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Get CT DRS CT-1065/CT-1120SI EXT 2013

Tions on back before completing this form. Complete this form in blue or black ink only. Visit www.ct.gov/TSC to le and pay this return electronically. Name of pass-through entity (PE) Federal Employer Identi cation Number (FEIN) Taxpayer Number and street Please Type or Print. PO Box DRS use only City or town State ZIP code 20 Connecticut Tax Registration Number This is not an extension of time to pay your tax. Payment must be included if any tax is due or i.

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