STATE OF CONNECTICUT
DEPARTMENT OF REVENUE SERVICES

SOCIAL SECURITY BENEFIT ADJUSTMENT WORKSHEET

Use this calculator to compute your Social Security Benefit Adjustment that is reported on CT-1040, Schedule 1, Line 41 or CT-1040NR/PY, Schedule 1, Line 43.

Select your filing status from the front of your tax return:

Enter amount from Line 1 of CT-1040 or CT-1040NR/PY

Enter below the amount reported on your 2017 Social Security Benefits Worksheet.
Press the Calculate Your Social Security Adjustment button when complete

1. Enter the amount reported on your federal 2017 federal Social Security Benefits Worksheet, Line 1.
2. Enter the amount reported on your 2017 federal Social Security Benefits Worksheet, Line 9. *If filing status is MARRIED FILING SEPARATELY, follow instruction on Line 4 below.*
3. Enter the taxable amount of Social Security benefits reported on your 2017 federal Social Security Benefits Worksheet, Line 18.
4. IF MARRIED FILING SEPARATELY... Did you live with your spouse at any time during 2017? If YES, enter on Line 2 above, the amount reported on Line 7 of your federal Social Security Benefits Worksheet. If NO, enter on Line 2 above, the amount reported on Line 9 of your federal Social Security Benefits Worksheet.	Yes	No