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CT-1040 Instructions, 2011 Connecticut Resident Income Tax - CT.gov

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<strong>Connecticut</strong> Organ Donor ()<br />

Give the gift of hope by registering to become an organ and tissue donor. Information about organ<br />

donation and various organ donor programs is available from the following websites.<br />

Donate Life <strong>Connecticut</strong><br />

www.ctorganandtissuedonation.org/<br />

Organ Donation<br />

www.organdonor.<strong>gov</strong>/<br />

National Marrow Donor Program<br />

www.marrow.org/<br />

United Network for Organ Sharing (UNOS)<br />

www.unos.org/<br />

LifeChoice Donor Services<br />

www.lifechoiceopo.org/<br />

New England Organ Bank<br />

www.neob.org/<br />

<br />

Contributions to Designated Charities<br />

Below is a list of charities for which you may use your tax return to contribute all or a portion of your refund. Enter your total contributions<br />

on Schedule 5, Line 70, of Form <strong>CT</strong>-<strong>1040</strong>, <strong>Connecticut</strong> <strong>Resident</strong> <strong>Income</strong> <strong>Tax</strong> Return. Your contribution is irrevocable. To contribute<br />

directly, send your contribution to the address shown below.<br />

Aids Research<br />

Education Fund<br />

Organ Transplant<br />

Fund<br />

Endangered Species,<br />

Natural Area<br />

Preserves,<br />

and Watchable<br />

Wildlife Fund<br />

Breast Cancer<br />

Research and<br />

Education Fund<br />

Safety Net<br />

Services Fund<br />

Military Family<br />

Relief Fund<br />

Assists research,<br />

education, and<br />

community service<br />

programs related to<br />

Acquired Immune<br />

Deficiency Syndrome<br />

(AIDS).<br />

Assists <strong>Connecticut</strong><br />

residents in paying for<br />

the unmet medical and<br />

ancillary needs of organ<br />

transplant candidates and<br />

recipients.<br />

Helps preserve, protect,<br />

and manage <strong>Connecticut</strong>’s<br />

endangered plants and<br />

animals, wildlife and their<br />

habitats.<br />

Assists research, education,<br />

and community service<br />

programs related<br />

to breast cancer.<br />

Protects the children<br />

of families who are no<br />

longer eligible for public<br />

assistance benefits.<br />

Makes grants to the<br />

immediate family members<br />

of service members<br />

domiciled in <strong>Connecticut</strong><br />

for essential goods and<br />

services when military<br />

services creates family<br />

financial hardship.<br />

Military Department,<br />

Military Family Relief Fund<br />

Fiscal Office<br />

360 Broad St<br />

Hartford <strong>CT</strong> 06105-3795<br />

Department of Public<br />

Health AIDS and Chronic<br />

Diseases Division<br />

MS #11APV<br />

PO Box 340308<br />

Hartford <strong>CT</strong> 06134-0308<br />

Department of<br />

Social Services<br />

Accounts Receivable<br />

25 Sigourney St Ste 1<br />

Hartford <strong>CT</strong> 06106-5033<br />

Department of<br />

Environmental Protection-<br />

Bureau of Administration<br />

Financial Management<br />

79 Elm Street<br />

Hartford <strong>CT</strong> 06106-1591<br />

Department of Public Health<br />

Comprehensive Cancer Section<br />

Breast and Cervical Cancer<br />

Early Detection Program<br />

MS #11 CCS<br />

PO Box 340308<br />

Hartford <strong>CT</strong> 06134-0308<br />

Department of<br />

Social Services<br />

Accounts Receivable<br />

25 Sigourney St Ste 1<br />

Hartford <strong>CT</strong> 06106-5033<br />

Make check payable to:<br />

Treasurer, State of<br />

<strong>Connecticut</strong>/AIDS Fund<br />

Make check payable to:<br />

Commissioner of<br />

Social Services/Organ<br />

Transplant Fund<br />

Make check payable to:<br />

DEP-Endangered<br />

Species/ Wildlife Fund<br />

Make check payable to:<br />

Treasurer, State of<br />

<strong>Connecticut</strong>/Breast<br />

Cancer Fund<br />

Make check payable to:<br />

Commissioner of Social<br />

Services/Safety Net Fund<br />

Make check payable to:<br />

Treasurer, State of<br />

<strong>Connecticut</strong>/Military<br />

Family Relief Fund<br />

Page 6

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