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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 1099-r, Distributions From Pensions, Annuities, Retirement or Profit-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 is Form CT-4852 used?
A: Form CT-4852 is used when you do not receive a W-2 or 1099-R form from your employer or payer.
Q: What information is required on Form CT-4852?
A: You need to provide your personal details, income information, and any federal incometax withholding information.
Q: Can I e-file Form CT-4852?
A: No, Form CT-4852 cannot be e-filed. It must be mailed to the Connecticut Department of Revenue Services.
Form Details:
- Released on December 1, 2021;
- 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-4852 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Revenue Services.
