the front of your return. Do not send cash. DRS may submit your 
check to your bank electronically. 	
Interest and Penalty 
In general, interest and penalty apply to any portion of the tax not paid 
on or before the original due date of the return. Interest is computed 
on the underpayment of tax at 1% per month or fraction of a month 
computed from the original due date to the date of payment.
Late Payment Penalty: The penalty for underpayment of tax is 10% 
of the tax that is not paid on or before the original due date of the return.
Late Filing Penalty: If no tax is due, DRS may impose a $50 penalty 
for the late fi ling of any return or report that is required by law to be fi led.
Line Instructions
Line 1:  Enter the amount that you expect to enter on:
Form CT-1040, Line 14, or Form CT-1040NR/PY, Line 16.
Line 2:  Enter the amount that you expect to enter on:
Form CT-1040, Line 15, or Form CT-1040NR/PY, Line 17.
Line 4:  Enter the amount that you expect to enter on:
Form CT-1040, Line 18, or Form CT-1040NR/PY, Line 20.
Line 5:  Enter the amount that you expect to enter on:
Form CT-1040, Line 19, or Form CT-1040NR/PY, Line 21.	
Form CT-1040 EXT Back (Rev. 12/12)