colorado expenditure study, for calendar years 2011, 2013 ... tp&e adde… · colorado...

Colorado Expenditure Study, For Calendar Years 2011, 2013, 2015, 2016 and 2017Colorado Tax Profile Study, For Calendar Year 2015Colorado Statistics of Income, For Income Tax Year 2015

Tax Profile & Expenditure Report Addendum: Tax Forms

2018c o l o r a d o . g o v / r e v e n u e

[ 1 ]

TABLE OF CONTENTS

DR 4034 (01/01/19)

[ 3 ] Chapter 1 — Liquor Excise Tax Expenditures Tax Forms[ 4 ] Monthly Report of Excise Tax for Alcohol Beverages — DR 0442 — (2013)[ 7 ] Monthly Report of Excise Tax for Alcohol Beverages — DR 0442 — (2015)

[ 11 ] Chapter 2 — Cigarette & Tobacco Products Excise Tax Expenditures Tax Forms[ 12 ] Colorado Cigarette Tax Return — DR 0221 — (2011)[ 14 ] Colorado Cigarette Tax Return — DR 0221 — (2013)[ 16 ] Colorado Cigarette Tax Return — DR 0221 — (2015)[ 18 ] Tobacco Products Tax Return — DR 0229 — (2013)[ 20 ] Tobacco Products Tax Return — DR 0229 — (2015)

[ 23 ] Chapter 4 — Income Tax Expenditures Tax Forms[ 25 ] Colorado Individual Income Tax Filing Guide — Book 104 — (2015)[ 57 ] Colorado Individual Income Tax Filing Guide — Book 104 — (2016)[ 89 ] Colorado C Corporation Income Tax Filing Guide — Book 112 — (2015)[ 109 ] Colorado C Corporation Income Tax Filing Guide — Book 112 — (2016)[ 133 ] Colorado Fiduciary Income Tax Filing Guide — Book 105 — (2015)[ 153 ] Colorado Fiduciary Income Tax Filing Guide — Book 105 — (2016)[ 173 ] Colorado Pass—Through Entities and Composite Filing for Nonresidents Income Tax Filing Guide — Book 106 — (2015)[ 193 ] Colorado Pass—Through Entities and Composite Filing for Nonresidents Income Tax Filing Guide — Book 106 — (2016)[ 213 ] Enterprise Zone Credit and Carryforward Schedule — DR 1366 — (2016)[ 224 ] Child Care Expenses Tax Credit — DR 0347 — (2015)[ 227 ] Child Care Expenses Tax Credit — DR 0347 — (2016)

[ 231 ] Chapter 5 — Sales and Use Tax Forms[ 232 ] Colorado Retail Sales Tax Return — DR 0100 — (2017)[ 240 ] Claim for Refund of Tax Paid to Vendors — DR 0137B — (2017) [ 243 ] Retailer’s Use Tax Return — DR 0173 — (2017)

[ 251 ] Chapter 6 — Severance Tax Expenditures Tax Forms[ 252 ] Detail Information for Producers (Oil and Gas Severance Schedule) — DR 0021PD — (2015, 2016) [ 254 ] Colorado Oil and Gas Severance Tax Schedule — DR 0021D — (2015, 2016) [ 255 ] Colorado Coal Severance Tax Return — DR 0020C — (2015, 2016) [ 258 ] Colorado Molybdenum Ore Severance Tax Return — DR 0022 — (2015, 2016) [ 260 ] Colorado Oil Shale Facility Severance Tax Return — DR 0020E — (2015, 2016) [ 263 ] Colorado Metallic Minerals Severance Tax Return — DR 0020A — (2015, 2016)

[ 3 ]

Chapter 1Liquor Excise Tax Expenditures Tax Forms

Prepared byColorado Department of Revenue

Chapter 1 — Liquor Excise Tax Expenditures Tax Forms

[ 4 ]

DR 0442 (08/30/13)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0009303-205-8211 ext 6848www.TaxColorado.com

Monthly Report of Excise Tax for Alcohol Beverages

Instructions for Form DR 0442(See form on page 3)

Who Must File. Colorado licensed wine, repeal beer, 3.2 beer or liquor manufacturer, and wholesaler or Winery Direct Shippers Permit holder. Personal inventory is reported on form DR 0449. Round Liters/Gallons to the Nearest Whole Number

Tax Imposed. When first sold, transferred, or otherwise disposed of in Colorado by:

• Licensed Wholesaler• Licensed Manufacturer/Alternating Proprietor.

Line 1. Enter ending inventory listed in liters or gallons from prior month’s return (line 6).

Line 2. Colorado Manufacturers only, report all product manufactured in Colorado, bottled and ready for sale. Alternating Proprietors attach Schedule DR 0447.

Line 3. Enter all product purchased during the month, which the Colorado EXCISE TAX has not been paid. Attach supporting schedule(s) DR 0445.

Line 4. Enter all product purchased during the month, which the Colorado EXCISE TAX has already been paid. Attach supporting schedule(s) DR 0445.

Line 5. All product in inventory and available for sale in Colorado, total lines 1, 2, 3 and 4.

Line 6. Enter all product left in inventory at end of the month.

Line 7. Enter all product sold/removed from inventory during the month, subtract line 6 from line 5.

Line 8. Enter all product sold outside of Colorado. Attach supporting schedule(s) DR 0443.

Line 9. Enter all wine, distilled liquor and hard cider sold and delivered to ceded federal property (e.g., military).

Line 10. Enter all product unsalable due to destruction or damage. (Credit is not allowed for spoilage). An affidavit of destruction or damage must be submitted.

Line 11. Total amount exempt from Colorado EXCISE TAX, total of lines 8, 9, 10.

For more information, visit our web site www.TaxColorado.com

Line 12. Taxable liters/gallons, subtract line 11 from line 7.

Line 13. Amount of product included on line 12 that already has Colorado EXCISE TAX paid.

Line 14. Taxable liters/gallons sold, line 12 minus line 13.

Line 15. Preprinted applicable tax rates.

Line 16. Tax, multiply line 15 by line 16.

Line 17. Wine development fee. Multiply liters on line 14 by $.01(.01).

Line 18. Colorado winery surcharge on wine produced in Colorado and included in tax due sales on line 14. Enter liters from column 7 form DR 0450 in the space provided. Enter tax from column 8 form DR 0450 in the vinous column.

Line 19. Colorado Winery grape tax for produce used in the Colorado production of wine by a licensed Colorado winery. The rate is $10.00 per ton and is included in the month the product was used, purchased or imported into Colorado, whichever is later.

Line 20. Total tax due. Enter total of all columns of lines 16, 17, 18, and 19

Line 21. If return is filed after the due date, enter the late filing penalty of 10% (.10) multiplied by the tax on line 20.

Line 22. If the return is filed after the due date, enter the interest charge of 1% per month or fraction multiplied by the tax on line 20.

Line 23. Amount Owed. Enter the total of lines 20, 21, and 22.

Mail and Make Checks Payable to: Colorado Department of Revenue Denver, CO 80261-0009

Important Note to All Filers: Starting with the June 2012 liquor excise tax return (due the 20th of the following month), each line and column must be filled out in order to process your return. If you are reporting zero excise tax for any category, please be sure to fill out lines 14, 17, 18, and 19

Monthly Report of Excise Tax for Alcohol Beverages - DR 0442 - (2013)

[ 5 ]

Departmental Use Only


DR 0442 (08/30 /13)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0009303-205-8211 ext 6848www.TaxColorado.com

*130442==19999*

Show change of name and/or address here.Taxpayer Last Name or Business Name First Name Middle Initial

Address City State Zip

Account Number Period (MM/YY - MM/YY)

—Due Date (MM/DDYY)

Mark here if this is an Amended Return ●FEIN SSN

0442-100

Round Liters/Gallons to the Nearest Whole Number Vinous Liquor

(Liters)

Spirituous Liquor(Liters)

Hard Cider(Gallons)

Malt Liquor(Gallons)

3.2% Beer(Gallons)

1. Beginning inventory(1-1) (1-2) (1-3) (1-4) (1-5)

2. Manufactured in Colorado (Manufacturers only) alternating proprietors attach form DR 0447

(2-1) (2-2) (2-3) (2-4) (2-5)

3. Purchased tax not included, attach form DR 0445

(3-1) (3-2) (3-3) (3-4) (3-5)

4. Purchased tax included, attach form DR 0445

(4-1) (4-2) (4-3) (4-4) (4-5)

5. Total Lines 1,2,3, and 4

6. Ending inventory(6-1) (6-2) (6-3) (6-4) (6-5)

7. Liters/gallons removed from inventory (Line 5 minus Line 6)

8. Export sales, attach form DR 0443(8-1) (8-2) (8-3) (8-4) (8-5)

9. Sales exempt by federal law(9-1) (9-2) (9-3)

10. Destruction(10-1) (10-2) (10-3) (10-4) (10-5)

11. Total tax exempt. Add lines 8, 9 and 1012. Taxable liters/gallons, Line 7 minus Line 1113. Sales included in Line 12 previously taxed

(13-1) (13-2) (13-3) (13-4) (13-5)

14. Taxable liters/gallons sold, Line 12 minus Line 13

(14-1) (14-2) (14-3) (14-4) (14-5)

LT

DR 0442 is continued on the next page.Return This Copy - Photocopy and Keep Copy for Your Records

Make checks payable to: Colorado Department of Revenue

[ 6 ]

Vinous Liquor(Liters)


Hard Cider(Gallons)


3.2% Beer(Gallons)

15. Tax rate $ .0733 $ .6026 $ .08 $ .08 $ .0816. Excise tax, Line 14 multiplied by

Line 15 $ $ $ $ $17. Wine development fee (line 14 multiplied by $.01(.01)) $18. CO winery surcharge. Enter tax from DR 0450 in vinous column

(18-1)

Enter liters from DR 0450 here ●

(18-0)

$

19. CO grape/produce $10.00/ton ●(19-1) (19-3) $ $

20. Total tax due, add all columns of lines 16, 17,18, and 19 ●

(20-1) $

21. Penalty @ 10%

22. Interest @ 1% per month

23. Amount Owed, Add Lines 20, 21 and 22 $The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

I hereby certify under penalty of perjury that the statements made herein, and on supporting documents, are true and correct to the best of my knowledge.Signature of Agent or Officer Date (MM/DD/YY)

Title Phone Number( )

*130442==29999*

Return This Copy - Photocopy and Keep Copy for Your RecordsMake checks payable to: Colorado Department of Revenue

Paid by EFT

[ 7 ]


Instructions for Form DR 0442(See form on page 3)

Who Must File. Colorado licensed wine, repeal beer, 3.2 beer or liquor manufacturer, and wholesaler or Winery Direct Shippers Permit holder. Personal inventory is reported on form DR 0449. Round Liters/Gallons to the Nearest Whole Number

Tax Imposed. When first sold, transferred, or otherwise disposed of in Colorado by:

• Licensed Wholesaler• Licensed Manufacturer/Alternating Proprietor.

Line 1. Enter ending inventory listed in liters or gallons from prior month’s return (line 6).

Line 2. Colorado Manufacturers only, report all product manufactured in Colorado, bottled and ready for sale. Alternating Proprietors attach Schedule DR 0447.

Line 3. Enter all product purchased during the month, which the Colorado EXCISE TAX has not been paid. Attach supporting schedule(s) DR 0445.

Line 4. Enter all product purchased during the month, which the Colorado EXCISE TAX has already been paid. Attach supporting schedule(s) DR 0445.

Line 5. All product in inventory and available for sale in Colorado, total lines 1, 2, 3 and 4.

Line 6. Enter all product left in inventory at end of the month.

Line 7. Enter all product sold/removed from inventory during the month, subtract line 6 from line 5.

Line 8. Enter all product sold outside of Colorado. Attach supporting schedule(s) DR 0443.

Line 9. Enter all wine, distilled liquor and hard cider sold and delivered to ceded federal property (e.g., military).

Line 10. Enter all product unsalable due to destruction or damage. (Credit is not allowed for spoilage). An affidavit of destruction or damage must be submitted.

Line 11. Total amount exempt from Colorado EXCISE TAX, total of lines 8, 9, 10.

For more information, visit our web site www.TaxColorado.com

Line 12. Taxable liters/gallons, subtract line 11 from line 7.

Line 13. Amount of product included on line 12 that already has Colorado EXCISE TAX paid.

Line 14. Taxable liters/gallons sold, line 12 minus line 13.

Line 15. Preprinted applicable tax rates.

Line 16. Tax, multiply line 15 by line 16.

Line 17. Wine development fee. Multiply liters on line 14 by $.01(.01).

Line 18. Colorado winery surcharge on wine produced in Colorado and included in tax due sales on line 14. Enter liters from column 7 form DR 0450 in the space provided. Enter tax from column 8 form DR 0450 in the vinous column.

Line 19. Colorado Winery grape tax for produce used in the Colorado production of wine by a licensed Colorado winery. The rate is $10.00 per ton and is included in the month the product was used, purchased or imported into Colorado, whichever is later.

Line 20. Total tax due. Enter total of all columns of lines 16, 17, 18, and 19

Line 21. If return is filed after the due date, enter the late filing penalty of 10% (.10) multiplied by the tax on line 20.

Line 22. If the return is filed after the due date, enter the interest charge of 1% per month or fraction multiplied by the tax on line 20.

Line 23. Amount Owed. Enter the total of lines 20, 21, and 22.

Mail and Make Checks Payable to: Colorado Department of Revenue Denver, CO 80261-0009

Important Note to All Filers: Starting with the June 2012 liquor excise tax return (due the 20th of the following month), each line and column must be filled out in order to process your return. If you are reporting zero excise tax for any category, please be sure to fill out lines 14, 17, 18, and 19


Monthly Report of Excise Tax for Alcohol Beverages - DR 0442 - (2015)

[ 8 ]

Show change of name and/or address here.Last Name or Business Name First Name Middle Initial


Colorado Account Number Period (MM/YY - MM/YY)

—Due Date (MM/DD/YY)

Mark here if this is an Amended Return ●FEIN SSN

0442-100

Round Liters/Gallons to the Nearest Whole Number Vinous Liquor

(Liters)


Hard Cider(Gallons)


3.2% Beer(Gallons)

1. Beginning inventory(1-1) (1-2) (1-3) (1-4) (1-5)

2. Manufactured in Colorado (Manufacturers only), alternating proprietors attach form DR 0447

(2-1) (2-2) (2-3) (2-4) (2-5)

3. Purchased tax not included, attach form DR 0445

(3-1) (3-2) (3-3) (3-4) (3-5)

4. Purchased tax included, attach form DR 0445

(4-1) (4-2) (4-3) (4-4) (4-5)

5. Total Lines 1,2,3, and 4

6. Ending inventory(6-1) (6-2) (6-3) (6-4) (6-5)

7. Liters/gallons removed from inventory (Line 5 minus Line 6)

8. Export sales, attach form DR 0443(8-1) (8-2) (8-3) (8-4) (8-5)

9. Sales exempt by federal law(9-1) (9-2) (9-3)

10. Destruction(10-1) (10-2) (10-3) (10-4) (10-5)

11. Total tax exempt. Add lines 8, 9 and 1012. Taxable liters/gallons, Line 7 minus Line 1113. Sales included in Line 12 previously taxed

(13-1) (13-2) (13-3) (13-4) (13-5)

14. Taxable liters/gallons sold, Line 12 minus Line 13

(14-1) (14-2) (14-3) (14-4) (14-5)

LT

DR 0442 is continued on the next page.Return This Copy - Photocopy and Keep Copy for Your Records

Make checks payable to: Colorado Department of Revenue



*140442V219999*


[ 9 ]

Vinous Liquor(Liters)


Hard Cider(Gallons)


3.2% Beer(Gallons)

15. Tax rate $ .0733 $ .6026 $ .08 $ .08 $ .0816. Excise tax, Line 14 multiplied by

Line 15 $ $ $ $ $17. Wine development fee (line 14 multiplied by $.01(.01)) $18. CO winery surcharge. Enter tax from DR 0450 in vinous column

(18-1)

Enter liters from DR 0450 here ●

(18-0)

$

19. CO grape/produce $10.00/ton ●(19-1) (19-3) $ $

20. Total tax due, add all columns of lines 16, 17,18, and 19 ●

(20-1) $

21. Penalty @ 10%

22. Interest @ 1% per month

23. Amount Owed, Add Lines 20, 21 and 22

$

The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

I hereby certify under penalty of perjury that the statements made herein, and on supporting documents, are true and correct to the best of my knowledge.Signature of Agent or Officer Date (MM/DD/YY)

Title Phone Number( )

*140442V229999*

Return This Copy - Photocopy and Keep Copy for Your RecordsMake checks payable to: Colorado Department of Revenue

Paid by EFT

[ 10 ]

[ 11 ]

Chapter 2Cigarette & Tobacco Products

Excise Tax Expenditures Tax Forms


Chapter 2 — Cigarette & Tobacco Products Excise Tax Expenditures Tax Forms

[ 12 ]

DR 0221 (02/20/09)COLORADO DEPT OF REVENUE1375 SHERMAN STDENVER CO 80261-0003(303) 205-8211 EXT. 6848

COLORADO CIGARETTETAX RETURN

8A Departmental Use Only

Please photocopy and retain copy for your records.

EFT Payment is Required.

USE ACCOUNT NUMBERfor all reference County City Industry Type Liability Date Act Month Day YearYear Month

FEIN

LIABILITY INFORMATION PERIOD COVERED DUE DATE

If Federal Employers Identifi cation Number (FEIN) is pre-printed in the above space, please check your records to see if you have the same number. If you have a different number, correct the one above so that it corresponds with your records. If no number appears in the above space, please fi ll in with the FEIN you have on your records. 0800-100IMPORTANT: Failure to comply with the reporting and other requirements of Title 39, Session Laws of Colorado, is a violation subjecting the violator to the penaltiesprescribed.

I hereby certify, under penalty of perjury in the second degree, that the statements made herein are, to the best of my knowledge, true and correct.

Name of Business or Taxpayer Agent or Offi cer Title Date

.$

The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insuffi cient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

List any change in address, phone number or e-mail:

B. Disallowed discount, line 7 ..................................................................................

1. 20 Count Stamp Sheet Purchases (Stamp Type 121 Totals) ...................... ...............................................................

2. 20 Count Stamp Roll Purchases (Stamp Type 122 Totals) ........................................................................................

3. 20 Count Wide Stamp Sheet Purchases (Stamp Type 126 Totals) .............................................................................

4. 25 Count Stamp 10 Across Purchases (Stamp Type 123 Totals) ................................................................................

5. 25 Count Stamp 12 Across Purchases (Stamp Type 124 Totals) ................................................................................

6. Total purchases ..............................................................................................................................................

7. Discount .........................................................................................................................................................

8. Net Due Stamp Purchases. Subtract Line 7 from Line 6 .............................................................................................

9. Manufacturers Only. Sample and test panel packs .....................................................................................

10. Late fi ling penalty: A. 10% of line 6 ..................................................................................................... ..

11. Late fi ling interest: PER MONTH ............................................................

12. Total of tax, penalty and interest (add lines 8, 9, 10A, 10B and 11) .............................................................................

13. Credit for returned stamps. Original manufacturer’s statement or affi davit of returned merchandise must be attached ............................................................................................................................................

14. Discount taken on returned stamps (.9524% of line 13)............................................................ ......................

15. Net credit (line 13 minus line 14) ..................................................................................................................................

16. If line 15 is more than line 12, subtract line 12 from line 15; this is your overpayment (see instructions for how to apply for refund) ...............................................................................................................

17. If line 12 is more than line 15, subtract line 15 from line 12; this is the amount you owe. PAID BY EFT (355)

(145)

(890)

(100)

(200)

(140)(300)

(905)

(900)

Colorado Cigarette Tax Return - DR 0221 - (2011)

[ 13 ]

INSTRUCTIONS FOR CIGARETTE TAX RETURN

Payment is required by EFT. If you pay by check, your payment may be returned and/or your vendor fee denied. A copy of your return must be received by the due date so that your account can be properly credited.

You must fi le a zero return even if no tax is due. Mail return to: Colorado Department of Revenue Denver, Colorado 80261-0003

Stamp Type 121 122 123 124 126

Description20 count fuson padded sheets20 count fuson25 count fuson 10 across25 count fuson 12 across20 count wide fuson

Sales Unit3,750 per pad30,000 per box7,200 per box7,200 per box3,750 per pad

Lines 1 through 5: Enter gross amount of all purchases of cigarette stamps made during the month (by stamp type).

Line 6: Total gross amount of stamp purchases (add Lines 1 through 5).

Line 7: Multiply amount on Line 6 by (.009524) ONLY if return is fi led and paid by due date. Round amount to the nearest dollar. If the return or payment is fi led after the due date, enter zero on Line 7.

Line 8: Enter Net Due (subtract Line 7 from Line 6).

Line 9:Manufacturers Only. Enter tax for

sample and test panel cigarettes.

Line 10: If your return or payment is fi led

after the due date:

A. Multiply amount on Line 6 by 10%. B. Enter the same amount shown on Line 7.

Line 11: Multiply amount on Line 6 by preprinted rate if your return or payment is fi led after the due date.

Line 12: Total Net Due (add Line 8, 9, 10A, 10B and 11).

Line 13:Returns to manufacturer. Multiply

the total number of stamps returned to the manufacturer by $.84 or $1.05 depending on the type of stamp ($.84 for 20 count packs and $1.05 for 25 count packs). Attach manufacturer’s certifi cation to the return.

Line 14: Multiply the amount on Line 13 by (.009524) if the discount was taken when the stamps were originally purchased.

Line 15: Subtract Line 14 from Line 13.

Line 16: If the amount of the net tax credit (Line 15) exceeds the net amount owed (Line 12), subtract Line 12 from Line 15. To receive the credit, Form DR 0137 ‘Claim for Refund’ must be completed with the original manufacturer’s statement or affi davit of returned merchandise attached.

Line 17:Total Due. If the amount of net tax

(Line 12) exceeds the net credit (Line 15), subtract Line 15 from Line 12 and the difference is the amount you owe. Remit the required EFT payment and enter zero on Line 17A.

[ 14 ]

Lines 1 through 5 Enter gross amount of all purchases of cigarette stamps made during the month (by stamp type).

Line 6 Total gross amount of stamp purchases (add Lines 1 through 5).

Line 7 Multiply amount on line 6 by .9524% (.009524) Only if return is filed and paid by due date. Round amount to the nearest dollar.

Line 8 Enter net stamp purchases due (subtract line 7 from line 6).

Line 9 Manufacturers Only. Enter tax for sample and test panel cigarettes.

Line 10 Total tax due (add line 8 and 9).

Line 11 Returns to manufacturer. Multiply the total number of stamps returned to the manufacturer by $.84 or $1.05 depending on the type of stamp ($.84 for 20 count packs and $1.05 for 25 count packs). Attach manufacturer’s certification to the return.

Line 12 Multiply the amount on line 11 by .9524% (.009524) if the discount was taken when the stamps were originally purchased.

Line 13 Subtract line 12 from line 11.

Line 14 Net tax due. Subtract line 13 from line 10. If the amount of the net tax credit (line 13) exceeds the net amount owed (line 10), form DR 0137 Claim for Refund must be completed with the original manufacturer’s statement or affidavit of returned merchandise attached.

Line 15 Penalty. If payment is received after the due date, multiply line 14 by 10% (.10).

Line 16 Interest. If payment is received after the due date, multiply line 14 by preprinted rate.

Line 17 Amount Owed (add line 14, 15 and 16)

• Payment is required by EFT. If you pay by check, your payment may be returned and/or your vendor fee denied.

• You must file a return even if no tax is due.

Mail return to: Colorado Department of Revenue Denver, Colorado 80261-0009

Stamp Type Description Sales Unit

121 20 count fuson padded sheets 3,750 per pad

122 20 count fuson 30,000 per box

123 25 count fuson 10 across 7,200 per box


126 20 count fuson wide 3,750 per pad

DR 0221 (08/30/13)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0009www.TaxColorado.com

Instructions(See form on page 2)


[ 15 ]


*130221==19999*Colorado

Cigarette Tax Return


Check here if this is an amended return


—

Due Date (MM/DD/YY)

Taxpayer Name or Business 0221-100Important: Failure to comply with the reporting and other requirements of Title 39, Session Laws of Colorado, is a violation subject to violator to the penalties prescribed.

1. 20 count stamp sheet purchases (stamp type 121 totals) 1 $ 00

2. 20 count stamp roll purchases (stamp type 122 totals) 2 $ 00

3. 20 count wide stamp sheet purchases (stamp type 126 totals) 3 $ 00

4. 25 count stamp 10 across purchases (stamp type 123 totals) 4 $ 00


6. Total purchases (add lines 1 through 5) 6 $ 00

7. Service fee allowed vendor (only if paid by EFT on or before due date) 7 $ 00

8. Net stamp purchases (Subtract line 7 from 6) 8 $ 00

9. Sample and test panel package (Manufacturers Only) 9 $ 00

10. Total tax due (add lines 8 and 9) 10 $ 0011. Credit for returned stamps. Original manufacturer’s statement or affidavit of

returned merchandise must be attached. 11 $ 00

12. Discount taken on returned stamps (.9524% of line 11) 12 $ 00

13. Net Credit (line 11 minus line 12) 13 $ 00

14. Net tax due ( line 10 minus line 13) 14 $ 00

15. Penalty, multiply line 14 by 10% (.10) 15 $ 00 16. Interest, multiply line 14 by 16 $ 00

17. Amount Owed (add lines 14,15, and 16) Paid By EFT 17$ .00

The state may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment directly from your bank account.

I hereby certify, under penalty of perjury in the second degree, that the statements made herein are, to the best of my knowledge, true and correct.Signature Title Date (MM/DD/YY)


[ 16 ]

Instructions(See form on page 2)

Lines 1 through 5 Enter gross amount of all purchases of cigarette stamps made during the month (by stamp type).

Line 6 Total gross amount of stamp purchases (add Lines 1 through 5).

Line 7 Multiply amount on line 6 by .9524% (.009524) only if return is filed and paid by due date. Round amount to the nearest dollar.

Line 8 Enter amount of net stamp purchases due (subtract line 7 from line 6).

Line 9 Manufacturers Only. Enter tax for sample and test panel cigarettes.

Line 10 Total tax due (add line 8 and 9).

Line 11 Returns to manufacturer. Multiply the total number of stamps returned to the manufacturer by $.84 or $1.05 depending on the type of stamp ($.84 for 20 count packs and $1.05 for 25 count packs). Attach manufacturer’s certification to the return.

Line 12 Multiply the amount on line 11 by .9524% (.009524) if the discount was taken when the stamps were originally purchased.

Line 13 Subtract line 12 from line 11.

Line 14 Net tax due. Subtract line 13 from line 10. If the amount of the net tax credit (line 13) exceeds the net amount owed (line 10), form DR 0137 Claim for Refund must be completed with the original manufacturer’s statement or affidavit of returned merchandise attached.

Line 15 Penalty. If payment is received after the due date, multiply line 14 by 10% (.10).

Line 16 Interest. If payment is received after the due date, multiply line 14 by preprinted rate.

Line 17 Amount Owed (add line 14, 15 and 16)

• Payment is required by EFT. If you pay by check, your payment may be returned and/or your vendor fee denied.

• You must file a return even if no tax is due.

Mail return to: Colorado Department of Revenue Denver, Colorado 80261-0009

Stamp Type Description Sales Unit

121 20 count fuson padded sheets 3,750 per pad

122 20 count fuson 30,000 per box



126 20 count fuson wide 3,750 per pad


*DO=NOT=SEND*Colorado

Cigarette Tax Return


[ 17 ]

Check here if this is an amended return


—

Due Date (MM/DD/YY)

Taxpayer Name or Business 0221-100Important: Failure to comply with the reporting and other requirements of Title 39, Session Laws of Colorado, is a violation subjecting violator to the penalties prescribed.

1. 20 count stamp sheet purchases (stamp type 121 totals) 1 $ 00

2. 20 count stamp roll purchases (stamp type 122 totals) 2 $ 00

3. 20 count wide stamp sheet purchases (stamp type 126 totals) 3 $ 00



6. Total purchases (add lines 1 through 5) 6 $ 00

7. Service fee allowed vendor (only if paid by EFT on or before due date) 7 $ 00

8. Net stamp purchases (Subtract line 7 from 6) 8 $ 00

9. Sample and test panel package (Manufacturers Only) 9 $ 00

10. Total tax due (add lines 8 and 9) 10 $ 0011. Credit for returned stamps. Original manufacturer’s statement or affidavit of

returned merchandise must be attached. 11 $ 00

12. Discount taken on returned stamps (.9524% of line 11) 12 $ 00

13. Net Credit (line 11 minus line 12) 13 $ 00

14. Net tax due ( line 10 minus line 13) 14 $ 00

15. Penalty, multiply line 14 by 10% (.10) 15 $ 00 16. Interest, multiply line 14 by 16 $ 00

17. Amount Owed (add lines 14,15, and 16) Paid By EFT 17$ .00

The state may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment directly from your bank account.

I hereby certify, under penalty of perjury in the second degree, that the statements made herein are, to the best of my knowledge, true and correct.Signature Title Date (MM/DD/YY)



*150221==19999*


ColoradoCigarette Tax Return

[ 18 ]


InstructionsSee form on page 2

Who must file. This return must be filed by all Tobacco Products distributors doing business in Colorado (Section 13, Title 39, Article 28.5 C.R.S.) A return must be filed, even if no tax is due.

Round amounts to the nearest dollar.

Line 1 Total gross purchases. Enter the total amount of taxable items for reporting period at manufacturer’s list price.

“Manufacturer’s list price” means the invoice price for which a manufacturer or supplier sells a tobacco product to a distributor exclusive of any discount or other reduction.

Line 2 Exempt sales Exempt sales apply only to tobacco products which, under the constitution and laws of the United States, may not be made the subject of taxation by this state.

Line 3 Taxable amount Line 1 minus line 2.

Line 4 Tax Line 3 multiplied by 40% (.40).

Line 5 Enter amounts representing merchandise actually shipped from Colorado to retailers in another state as shown in your records.

Line 6 Enter items returned to the manufacturer and for which you have credit memos in your files.

Line 7 Enter only items included on prior returns that were destroyed by the distributor. Deductions will not be allowed unless a copy of the manufacturer’s credit memo is in your files.

Line 8 Taxable credit amount Add lines 5, 6 and 7.

Line 9 Total credit claimed Line 8 multiplied by 40% (.40).

Line 10 Total tax due Line 4 minus line 9.

Line 11 Service fee allowed vendor If EFT payment is received by due date and return is filed by due date. Multiply line 10 by 1.655% (.01655).

Line 12 Net tax due Line 10 minus line 11.

Line 13 Penalty computed at 10% (.10) of tax due plus interest of 1/2 of 1% per month (.005 per month) from date when due, aggregate not to exceed 18%.

Line 14 Interest percentage is per month imposed under §39-21-110.5 C.R.S.

Line 15 Amount Owned Add lines 12, 13 and 14. Payment by EFT is required. If you pay by check, your payment may be returned and the service fee will be denied.

Mail to: Colorado Department of RevenueDenver, CO 80261-0009

Tobacco Products Tax Return - DR 0229 - (2013)

[ 19 ]


*130229==19999*


Tobacco Products Tax Return

Check here if this is an Amended Return 0229-100Account Number Period (MM/YY - MM/YY)

_

FEIN SSN Due Date (MM/DD/YY)

Last Name or Business Name First name


1. Total gross purchases (Manufacturer’s list price) 1 00

2. Exempt sales 2 00

3. Taxable amount (line 1 minus line 2) 3 00

4. Tax-line 3 multiplied by 40% (.40) 4 00

5. Shipped to retailers outside Colorado 5 00

6. Returned to manufacturer 6 00

7. Destroyed by distributor 7 00

8. Total credits (add lines 5, 6 and 7) 8 00

9. Total credit claimed (line 8 multiplied by 40% (.40)) 9 00

10. Total tax due (line 4 minus line 9) 10 00 11. Service fee allowed vendor 1.665% (.01665) of line 10 (only if paid by EFT and filed on or before due date) 11 00

12. Net tax due (line 10 minus line 11) 12 00

13. Penalty 13 00

14. Interest 14 00

15. Amount Owed (add lines 12, 13 and 14) Paid by EFT $ .00

The state may convert your check to a one-time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.Payment is required by EFT. Mail return to: Colorado Department of Revenue, Denver, CO 80261-0009Signed under penalty of perjury in the second degreeSignature Date (MM/DD/YY) Phone Number

( )

[ 20 ]

*DO=NOT=SEND* DR 0229 (06/30/15)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0009www.TaxColorado.com

Who must file. This return must be filed by all Tobacco Products distributors doing business in Colorado (Section 13, Title 39, Article 28.5 C.R.S.) A return must be filed, even if no tax is due.

Round amounts to the nearest dollar.

Line 1 Total gross purchases. Enter the total amount of taxable items for reporting period at manufacturer’s list price.

“Manufacturer’s list price” means the invoice price for which a manufacturer or supplier sells a tobacco product to a distributor exclusive of any discount or other reduction.

Line 2 Exempt sales Exempt sales apply only to tobacco products which, under the constitution and laws of the United States, may not be made the subject of taxation by this state.

Line 3 Taxable amount Line 1 minus line 2.

Line 4 Tax Line 3 multiplied by 40% (.40).

Line 5 Enter amounts representing merchandise actually shipped from Colorado to retailers in another state as shown in your records.

Line 6 Enter only items that were shipped to consumers outside of Colorado on or after September 1, 2015.

Line 7 Enter items returned to the manufacturer and for which you have credit memos in your files.

Line 8 Enter only items included on prior returns that were destroyed by the distributor. Deductions will not be allowed unless a copy of the manufacturer’s credit memo is in your files.

Line 9 Taxable credit amount Add lines 5, 6, 7, and 8.

Line 10 Total credit claimed. Line 9 multiplied by 40% (.40).

Line 11 Total tax due Line 4 minus line 10.

Line 12 Service fee allowed vendor If EFT payment is received by due date and return is filed by due date. Multiply line 10 by 1.655% (.01655).

Line 13 Net tax due Line 11 minus line 12.

Line 14 Penalty computed at 10% (.10) of tax due plus interest of 1/2 of 1% per month (.005 per month) from date when due, aggregate not to exceed 18%.

Line 15 Interest percentage is per month imposed under §39-21-110.5 C.R.S.

Line 16 Amount Owned Add lines 13, 14 and 15. Payment by EFT is required. If you pay by check, your payment may be returned and the service fee will be denied.

Mail to: Colorado Department of RevenueDenver, CO 80261-0009

InstructionsSee form on page 2

Tobacco Products Tax Return - DR 0229 - (2015)

[ 21 ]

DR 0229 (07/16/15) COLORADO DEPARTMENT OF REVENUE Denver CO 80261-0009 www.TaxColorado.com

Tobacco Products Tax Return


*150229==19999*Check here if this is an Amended Return

If RYO tobacco was purchased or credited, check this box. 0229-100


—

FEIN SSN Due Date (MM/DD/YY)

Last Name or Business Name First name


1. Total gross purchases (Manufacturer’s list price) 1 00

2. Exempt sales 2 00

3. Taxable amount (line 1 minus line 2) 3 00

4. Tax-line 3 multiplied by 40% (.40) 4 00

5. Shipped to retailers outside Colorado 5 00

6. Shipped to consumers outside Colorado 6 00

7. Returned to manufacturer 7 00

8. Destroyed by distributor 8 00

9. Total credits (add lines 5, 6, 7, and 8) 9 00

10. Total credit claimed (line 9 multiplied by 40% (.40)) 10 00

11. Total tax due (line 4 minus line 10) 11 00 12. Service fee allowed vendor 1.665% (.01665) of line 11 (only if paid by EFT and filed

on or before due date) 12 00

13. Net tax due (line 11 minus line 12) 13 00

14. Penalty 14 00

15. Interest .0025 per month 15 00

16. Amount Owed (add lines 13, 14 and 15) Paid by EFT $ .00

The state may convert your check to a one-time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

Payment is required by EFT. Mail return to: Colorado Department of Revenue, Denver, CO 80261-0009Signed under penalty of perjury in the second degreeSignature Date (MM/DD/YY) Phone Number

( )

[ 22 ]

[ 23 ]

Chapter 4Income Tax Expenditures Tax Forms


Chapter 4 - Income Tax Expenditures Tax Forms

[ 24 ]

[ 25 ]

Full-Year, Part-Year and Nonresident Individuals

Manage your account.File and pay online.Get started with Revenue Online today!www.Colorado.gov/RevenueOnline

Colorado Income Tax Filing GuideRevenue Online offers a convenient and secure method to e-file your return and access your

Department of Revenue tax information. Using Revenue Online you will be able to:

• File or amend your return. • View copies of your returns.

• Catch mistakes on your return before you file. • Set up a payment plan.

• Upload attachments that go with your return. • Pay your tax bill (e-check, credit card, or EFT).

• Check the status of your refund and get your refund faster.

• File a protest.

2015

2015

(11/16/15)

Colorado Individual Income Tax Filing Guide - Book 104 - (2015)

[ 26 ]

Page 2Page 2

The free, simple and secure electronic filing choice!

Once you have filed an income tax return with the Colorado Department of Revenue, you will have the ability to set up a Revenue Online account where you can track refund status, submit payments and much more. Follow these tips when using the Revenue Online: www.Colorado.gov/RevenueOnline

New Access To Revenue Online: Be Ready With Your Personal InformationFor security reasons, we require some specific tax information from you to set up an Revenue Online access. Make sure you have everything ready before you begin, including a Letter ID number. If you have received a recent letter from the Department, you may use the Letter ID number located in the upper right corner. If you do not have a recent letter, you may request a Letter ID number in the Revenue Online service. The letter ID will be mailed within 10 days to the address we have on record. You also need the Social Security Number (the “primary” SSN if you file jointly) or Individual Tax Identification Number (ITIN) from the IRS and the address associated with your tax account.

Setting up your own ID and password In Revenue Online, you will set up your own Login ID and password. This is information YOU create for the account. To make it easier on yourself, please keep this information with your hard copy tax files so you remember it.

Authentication CodesAuthentication is a method we use to validate whether a browser or device that is being used to login is approved by you to display personal identifiable information. It’s one of the many steps we take to protect your privacy and keep your personally identifiable information safe.

Verify Email Address UsedIf you do not receive an email from us when you are requesting a Letter ID, Authentication Code or resetting a password, you may have entered a wrong email address or may have never set up account access. You may want to verify the email is not in your “Junk/Spam” folders.

Filing A Return Does Not Automatically Give You AccessCheck your hard copy files to verify that you created a Login in and password. Filing a tax return in Revenue Online does not automatically set up access to your account in Revenue Online.

Account Lock OutMultiple failed attempts at logging into an account will trigger the account to be locked out. You will have to contact our Call Center so we can verify your information and unlock the account. Although this may be frustrating, we do this to ensure that no one else can access your tax information. This is just one of many steps the Department takes to protect your personal information.

Help Available If you need assistance with accessing your Revenue Online account, please view the Help link in Revenue Online. In some cases, you may be required to contact our Call Center to verify security information. If after logging in, you have questions regarding your tax account, you can send us a Secure Message in Revenue Online. This service is secure and confidential.


www.Colorado.gov/RevenueOnline

[ 27 ]


Colorado Individual Income Tax Form 104

*150104V219999*

FORM 104 (11/16/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0005 www.TaxColorado.com

2015 (0013)

Full-Year

Mark if Abroad on due date - see instructions

Part-Year or Nonresident (or resident, part-year, nonresident combination)

Last Name First Name Middle Initial Deceased Date of Birth SSNYourself

(MM/DD/YYYY)

Enter the following information from your current driver license or state identification card.

State of Issue Last 4 characters of ID number Date of Issuance

Last Name First Name Middle Initial Deceased Date of Birth SSNSpouse, if joint

(MM/DD/YYYY)

Enter the following information from your spouse’s current driver license or state identification card.


Mailing Address Phone number

( )City State ZIP Code Foreign Country (if applicable)

Round To The Next Dollar1. Enter Federal Taxable Income from your federal income tax form: 1040EZ line 6;

1040A line 27; 1040 line 43 1 0 0

Additions2. State Addback, enter the state income tax deduction from your federal form

1040 schedule A, line 5 (see instructions) 2 0 0

3. Other Additions, explain (see instructions) 3 0 0Explain

4. Subtotal, add lines 1 through 3 4 0 0Staple W-2s and 1099s with CO withholding here.

[ 28 ]

Name Account Number

*150104V229999*

Subtractions5. State Income Tax Refund from federal income tax form 1040, line 10; enter $0 if filing

1040A or 1040EZ 5 0 0

6. U.S. Government Interest 6 0 07. Primary Taxpayer Pension/Annuity Income Deceased SSN: – – 7 0 08. Spouse Pension/Annuity Income Deceased SSN: – – 8 0 0

9. Colorado Source Capital Gain; 5-year assets acquired on or after 5/9/1994 9 0 010. Tuition Program Contribution: (see instructions) Owner’s SSN: – – 10 0 0 Total Contribution Owner’s Name

11. Qualifying Charitable Contribution

Total Contribution

11 0 0$

12. Qualified Reservation Income 12 0 013. PERA/DPSRS Subtraction, for PERA contributions made in 1984–1986 or

DPSRS contributions made in 1986 13 0 0

14. Railroad Benefit Subtraction, tier I or II only 14 0 0

15. Wildfire Mitigation Measures Subtraction 15 0 0

16. Colorado Marijuana Business Deduction 16

0 0

17. Non-Resident Disaster Relief Worker Subtraction 17 0 0

18. Other Subtractions, explain below (see instructions) 18 0 0Explain

19. Subtotal, add lines 5 through 18 19 0 0

20. Colorado Taxable Income, line 4 minus line 19 20 0 0Modified AGI for TABOR

21. Federal Adjusted Gross Income from your federal income tax form: 1040EZ line 4; 1040A line 21; 1040 line 37 21 0 0

22. Nontaxable Social Security Income 22 0 0

23. Nontaxable Lump-sum Distributions from pension and profit sharing plans. 23 0 0

24. Nontaxable interest income from state and local bonds. 24 0 0

25. Sum of lines 21 through 24: Modified AGI for TABOR. 25 0 0


[ 29 ]

Name Account Number

*150104V239999*

Tax, Prepayments and Credits: full-year residents turn to page 26 and part-year and nonresidents go to 104PN

26. Colorado Tax from tax table or 104PN line 36 26 0 0

27. Alternative Minimum Tax from Form 104AMT 27 0 0

28. Recapture of prior year credits 28 0 029. Use Tax: Enter the total purchases for which sales or use tax was not

previously paid 29 0 0

30. Multiply line 29 by 0.029. Enter the result in whole dollars here. 30 0 0

31. Enter the SDCU Code for any applicable special district(s). See instructions. 31

32. Enter the corresponding use tax rate. See instructions. 32

33. Multiply line 29 by the rate on line 32. Enter the result in whole dollars here. 33 0 0

34. Subtotal, add lines 26 through 28 and lines 30 and 33 34 0 035. Nonrefundable Credits from 104CR line 35, cannot exceed the

sum of lines 26 and 27 35 0 036. Total Nonrefundable Enterprise Zone credits used – as calculated,

or from DR 1366 line 87 36 0 0

37. Net Tax, subtract lines 35 and 36 from line 34 37 0 0

38. CO Income Tax Withheld from W-2s and 1099s. 38 0 0

39. Prior-year Estimated Tax Carryforward 39 0 040. Estimated Tax Payments, enter the sum of the quarterly payments

remitted for this tax year 40 0 0

41. Extension Payment remitted with form 158-I 41 0 0

42. Other Prepayments: 104BEP DR 0108 DR 1079 42 0 0

43. Gross Conservation Easement Credit from DR 1305G line 33 43 0 0

44. Innovative Motor Vehicle Credit from form DR 0617 44 0 0

45. Refundable Credits from 104CR line 8 45 0 0


[ 30 ]

Name Account Number

Modified AGI Tiers for State Sales Tax Refund

If line 25 is: $36,000 or less $36,001 – $77,000

$77,001 – $120,000

$120,001 – $163,000

$163,001 – $204,000

$204,001 – or more

Single Filers Enter $13 $18 $21 $23 $24 $41

Joint Filers Enter $26 $36 $42 $46 $48 $82

46. State Sales Tax Refund: For full-year Colorado residents, born before 1997, or full-year Colorado residents who are under the age of eighteen but are required to file a return. Use the amount on line 25 and reference the table above. See instructions if you are filing an extension. 46 0 0


48. Overpayment, if line 47 is greater than 37 then subtract line 37 from line 47 48 0 0

49. Estimated Tax Credit Carry Forward to 2016 first quarter, if any 49 0 0Voluntary Contributions enter your donation amount, if any

50. Nongame and Endangered Wildlife Cash Fund 50 0 0

51. Colorado Domestic Abuse Program Fund 51 0 0

52. Homeless Prevention Activities Program Fund 52 0 0

53. Western Slope Military Veterans Cemetery Fund 53 0 0

54. Pet Overpopulation Fund 54 0 0

55. Military Family Relief Fund 55 0 0

56. Public Education Fund 56 0 0

57. Roundup River Ranch Fund 57 0 0

58. 9Health Fair Fund 58 0 059. American Red Cross Colorado Disaster Response, Readiness,

and Preparedness Fund 59 0 0

60. Colorado for Healthy Landscapes Fund 60 0 0

61. Habitat for Humanity of Colorado Fund 61 0 0

62. Special Olympics of Colorado Fund 62 0 0

63. Colorado Youth Corps Association Fund 63 0 0

64. This line reserved for future use


*150104V249999* FORM 104 (11/16/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0005 www.TaxColorado.com

[ 31 ]

Name Account Number

66. Refund, subtract line 65 from line 48 (see instructions) 66 0 0

DirectDeposit

Routing Number Type: Checking Savings CollegeInvest 529

Account Number

For questions regarding CollegeInvest direct deposit or to open an account call 800-448-2424 or visit CollegeInvest.orgAmount You Owe

67. Net Tax Due, subtract line 47 from line 37 (include the subtotal from line 65) 67 0 0

68. Delinquent Payment Penalty (see instructions) 68 0 0

69. Delinquent Payment Interest (see instructions) 69 0 0

70. Estimated Tax Penalty (see instructions) 70 0 0

71. Amount You Owe, add lines 67, 68, 69 and 70 71 0 0The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

Third Party DesigneeDo you want to allow another person to discuss this return and any other information related to this return with the Colorado Department of Revenue?

No Yes. Complete the following:

Designee’s Name Phone Number

( )Sign Below Under penalties of perjury, I declare that to the best of my knowledge and belief, this return is true, correct, and complete.Your Signature Date (MM/DD/YY)

Spouse Signature. If joint return, BOTH must sign. Date (MM/DD/YY)

Paid Preparer’s Name Paid Preparer’s Phone

( )Paid Preparer’s Address City State Zip

*150104V259999* FORM 104 (11/16/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0005 www.TaxColorado.com

[ 32 ]

Page 8Page 8

How To Use This Filing GuideThis filing guide will assist you with completing your Colorado Income Tax Return. Once you finish the form, file it with a computer, smartphone, or tablet using our free and secure Revenue Online service at www.Colorado.gov/RevenueOnline Or, you may file using private e-file software or with a tax preparer. By filing your return electronically, you significantly reduce the chance of errors and you will receive your refund much faster. If you cannot file electronically for any reason, mail the enclosed forms as instructed. Please read through this guide before starting your return.The following symbols appear throughout this guide and point out important information, reminders, and changes to tax rules.

This points out a topic that is the source of common filing errors. Filing your return on Revenue Online will reduce the risk of errors; however, it is important to understand the information on your return. Errors cause processing delays and erroneous bills.

Several subtractions and tax credits require you to provide supporting documentation. This symbol points out those requirements. If the additional documentation is not provided, it will cause processing delays or denial of the credits/subtractions. These documents can be scanned and attached to your Revenue Online or electronic filing, mailed with the DR 1778, or attached to your paper return.

In-depth tax information is available in our easy to understand FYI Publications, which include examples and worksheets. This symbol lets you know when such a publication is available for a subject. All FYI publications are available at www.TaxColorado.com

Filing InformationWho Must File This Tax ReturnEach year you must evaluate if you should file a Colorado income tax return. Generally, you must file this return if you were:

• A full-year resident of Colorado; or• A part-year Colorado resident who received

taxable income while residing here; or• Not a resident of Colorado, but received income

from sources within Colorado; and

• Are required to file a federal income tax return with the IRS for this year; or

• Will have a Colorado income tax liability for this year. Coloradoresidentsmustfilethisreturniftheyfile

anincometaxreturnwiththeIRS,eveniftheydonothaveaColoradotaxliability.Otherwise,theDepartmentmayfileareturnonyourbehalfandourreturnmightnotconsideryouruniquetaxsituation.Also,theonlywaytodetermineifyouareentitledtoarefundistofileareturn.

Due DateForm 104 and any tax payment owed are due April 18, 2016. Revenue Online will accept returns as timely filed until midnight. Returns that are mailed must be postmarked by April 18th. An automatic extension to file is granted until October 17th, but there isnoextensiontopay. See page 29 for more information.

Deceased PersonsLegal representatives and surviving spouses may file a return on behalf of a deceased person. Surviving spouses may complete the return as usual and indicate the deceased status on the return. They can file the return and submit a copy of the death certificate through Revenue Online. Legal representatives may file the return and submit a copy of the death certificate through Revenue Online, but they must complete the Third Party Designee portion of the return. Either a surviving spouse or legal representative can avoid problems when filing on paper by marking the box next to the name of the deceased person; writing “DECEASED” in large letters in the white space above the tax year of the return; writing “FILING AS SURVIVING SPOUSE” or “FILING AS LEGAL REPRE-SENTATIVE” after their signature; and attaching the DR 0102 and a copy of the death certificate to the return.

To claim a refund on behalf a deceased person, complete form DR 0102 and submit it, as well as a copyofthedeathcertificate,whenfilingthereturn.

Filing Status Youmustfileusingthesamefilingstatusonboth

yourfederalandColoradoincometaxreturns.Parties to a Civil Union should refer to federal taxlawtodeterminethecorrectfilingstatus.ForMarriedFilingJoint,youmustlistthetaxpayernames in the same order on both the federal and Coloradoreturns.Formarriedfilingseparate,donotlistyourspouse’snameorSSNonthereturn.

Claiming Credits from a Pass-through Entity Individualsclaimingtaxcreditsthatareissuedby

a partnership should obtain from the partnership a federal K-1 schedule for each credit. The federal K-1iscreatedandissuedbythepartnership.Ifa K-1 is unavailable, attach a statement to the individualreturnwiththenameofanypass-throughentity.CDORverifiestheclaimbyreviewingthepartnership’sreturn.TheK-1sorstatementsmaybesubmitted through the Revenue Online: Submit an e-Filer Attachment service, through tax software, ormaybeattachedtoapaperreturn.

Line by Line InstructionsFirst,completethefederalincometaxreturnyouwillfilewith the IRS. You must complete your federal return first because you will use information from that return on your Colorado income tax return.Colorado income tax is based on your federal taxable income, which has already considered your exemptions and deductions.

[ 33 ]

Page 9

Residency StatusMark the appropriate box to designate your residency status. If Married Filing Joint, and one person is a full-year Colorado resident and the other is either a part-year resident or a nonresident, mark the Part-Year Resident/Nonresident box.

Part-Year Colorado Residents and NonresidentsTax is prorated so that it is calculated only on income received in Colorado or from sources within Colorado. We recommend you review publication FYI Income 6 if this applies to you. You will calculate your prorated tax by completing Form 104PN.

Persons Traveling or Residing AbroadIf you are traveling or residing outside the United States on April 18th, the deadline for filing your return is June 15, 2016. If you need additional time to file your return, you will automatically have until October 17, 2016 to file. Interest is due on any payment received after April 18, 2016. To avoid any late payment penalties you must pay 90% of your tax liability by June 15, 2016. When filing your return, mark the “Abroad on Due Date” box on Revenue Online or on the paper return.

Active Duty MilitaryResidency is determined by your Home of Record, which means you remain a resident of the state where you enlisted unless you have officially changed your Home of Record with your branch of the military. Your Home of Record can be found on your military form DD214 or Leave and Earnings Statement. We recommend you read publication FYI Income 21 if this applies to you. Those with a Colorado Home of Record should file this return, even if stationed elsewhere. Those serving abroad or outside the USA at least 305 days of the year may file as a nonresident. You must mark the nonresident status-305 day exception box on Form 104PN.Those with a Home of Record from any other state, but who are stationed in Colorado, are not required to pay Colorado tax on their military income. However, any nonmilitary income received while stationed in Colorado is taxable here (for example: part-time work, rent payments received, etc.)

Those who were married to a serviceperson at the timeofenlistmentcanalsomaintaintheirspouse’sHome of Record for tax purposes, if holding their own job in Colorado. You must complete the DR 1059 andsubmitittoyouremployerwhenyouarehired.SubmitacopyoftheDR1059andyourmilitaryIDcardonRevenueOnline,withtheDR1778,or,iffilingonpaper,attachedtoyourreturn.YoumustcompleteanewDR1059eachcalendaryear.

Name and Address Provide your name, mailing address, date of birth, Social Security number, State of Issue of your state issued ID card, the last four digits of your state issued ID card, and the Date of Issuance of your state issued ID card in the provided spaces. If filing Married Filing Joint, provide the spouse information where prompted. Provide the spouse information

ONLY if filing a joint return, otherwise leave blank. All Departmental correspondence will be mailed to the mailing address provided. We recommend you read publication FYI General 2 for the Privacy Act Notice.

Line 1 Federal Taxable IncomeRefer to your federal income tax return to complete this line:

• 1040EZ form use line 6• 1040A form use line 27• 1040 form use line 43

If your federal taxable income is a negative amount, or less than zero, be sure to enter the amount as such on your Colorado return (in brackets if mailing a paper return).

DONOTenteryourtotalincomeorwagesonthisline—doingsowillmakeyourtaxtoohigh.TheDepartmentwillcomparetheamountyoulistheretothereturnyoufilewiththeIRS,sobeverycarefultocompletethiscorrectly.

AdditionsLine 2 State AddbackRefer to your federal income tax return to complete this line:

• 1040EZ form: enter $0• 1040A form: enter $0• 1040 form:

• If Schedule A was used:• Income Tax Deduction: use the worksheet below• General Sales Tax Deduction: enter $0

• If you DID NOT use Schedule A, enter $0 We recommend that you read publication FYI

Income 4 for special instructions before completing the worksheet.

Complete the following schedule to determine your state income tax deduction addback:a) State income tax deduction from line

5, Schedule A, federal form 1040 $b) Total itemized deductions from line

29, Schedule A, federal form 1040 $c) The amount of federal standard

deduction you could have claimed (See instructions line 40, federal form 1040 for 2015 federal standard deductions). $

d) Line (b) minus line (c), but not less than $0 $

Transfer to line 2 the smaller amount from line (a) or (d) of the worksheet above.

[ 34 ]

Page 10Page 10

Line 3 Other AdditionsEnter the sum of the following, which can be selected from a drop-down menu on Revenue Online:

• Bond interest—the amount of any interest earned from bonds issued by any state or political subdivision, excluding any bonds issued by the State of Colorado or its political subdivisions on or after May 1, 1980. Calculate the appropriate amount by subtracting the amortization of bond premiums and expenses (required to be allocated to interest income by Internal Revenue Code) from the gross amount of state and local bond interest. We recommend that you read publication FYI Income 52 if this applies to you.

• Lump-Sum distribution—the amount of any lump-sum distribution from a pension or profit-sharing plan that was reported on IRS form 4972, excluding any estate tax paid.

Distributionsincludedherearesubjectto10-yearaveragingonthefederalreturn.Ifyourlump-sumdistributionsarenotsubjectto10-yearaveragingandwereincludedinyourfederaltaxableincome(line1),DONOTreportthemonline3.Theamount included here might be eligible for the pension subtraction on lines 7 or 8.

• Dependent child income—the amount from IRS form 8814, line 14, or $1000, whichever is smaller. Include this income only if you elected to report your child’s income on your federal income tax return.

• Charitable gross conservation easement—the amount of your federal charitable deduction for a conservation easement that is also claimed for a Colorado tax credit. Complete DR 1305 Part D.

• Alien labor—the amount of expenses for unauthorized alien labor services. We recommend that you read publication FYI Income 64 if this applies to you. • Partnership/Fiduciary—the amount of any

fiduciary adjustment or partnership modification that increases your federal taxable income.

Line 4 SubtotalThis line is automatically calculated by Revenue Online, or enter the sum of lines 1 through 3 if filing a paper return.

SubtractionsLine 5 State Income Tax RefundRefer to your federal income tax return to complete this line: • 1040EZ form, enter $0 • 1040A form, enter $0 • 1040 form, enter the amount from line 10

Line 6 U.S. Government InterestEnter the sum of all interest earned from U.S. government bonds, treasury bills and other obligations of the U.S. or its territories, possessions, and agencies that you

reported on your federal income tax return and is calculated as part of your federal taxable income. We recommend that you read publication FYI Income 20 if this applies to you.

DONOTincludeinterestearnedfromFederalNationalMortgageAssociationandGovernmentNationalMortgageAssociation(FannieMaeandGinnieMae).Dividendsfrommutualfundsmaynot be 100% exempt.

Line 7 Pension and Annuity SubtractionYou might be eligible to subtract the income you earned from a pension or annuity. We recommend that you read publications FYI Income 18 and 25 if this applies to you. Enter the qualifying amount if you:

• Earned income from a pension/annuity that was not a premature distribution;

and• It was included on your federal income tax return

and is calculated as part of your federal taxable income;

or• It was a lump-sum distribution that was reported

on line 3 above;and

As of December 31, 2015 you:• Were age 65 or older, then you are entitled to

subtract $24,000 or the total amount of your taxable pension/annuity income, whichever is smaller;

or• Were at least 55 years, but not yet 65, then

you are entitled to subtract $20,000 or the total amount of your taxable pension/annuity income, whichever is smaller;

or• Were younger than 55 years, and you received

pension/annuity income as a secondary beneficiary (widow, dependent child, etc.) due to the death of the person who earned the pension/annuity, then you are entitled to subtract $20,000 or the total amount of your secondary beneficiary taxable pension/annuity income, whichever is smaller. If this applies to you, please list the Social Security number of the deceased in the space provided.

Pension/annuityincomeshouldnotbeintermingledbetween spouses. Each spouse must meet the requirementsforthesubtractionseparatelyandclaimthesubtractiononlyontheirpension/annuityincome.Anyqualifyingspousepension/annuityincome should be reported on line 8.

Submit copies of all 1099R and SSA-1099 statementswithyourreturn.SubmitusingRevenueOnlineorattachtoyourpaperreturn.

[ 35 ]

Page 11

Line 8 Spouse Pension and Annuity SubtractionIf the secondary taxpayer listed on a jointly filed return is eligible for the pension and annuity subtraction, enter the qualifying amount on this line. Review the instructions for line 7 to see what amount qualifies. We recommend that you read publication FYI Income 25 if this applies to you.

Ifonlyonespousequalifiesforthepension/annuitysubtractiononajointlyfiledreturn,takeprecautions to report the subtraction on the correctline.Thefirstpersonlistedonthereturnshall report on line 7 and the second person listed shall report on line 8.

Line 9 Colorado Source Capital Gain SubtractionYou might be eligible to subtract the income you earned from a Colorado-source capital gain. We recommend that you read publication FYI Income 15 if this applies to you. The amount of this subtraction is limited to $100,000 and qualifies if the capital gain was:

• Earned from the sale of real or tangible personal property that was located in Colorado at the time of the sale transaction;

and• Included on your federal income tax return and is

calculated as part of your federal taxable income;and

• Acquired on or after May 9, 1994 and was owned continuously for five years prior to the sale transaction date.

CompleteandsubmittheDR1316.RevenueOnlineallowsyoutodirectlyentertheDR1316byclickingtheEDITbutton.Paperfilersshouldattachthisformtotheirreturn.Takeprecautiontocompletelyfillouteach item of this form. Be as detailed as possible, especiallywhenprovidingpropertydescriptions,ownership,anddatesofacquisitionandsale.

Line 10 Tuition Program ContributionContributions to qualified Colorado tuition savings plans can be deducted from your return. The contribution must have been included on your federal income tax return and calculated as part of your federal taxable income. We recommend that you read publication FYI Income 44 if this applies to you.

Thethreefieldsonline10shouldbeleftblankifthetaxpayerand/orspousearetheCollegeInvestaccount owners who set up the account for the studentbeneficiary.Ifyouarenottheaccountowner (grandparent, friend) complete the three additionalfields.Toreportcontributionstomorethanoneaccountyoumustfileelectronically. DONOTdeductcontributionsmadetoatuitionsavingsplanforanotherstateoranytuitionyou paid while attending school.

Line 11 Qualifying Charitable ContributionsTaxpayers who make donations to charity, but do not claim federal itemized deductions on Schedule A of form 1040, might be eligible to deduct a portion of their donation on this form. We recommend that you read publication FYI Income 48 if this applies to you. Use the worksheet below to determine your qualifying contribution:

(a) Did you itemize your deductions on Schedule A of federal form 1040? Yes No

(b) As an individual or a business, did you deduct charitable contributions on the federal form? Yes No

If you answered Yes on either (a) or (b) above, enter $0 on line 11; you do not qualify for this subtraction. If you answered No on both (a) and (b) above, continue below.(c) Enter the amount you could have

deducted as charitable contributions on lines 16 and 17 of federal Schedule A. $

(d) Colorado adjustment $500(e) Subtract line (d) from line (c). This is

the qualifying amount. If the amount is greater than $0, transfer to line 11.

Enter the total contributions in the space provided and the subtraction after the $500 adjustment on line 11.

DONOTenteranamountonthislineifyoualreadydeductedyourcharitabledonationonScheduleAofthefederal1040form.Otherwise,youwillbeissuedanassessmentthatwilllikelyincludepenaltyandinterest.

Forclaimsgreaterthan$5,000,submitthereceiptsyoureceivedat the time of donation.Forin-kinddonations, submit an itemized list of the donated items andtheirfairmarketvalue.DONOTsendreceiptsofitems that were purchased for donation. Submit using RevenueOnlineorattachtoyourpaperreturn.

Line 12 Qualified Reservation IncomeList any amount of income that was derived wholly from reservation sources by a recognized tribal member, which was included as taxable income on the Federal income tax form.

Submit proof of tribal membership, residence, and sourceofincome.Thismustbesubmittedonlyeverythreeyearsbytaxpayersclaimingthissubtraction.

Line 13 PERA/DPSRS SubtractionList the amount of contributions made to PERA between 7/1/1984 and 12/31/1986 or contributions made to Denver Public Schools District No. 1 Retirement during 1986. We recommend that you read publication FYI Income 16 if this applies to you.

Submitacopyofyourpreviouslytaxedcontribution.PERA statements can be obtained from www.copera.orgorbycalling1-800-759-7372.SubmitusingRevenueOnlineorattachtoyourpaperreturn.

DONOTlisttheamountofcontributionsyou madeasanemployeethispastyear.

[ 36 ]

Page 12Page 12

Line 14 Railroad BenefitList any Tier I or II railroad retirement benefits that you reported on your federal income tax return and is calculated as part of your federal taxable income. We recommend that you read publication FYI Income 25 if this applies to you.

Submit copies of all RRB-1099 and RRB-1099R Statements. Submit using Revenue Online or attachtoyourpaperreturn.

Line 15 Wildfire Mitigation MeasuresEnter half (50%) of any amount incurred in performing wildfire mitigation on your land, up to $2,500. We recommend that you read publication FYI Income 65 to properly calculate this subtraction.

Submit copies of receipts for costs associated with wildfiremitigationforyourproperty.SubmitusingRevenueOnlineorattachtoyourpaperreturn.

Line 16 Colorado Marijuana Business DeductionFor Colorado-licensed marijuana businesses, list any expenditure that is eligible to be claimed as a federal income tax deduction but is disallowed by section 280E of the Internal Revenue Code because marijuana is a controlled substance under federal law.To calculate this deduction, you must create pro forma federal schedule(s) for Business Profit or Loss as if the federal government would have allowed the expenditures from the marijuana business. The Colorado deduction shall be the difference between the profit/loss as calculated on the ACTUAL schedule(s) filed with the federal return and the pro forma schedule(s) described above. You must attach both the pro forma schedule(s) and the actual schedule(s) to your Colorado return to receive this deduction.

Line 17 Non-Resident Disaster Relief Worker SubtractionFor nonresident individuals, enter the amount of income tax withheld from your compensation earned while working in Colorado during a declared state disaster emergency on disaster-related work. Disaster related work includes repairing, renovating, installing, building, or rendering services that relate to infrastructure that has been damaged, impaired, or destroyed by a declared state disaster emergency or providing emergency medical, firefighting, law enforcement, hazardous material, search and rescue, or other emergency service related to a state declared disaster emergency.This subtraction is only available to nonresident individuals. If you are a full-year resident of Colorado, you are not eligible for this subtraction.

Line 18 Other Subtractions from Federal Taxable IncomeEnter the sum of all other allowable subtractions. For more information about what to enter on this line, see the Subtractions page on www.TaxColorado.com under Income Tax -- Subtractions.

DONOTincludeamountsthatwereearnedoutside Colorado, net operating losses, K-1 adjustments,militaryincome,wageadjustmentsordonationsmadetotheMilitaryFamilyRelieffundon this line. Include a clear explanation of the subtractionbeingclaimedonyourreturn.


Line 20 Colorado Taxable IncomeThis line is automatically calculated by Revenue Online. If filing a paper return, subtract line 19 from line 4. This is your Colorado taxable income, and is the figure used to determine how much Colorado tax is owed, if any.

Line 21 Federal Adjusted Gross IncomeRefer to your 2015 federal income tax return to complete this line:

• Line 4 of 1040EZ form• Line 21 of 1040A form• Line 37 of 1040 form

If your federal adjusted gross income is a negative amount or less than zero, use a minus (-) if filing electronically or (in brackets) if filing a paper return.

Compare lines 37 and 47—if line 47 is greater, go to line 48. If line 37 is greater, go to line 67 (or to make a donation go to line 50).

Part-Year Residents or Nonresidents Go To 104PN; Full-Year Residents Continue To Line 26Line 22 Nontaxable Social Security IncomeRefer to your 2015 federal income tax return to complete this line:

• If you used the 1040 form, subtract line 20b from line 20a of the 1040 and enter that amount here.

• If you used the 1040A form, subtract line 14b from 14a of the 1040A and enter that amount here.

• If you used the 1040EZ, enter $0 here.

Line 23 Nontaxable Lump-sum Distributions from pension and profit sharing plansRefer to line 3 of the Colorado 104. If you entered any lump-sum distributions on line 3 that were reported on IRS form 4972, excluding any estate tax paid, enter the amount of lump-sum distributions here.

Line 24 Nontaxable Interest Income from State and Local BondsRefer to line 3 of the Colorado 104. If you entered any bond interest on line 3, enter the amount of bond interest income here.

Line 25 Modified AGI for TABORThis line is automatically calculated by Revenue Online. If filing a paper return, enter the sum of lines 21 through 24.

Line 26 Colorado TaxThe income tax rate is currently 4.63%. This line is auto-

[ 37 ]

Page 13matically calculated by Revenue Online. Full-year residents should refer to the tax table in this booklet. Determine the tax by the amount listed on line 20. Part-year residents and nonresidents should transfer the apportioned tax amount from line 36 of Form 104PN. For Revenue Online, click the red ERROR button to jump to the 104PN.

Line 27 Alternative Minimum TaxEnter the amount of any alternative minimum tax by clicking the EDIT button on Revenue Online, or by entering the amount on your paper filing. Generally if you pay alternative minimum tax on your federal income tax return you will pay the same for your Colorado return. We recommend that you read publication FYI Income 14 if this applies to you.

Line 28 Recapture of Prior Year CreditsEnter any historic property preservation credit or any other credit claimed in prior years that is subject to recapture under Colorado law.

What is Consumer Use Tax? Consumer use tax is a complement to state sales tax. Consumer use tax is payable to the state when sales tax is due but has not been collected. Individuals and businesses have always been required to pay sales or use tax on tangible personal property purchased from out-of-state vendors if the item is sold, leased, or delivered in Colorado for use, storage, distribution, or consumption in the state.Colorado’s use tax rate is 2.9%. For additional information on Colorado consumer use tax, see FYI General 10 at www.TaxColorado.comSpecial Districts also assess a use tax. More than half of Colorado residents live in one or more of these districts. The special districts that assess a use tax on purchases and the applicable tax rates are:

Special District Name

Use Tax Rate

District Boundaries

Regional Transportation District

1.0 % The Denver metropolitan area including all of Boulder, Denver, and Jefferson Counties, northern Douglas County, the western areas of Adams and Arapahoe Counties, most of Broomfield County, and small part of southwest Weld County. See form DR 1002 at www.TaxColorado.com or visit www.RTD-Denver.com for more information.

Scientific & Cultural Facilities District (Cultural District)

0.1 % The Denver metropolitan area including all areas of Adams, Arapahoe, Boulder, Broomfield, Denver, and Jefferson Counties. All of Douglas county EXCEPT the city limits of Castle Rock and Larkspur.

Pikes Peak Rural Transportation Authority (Pikes Peak RTA)

1.0 % El Paso County EXCEPT within the municipal limits of Calhan, Fountain, Monument, Palmer Lake, or the Colorado Springs Commercial Aeronautical Zone.

Roaring Fork Transportation Authority (Roaring Fork RTA)

Various • Basalt and New Castle city limits – 0.8%• Carbondale and Glenwood Springs city limits – 1.0%

• Aspen and Snowmass Village city limits, unincorporated Pitkin County – 0.4%

• Areas of unincorporated Eagle County in the El Jebel area and outside the city limits of Carbondale – 0.6%

Baptist Road Regional Transportation Authority (Baptist Road RTA)

1.0 % A portion of the town of Monument and the areas surrounding the Baptist Road and I-25 interchange. Consult the El Paso County Assessor’s office for a map of district boundaries.

South Platte Valley Regional Transportation Authority (South Platte Valley RTA)

0.1 % Within the city limits of Sterling.

Reference form DR 1002 at www.TaxColorado.com, your county assessor’s office, or district maps for additional information to determine whether you live within the boundaries of the above special districts. Most residents of the Denver metropolitan area are within the district boundaries of both the Regional Transportation District (RTD) and the Scientific & Cultural Facilities District (CD).

Was Colorado sales or use tax paid on your purchases from out-of-state vendors? YES: If tax was paid on your purchase, no consumer use

tax is due. Check your invoice or receipt to see if tax was paid. Some online purchases will have sales or use tax included.

NO: Many online or out-of-state retailers do not collect sales or use tax from customers on purchases. Total the amount of your 2015 purchases where no tax was paid. State and special district (if applicable) consumer use tax must be paid on your purchases.

Instructions:Calculate and report your individual consumer use tax liability on lines 29 and 33. If no Colorado consumer use tax is due, enter $0 on lines 29 through 33.

Lines 29 - 30 All Colorado residents will complete line 29. Report the total amount of 2015 purchases where no tax was paid on line 29. Multiply this amount by 2.9%. Enter the product on line 30 rounded to the nearest whole dollar. This is your Colorado consumer use tax liability.

Lines 31 - 33 Use the table below to enter figures for line 31 - 33. You will need to determine the applicable special district(s) based on where you lived in 2015. Enter the Special District Consumer Use (SDCU) code on line 31 and the use tax rate below on 32. Multiply the amount on line 30 by the special district use tax rate on line 32 to compute your special district use tax due on line 33. Round line 33 to the nearest whole dollar. This is your special district use tax liability.If no special districts apply, enter 00 in the SDCU code field on 31 and $0 on line 33.

Continued on page 17

[ 38 ]

Taxpayer’s Name SSN

Use this form if you and/or your spouse were a resident of another state for all or part of 2015. This form apportions your gross income so that Colorado tax is calculated for only your Colorado income. Complete this form after you have filled out lines 1 through 20 of Form 104. If you filed federal form 1040NR, see the instructions.

Beginning (MM/YY)to

Ending (MM/YY)

1. Taxpayer is (mark one): Full-Year Nonresident; Part-Year Resident from

Full-Year Resident Nonresident 305-day rule Military

Beginning (MM/YY)to

Ending (MM/YY)

2. Spouse is (mark one): Full-Year Nonresident; Part-Year Resident from


3. Mark the federal form you filed: 1040 1040 A 1040 EZ 1040 NR Other

FederalInformation

ColoradoInformation

4. Enter all income from form 1040 line 7; 1040A line 7; or form 1040EZ line 1 4 00 5. Enter income from line 4 that was earned while working in Colorado and/

or earned while you were a Colorado resident. Part-year residents should include moving expense reimbursements only if paid for moving into Colorado 5 00

6. Enter all interest/dividend income from form 1040 lines 8a and 9a; form 1040A lines 8a and 9a; or form 1040EZ line 2 6 00

7. Enter income from line 6 that was earned while you were a resident of Colorado 7 00

8. Enter all income from form 1040 line 19; form 1040A line 13; or form 1040EZ line 3 8 00

9. Enter income from line 8 that is from State of Colorado unemployment benefits; and/or is from another state’s benefits that were received while you were a Colorado resident 9 00

If you filed federal form 1040EZ, go to line 24. All others continue with line 10.

10. Enter all income from form 1040 lines 13 and 14; or form 1040A line 10 10 00 11. Enter income from line 10 that was earned during that part of the year you

were a Colorado resident and/or was earned on property located in Colorado 11 0012. Enter all income from form 1040 lines 15b, 16b, and 20b; or form 1040A lines

11b, 12b, and 14b 12 00 13. Enter income from line 12 that was received during that part of the year you

were a Colorado resident 13 00If you filed federal form 1040A, go to line 20. If you filed form 1040, continue with line 14.

14. Enter all business and farm income from form 1040 lines 12 and 18 14 00 15. Enter income from line 14 that was earned during that part of the year you

were a Colorado resident and/or was earned from a Colorado operation 15 00

16. Enter all Schedule E income from form 1040 line 17 16 00

FORM 104PN (11/16/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0005*150104PN19999* Form 104PNPart-Year Resident/Nonresident Tax

Calculation Schedule 2015

[ 39 ]


FederalInformation

ColoradoInformation

17. Enter income from line 16 that was earned from Colorado sources; and/or rent and royalty income received or credited to your account during the part of the year you were a Colorado resident; and/or partnership/S corporation/fiduciary income that is taxable to Colorado during the tax year 17 00

18. Enter all other income from form 1040 lines 10, 11 and 21 18 00List type

19. Enter income from line 18 that was earned during that part of the year you were a Colorado resident and/or was earned from a Colorado operation 19 00

List type

20. Total Income. Enter amount from form 1040 line 22; or form 1040A line 15 20 0021. Total Colorado Income. Enter the total from the Colorado column, lines 5, 7, 9,

11, 13, 15, 17 and 19 21 00

22. Enter all federal adjustments from form 1040 line 36, or form 1040A line 20 22 00List type

23. Enter adjustments from line 22 as follows 23 00List type

• Educator expenses, IRA deduction, business expenses of reservists, performing artists and fee-basis government officials, health savings account deduction, self-employment tax, self-employed health insurance deduction, SEP and SIMPLE deductions are allowed in the ratio of Colorado wages and/or self-employment income to total wages and/or self-employment income.

• Student loan interest deduction, alimony, and tuition and fees deduction are allowed in the Colorado to federal total income ratio (line 21/ line 20).

• Domestic production activities deduction is allowed in the Colorado to Federal QPAI ratio.• Penalty paid on early withdrawals made while a Colorado resident.• Moving expenses if you are moving into Colorado, not if you are moving out.• For treatment of other adjustments reported on form 1040 line 36, see instructions.

24. Adjusted Gross Income. Enter amount from form 1040 line 37; or form 1040A line 21; or form 1040EZ line 4 24 00

25. Colorado Adjusted Gross Income. If you filed form 1040 or 1040A, subtract the amount on line 23 of Form 104PN from the amount on line 21 of Form 104PN. If you filed form 1040EZ, enter the total of lines 5, 7 and 9 of Form 104PN 25 00

26. Additions to Adjusted Gross Income. Enter the amount from line 3 of Colorado Form 104 excluding any charitable contribution adjustments 26 00

*150104PN29999* FORM 104PN (11/16/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0005

[ 40 ]

FederalInformation

ColoradoInformation

27. Additions to Colorado Adjusted Gross Income. Enter any amount from line 26 that is from non-Colorado state or local bond interest earned while a Colorado resident, and/or any lump-sum distribution from a pension or profit sharing plan received while a Colorado resident. (See instructions for treatment of other additions) 27 00

28. Total of lines 24 and 26 28 00

29. Total of lines 25 and 27 29 0030. Subtractions from Adjusted Gross Income. Enter the amount from line 19 of

Colorado Form 104 excluding any qualifying charitable contributions 30 0031. Subtractions from Colorado Adjusted Gross Income. Enter any amount from

line 30 as follows: 31 00• The state income tax refund subtraction to the extent included on line 19 above,• The federal interest subtraction to the extent included on line 7 above,• The pension/annuity subtraction and the PERA or DPS retirement subtraction to the extent included on line 13 above,• The Colorado capital gain subtraction to the extent included on line 11 above,• For treatment of other subtractions, see instructions.

32. Modified Adjusted Gross Income. Subtract the amount on line 30 from the amount on line 28 32 00

33. Modified Colorado Adjusted Gross Income. Subtract the amount on line 31 from the amount on line 29 33 00

34. Amount on line 33 divided by the amount on line 32 34 %35. Tax from the tax table based on income reported on Colorado Form 104 line

20 35 0036. Apportioned tax. Amount on line 35 multiplied by the percentage on line 34.

Enter here and on Form 104 line 26 36 00

*150104PN39999*Taxpayer’s Name SSN

FORM 104PN (11/16/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0005

[ 41 ]

Continuedfrompage13 Page 17

Applicable District(s) Use Tax Rate

SDCU Code

Regional Transportation District (RTD) andScientific & Cultural Facilities District (CD) 0.011 12

Regional Transportation District (RTD) Only 0.01 10Scientific & Cultural Facilities District (CD) Only 0.001 20Pikes Peak Rural Transportation Authority (Pikes Peak RTA) 0.01 30

Baptist Road Regional Transportation Authority (Baptist Road RTA) 0.01 40

South Platte Valley Regional Transportation Authority (South Platte Valley RTA) 0.001 50

Roaring Fork Transportation Authority (Roaring Fork RTA) – within city limits of Glenwood Springs or Carbondale

0.01 61

Roaring Fork Transportation Authority (Roaring Fork RTA) – within city limits of Basalt or New Castle

0.008 62

Roaring Fork Transportation Authority (Roaring Fork RTA) – in El Jebel area of unincorporated Eagle County

0.006 63

Roaring Fork Transportation Authority (Roaring Fork RTA) – within Aspen or Snowmass Village city limits, or unincorporated Pitkin County

0.004 64

Line 34 SubtotalThis line is automatically calculated by Revenue Online, or enter the sum of lines 26 through 28 and lines 30 and 33 if filing a paper return.

Tax CreditsLine 35 Nonrefundable CreditsComplete Form 104CR to claim various nonrefundable credits. For Revenue Online, click the EDIT button to complete Form 104CR. Or, if filing a paper return, transfer the amount from line 35 of Form 104CR to this line. To ensure faster processing of your paper return, the amount entered on line 35 must exactly match the amount on the 104CR.

ScanandsubmitanyrequireddocumentationthroughRevenueOnline,E-FilerAttachment,orattachtoyourelectronic return. Or, mail paper documentation with theDR1778E-FilerAttachmentform.

Line 36 Nonrefundable Enterprise Zone CreditsUse your tax software, Revenue Online or form DR 1366 to calculate the total amount of nonrefundable enterprise zone credits being used to offset the current year tax liability. The total nonrefundable enterprise zone credit used cannot exceed the amount from line 34.

Line 37 Net TaxThis line is automatically calculated by Revenue Online, or subtract lines 35 and 36 from line 34 if filing a paper return.

Line 38 Colorado Income Tax WithheldIf using Revenue Online, the sum of step 2 is automatically transferred to this line. Or, for paper returns, enter the sum of all Colorado income tax withheld as reported on W-2, W-2G or various 1099 statements.

StapleyourColoradowithholdingformswhereindicated.Or,iffilingelectronically,scanandsubmitthemthroughRevenueOnlineE-FilerAttachments.

Failuretosubmityourwithholdingformswillresultinthecreditbeingdenied.DoNOTincludewithholdingfor federal income tax, income tax from another state, or local governments. Be certain to exclude amountswithheldfromColoradorealestatesalesbynonresidents,nonresidentbeneficiarywithholding,or Colorado partnership or S Corporation income withholdingfornonresidentsasthesespecifiedamounts should be listed on line 42.

Line 39 Prior-year Estimate Tax CarryforwardEnter the amount, if any, from your 2014 Colorado Form 104, line 37.

Line 40 Quarterly Estimated PaymentsCarefully review your payment before completing this line. Use Revenue Online (www.Colorado.gov/RevenueOnline) to verify estimated taxes paid on your account. Doing so will reduce processing delays, which will be important if you are expecting a refund. Allow ample time to sign up for Revenue Access and to receive the Authentication Code for first time use. Most taxpayers who have made quarterly estimated payments used the 104EP voucher to remit these payments. Refer to FYI Income 51 for more information about Estimated Payments.

Line 41 Extension PaymentEnter the amount, if any, you remitted with the DR 158-I to insure 90% of your tax was paid by April 15.

Line 42 Other PrepaymentsEnter the sum of payments remitted on your behalf because you are a nonresident who received Colorado income from:

• a real estate transaction – remitted using DR 1079• partnership or shareholder agreement – remitted

using DR 0108• an estate as a beneficiary – remitted using 104BEP

Be sure to mark corresponding box(es) as appropriate.

Line 43 Gross Conservation Easement CreditComplete all applicable parts of form DR 1305. Enter the amount from Line 33 of DR 1305G.

Line 44 Innovative Motor Vehicle CreditComplete the DR 0617 schedule. Then enter the amount from line 25 of the DR 0617. Attach the DR 0617 to any income tax return claiming this credit. CDOR checks a county motor vehicle database to verify ownership of these vehicles. If the registration is not in the taxpayer’s name in this database, CDOR tax examiners will ask for copy of the purchase invoice and proof of Colorado registration. For information about this credit, see publication FYI Income 67.

Submit copies of the bill of sale, purchase invoice, lease agreement, conversion receipts, and proof of Colorado registrationforeachvehicleforwhichyouareclaimingacredit.Additionally,avehiclehistoryreport(suchasoneavailablefromCarFax)isrequiredifacreditisclaimed for the purchase of a used vehicle.


[ 42 ]

Taxpayer’s Last Name First Name Middle Initial SSN

Use this schedule to calculate your income tax credits. For best results, visit TaxColorado.com to research eligibility requirements and other information about these credits before following the line-by-line instructions contained below.

• Be sure to submit the required supporting documentation as indicated for each credit.• Most e-File software and tax preparers have the ability to submit this schedule and attachments electronically.

However, Revenue Online can also be used to file your return and attachments electronically. Otherwise, attach all required documents to your paper return.

• If you received any of these credits from a pass-through entity, be sure to provide the entity’s name and account number and your ownership percentage where required. If credits were passed through from multiple entities, attach to your return a written statement that includes all relevant information.

• Dollar amounts shall be rounded to the nearest whole dollar. Calculate percentages to the second decimal place.

Part I—Refundable Credits

1. Child Care Expenses Credit from Form DR 0347 1 00Earned Income Tax Credit - full or part-year Colorado residents who claim the federal EITC are allowed an earned income tax credit against their income tax. Complete the table for each qualifying child.

2. Enter the amount of Earned Income calculated for your federal return 2 00

3. The federal EITC you claimed 3 00Qualifying Child’s Last Name Qualifying Child’s First Name Year of Birth SSN

4. COEITC, multiply line 3 by 10% (.1) 4 00

5. Part-yearresidentsonly, multiply line 4 by the percentage on line 34 of Form 104PN 5 006. Business Personal Property Credit: Use the worksheet in the DR 104 book

instructions to calculate, submit copy of assessor’s statement 6 00

7. Refundable Renewable Energy Tax Credit from line 88 of Form DR 1366 7 008. Total Refundable Credits, add lines 1, 4 (or 5), 6, and 7.

Enter the sum on line 45 of Form 104. 8 00

Form 104CRIndividual Credit Schedule 2015

*150104CR19999* FORM 104CR (09/10/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0005

[ 43 ]

Name Account Number

Part II — Credit for Tax Paid to Another State

• Colorado nonresidents do not qualify for this credit.• Part-year residents generally do not qualify for this credit.• If you have income or losses from two or more states, you must separately calculate lines 10 through 16 for each

state. If you do not file electronically, you must submit Form 104CR for each state. Then, enter “Combined” on line 9 and complete lines 10 through 16 to disclose the combined total for each line. A summary schedule is not acceptable

Submit a copy of the tax return for each other state when claiming this credit. The portion of the return submitted must include the adjusted gross income calculation, any disallowed federal deductions by that state, and the tax calculation for the other state.9. Name of other state

10. Total of lines 26 and 27 Form 104 10 00

11. Modified Colorado adjusted gross income from sources in the other state 11 00

12. Total modified Colorado adjusted gross income 12 00

13. Amount on line 11 divided by amount on line 12 13 %

14. Amount on line 10 multiplied by the percentage on line 13 14 00

15. Tax liability to the other state 15 00

16. Allowable credit, the smaller of lines 14 or 15 16 00

Part III — Other CreditsThe following credits can be carried forward to subsequent tax years if your current tax liability is less than the sum of your credits. Visit TaxColorado.com for limitations that are specific to each credit. To report this properly, use the first column to report the total credit that is available (the amount generated this year plus any prior-year carryforward). Then, use the second column to report the amount you are using this year to offset your tax liability. The difference should be reported on line 36, which is your subsequent carryforward amount.

Available Credit Column (A)

Credit Used Column (B)

17. Plastic recycling investment credit, submit required receipts 17 00 00 Plastic recycling net expenditures amount (fill below):

18. Colorado Minimum Tax Credit 18 00 00 2015 Federal Minimum Tax Credit (fill below):

19. Historic Property Preservation credit, submit verification or a copy of the federal credit calculation 19 00 00

20. Child Care Center Investment credit, submit a copy of your facility license and a list of depreciable tangible personal property 20 00 00

21. Employer Child Care Facility Investment credit, submit proof that you operate a licensed child care facility 21 00 00

*150104CR29999* FORM 104CR (09/10/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0005

[ 44 ]

*150104CR39999*Name Account Number

22. School-to-Career Investment credit, submit a copy of the certification 22 00 00

23. Colorado Works Program credit, submit a copy of the letter from the county Dept. of Social/Human Services 23 00 00

24. Child Care Contribution credit, submit form(s) DR 1317 24 00 0025. Long-term Care Insurance credit, submit a year-end statement to

show premiums paid 25 00 0026. Aircraft Manufacturer New Employee credit, submit Forms DR

0085 and DR 0086 26 00 0027. Credit for remediation of contaminated land, submit a

copy of the CDPHE certification when claiming this credit 27 00 0028. Colorado Job Growth Incentive credit, submit certification from

OEDIT 28 00 0029. Certified Auction Group License Fee credit, submit a copy of the

certification 29 00 0030. Advanced Industry Investment credit, submit a copy of the

certification 30 00 00

31. Low-income Housing credit, submit CHFA certification 31 00 0032. Credit for Food Contributed to Hunger-Relief Charitable

Organizations, submit Form(s) DR 0346 32 00 0033. Alternative Fuel Refueling Facility credit, carryforwardfrom

2010only 33 00 00

34. Total of column A 34 0035. Nonrefundable Credits Used, total of column B plus any amount from line 16. Also enter this

amount on line 35 of Form 104 35 0036. Carryforward Amount, subtract line 35 from line 34 - excluding any expiring carryforwards

36 00

FORM 104CR (09/10/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0005

[ 45 ]

Line 45 Refundable CreditsComplete Form 104CR to claim various refundable credits. For Revenue Online, click the EDIT button to complete Form 104CR. Or, if filing a paper return, transfer the amount from line 8 of Form 104CR to this line.

Seethe104CRfortherequireddocumentationforthe credit claimed. Submit using Revenue Online, attachtoanelectronicallyfiledreturnasaPDForattachtoyourpaperreturn.

Child Care Expenses Credit (Form DR 0347 and 104CR Part I)Even when the federal tax is zero, Colorado offers taxpayers -- with an Adjusted Gross Income of $25,000 or less -- a Colorado income tax credit of 25 percent of their child care expenses up to $500 for one child, or up to $1,000 for two or more children. Use Form DR 0347 to calculate this credit and submit it along with the 104CR.

Business Personal Property Credit for Individual Business OwnersThis credit is only available if business personal property tax was paid to a Colorado county in 2015 and the business had business personal property of $15,000 or less. Submit a copy of the assessor’s statement with your return.

Business personal property credit calculation worksheet:

Enter the amount of business personal property tax paid in 2015

A

Enter the Credit Rate from Table 1 that corresponds with your Federal Taxable Income and Filing Status

B

Multiply line A times line B to calculate the credit allowed, enter on Form 104CR line 6

Table 1 - Find your filing status use your federal taxable income amount from line 1 of the 104 form.

Federal Taxable Income (Form 104,

Line 1)

Filing Status Table for Business Personal Property CreditSingle Joint Head of Household Married Filing Separate Credit rate$0 - $9,225 $0 - $18,450 $0 - $13,150 $1 - $9,225 .8537$9,226 - $37,450 $18,451 - $74,900 $13,151 - $50,200 $9,226 to $37,450 .8037$37,451 - $90,750 $74,901 - $151,200 $50,201 - $129,600 $37,451 to $75,600 .7037$90,751 - $189,300 $151,201 - $230,450 $129,601 - $209,850 $75,601 to $115,225 .6737$189,301 - $411,500 $230,451 - $411,500 $209,851 - $411,500 $115,226 to $205,750 .6237$411,501 - $413,200 $411,501 - $464,850 $411,501 - $439,000 $205,751 to $232,425 .6037$413,201 and up $464,851 and up $439,001 and up $232,426 and up .5577

To Calculate the Colorado Earned Income Tax Credit (EITC) on Form 104CR:Line 2 Enter the amount of earned income

calculated for your federal return.In order to calculate the value of your Federal earned income tax credit you must determine the amount of earned income. You may use the Earned Income Credit Worksheet (EIC Worksheet) and the Earned Income Credit (EIC) Table in the instruction booklet for Form 1040, Form 1040A, or Form 1040EZ, or use the EITC Assistant Tool online: www.irs.gov/Credits-&-Deductions/Individuals/Earned-Income-Tax-Credit/Use-the-EITC-Assistant It is available in both English and Spanish.

Line 3 The federal EITC you claimedRefer to the credit you entered on the Federal 1040, 1040A, or 1040EZ:

• If you filled out a Federal 1040, then enter the amount of line 66a on line 3 of the Colorado 104CR;

• If you filled out a Federal 1040A, then enter the amount of line 42a on line 3 of the Colorado 104CR; or,

• If you filled out a Federal 1040EZ, then enter the amount of line 8a on line 3 of the Colorado 104CR.

Table Instructions: If you have a qualifying child and you claimed the EITC on either the Federal 1040 or 1040A, you will need to identify that child or those children in this table. Enter each qualifying child’s last name, first name, year of birth, and social security number.

Line 4 COEITCMultiply the amount you entered on line 3 by 10% (x0.1) to calculate your Colorado EITC.

Line 5 If you are filing as a part-year resident ONLYMultiply the amount you entered on line 4 by the percentage on line 34 of Form 104PN and enter the result on line 5. This is the portion of the Colorado EITC you are allowed.

Continued from page 17 Page 21

[ 46 ]

Page 22

Line 46 State Sales Tax RefundFull-year Colorado residents who made their home in Colorado and were age 18 or older for the entire year of 2015 are eligible to receive the State Sales Tax Refund. Full-year residents under the age of 18 qualify for the refund only if they are required to file a Colorado return because of a federal requirement to file or to obtain a refund of wage withholding. Part-year and nonresidents do not qualify for this refund. Individuals incarcerated in either a Department of Corrections owned or operated facility or a county or municipal jail for 180 days may not be eligible for the refund. A person under the age of 18 who would have been convicted of a felony as an adult and committed to the Department of Human Services may not be eligible for the credit.In order to qualify, your return must be postmarked by April 18, 2016 or October 17, 2016 if you are filing an extension. To determine the credit available to you, refer to the amount you entered on line 25 and your filing status. Find the appropriate amount in the table that accompanies line 46 and enter the amount on line 46.

Child Care Expenses Credit (Form DR 0347 and 104CR Part I) Even when the federal tax is zero, Coloradoofferstaxpayers--withanAdjustedGrossIncomeof$25,000orless--aColoradoincometaxcredit of 25 percent of their child care expenses up to$500foronechild,orupto$1,000fortwoormorechildren.UseFormDR0347tocalculatethiscredit and submit it along with the 104CR.


Line 48 OverpaymentThis amount is automatically calculated by Revenue Online, if applicable. Paper filers should calculate this line by subtracting line 37 from line 47.

Line 49 Estimated Tax CarryforwardEnter the amount, if any, you would like to be available for 2015 estimated tax.

Line 50–63 Voluntary ContributionsIf you would like to donate money to one of the organizations available as part of Checkoff Colorado, enter the desired amount here. See the back page of this booklet for more information about each of these charitable organizations.


Line 66 RefundSubtract line 65 from line 48. This is the amount of your refund. You have the option of authorizing a transaction by the Department to directly deposit these funds to your bank account. Otherwise, a refund check will be mailed to the address you have designated on this return. If you use Direct Deposit, you will receive your refund 1 to 2 weeks faster than a paper check.

• Direct Deposit—Enter the routing and account numbers and account type. The routing number is 9 digits. Account numbers can be up to 17 characters (numbers and/or letters). Include hyphens, but do NOT enter spaces or special symbols. We recommend that you contact your financial institution to ensure you are using the correct information and that they will honor a direct deposit. See the sample check on page 22 to assist you in finding the account and routing numbers.

Didyouknowyoucannowdirectdeposityourtaxrefund into a new or existing CollegeInvest account? Please contact 800-448-2424 or visit CollegeInvest.org for more information.

• Intercepted Refunds—The Department will intercept your refund if you owe back taxes or if you owe a balance to another Colorado government agency or the IRS. If you are filing a joint return and only one party is responsible for the unpaid debt, you may file a written claim to: Injured Spouse Desk, 1375 Sherman Street, Room 240, Denver CO 80261. Claims must include a copy of your federal income tax return or federal form 8379 and copies of all W-2, W-2G, or any 1099 statements received by both parties. DO NOT attach your claim to this return, it will not be processed.

Line 67 Net Amount DueThis amount is automatically calculated by Revenue Online, otherwise subtract line 47 from line 37. Also, if you made any donations to charitable organizations add line 65 to the subtotal. This is the amount you owe with this return. If you are filing after the due date (or valid extension), or you owe estimated tax penalty continue to the next line. If you are filing timely and do not owe penalty or interest, go to line 71.

Line 68 Delinquent PenaltyCalculate any penalty owed for delinquent filing or payment. The penalty is 5% of the net tax due for the first month after the due date, and ½% for each additional month past the due date. The maximum penalty is 12%. Or, if you prefer not to calculate this penalty, the Department will bill you if due.

Line 69 Delinquent InterestCalculate any interest owed for delinquent filing or payment. The interest rate is 3% of the net tax due. Or, if you prefer not to calculate this interest, the Department will bill you if due. Interest on any bill issued that remains unpaid after 30 days of issuance will increase to 6%.

[ 47 ]

Page 23

Line 70 Estimated Tax PenaltyTo calculate this penalty, complete the DR 0204. Enter any estimated tax penalty owed on this line.

Scan and submit the DR 0204 through Revenue Online,E-FilerAttachments.Or,iffilingonpaper, attachtheformtoyourpaperform.

Line 71 Amount You OweEnter the sum of lines 67 through 70. You have three payment options: • Pay Online—After submitting your return on

Revenue Online, you will be given the opportunity to submit an online payment with your credit card, e-check, or by EFT. A nominal processing fee may apply. If you file a paper return, you may still choose to pay electronically. Visit our Web site for details.

• Pay by Mail—If filing by Revenue Online or other electronic filing method and you wish to send a check or money order, complete the DR 0900 and mail with your payment. Make payable to Colorado Department of Revenue, and clearly write your Social Security number and “2015 Form 104” on the memo line. Be sure to keep a copy of the money order or note the check number with your tax records. If filing a paper return, enclose your check or money order in the envelope provided and mail with your return.

• Payment Plan—The Department will issue a bill for any unpaid balance due. When you receive the bill you may set up a payment plan as instructed on the bill. Any assessment made by the Department will likely include delinquent payment penalty and interest. The only way to avoid paying penalty and interest is to pay in full before April 15, 2015.

Third Party DesigneeYou may authorize a person other than you (or your spouse) to discuss this tax return with the Department. This authorization is valid for any period of time, and can be revoked by you with a written statement to the Department. Revocations must designate that the Third Party Designee is being revoked and must be signed and dated by the taxpayer and/or designee. By completing this area of the return, you are granting the designee the ability to:

• Provide any missing information needed for the processing of your return; and

• Call the Department for information about your return, including the status of your refund or processing time; and

• Receive upon request copies of notices, bills or transcripts related to your return; and

• Respond on your behalf to notices about math errors, intercepts, and questions about the preparation of your return.

This designation does not allow the third party to receive your refund check, bind you to anything (including any additional tax liability), or otherwise represent you before the Colorado Department of Revenue. If you would like to expand the designee’s authorization, complete the DR 0145, Power of Attorney for Department-Administered Tax Matters and submit via Revenue Online.

W-2s and 1099s When filing a paper return, all W-2s and 1099s that show Colorado income tax withholding must be attached (stapled) to the front of the form where indicated. When the W-2s and 1099s do not add up to the withholding claimed on the return (Line 38 of the 2015 Form 104), return processing will stop. We will ask the taxpayer to send copies of the W-2s and 1099s. When filing an electronic return, we recommend attaching scanned copies to the e-filed tax return. Taxpayers who e-file may also submit their W-2s and 1099s through Revenue Online, www.Colorado.gov/RevenueOnline Click on Submit an e-Filer Attachment. While there is no requirement to electronically attach scanned W-2s and 1099s to an e-filed return, doing so will allow the Department to continue processing the returns when questions arise during return review, or when the employers / entities have not yet sent in the W-2 and 1099 statements to the Department.

[ 48 ]

Page 24

Taxpayer Service and AssistanceRevenue OnlineThe department offers many services through Revenue Online. You can file or amend a return, submit required return attachments, monitor your account activity, pay taxes, check the status of a refund, file a protest and send a secure message to department staff. Visit www.Colorado.gov/RevenueOnline to get started.Taxation Web SiteVisit the official Colorado Taxation Web site, www.TaxColorado.com for supplemental tax information and more.

Secure MessagingContact Department of Revenue support staff electroni-cally through Revenue Online. This service is secure and confidential. Register for Revenue Online to get started.

Call CenterRepresentatives are available Monday through Friday, 8 a.m. to 4:30 p.m. 303-238-SERV (7378) TTY/TDD 800-659-2656

Walk-in AssistanceForms and information are available Monday through Friday, 8 a.m. to 4:30 p.m.Denver—1375 Sherman StreetColorado Springs—2447 North Union BoulevardFort Collins—3030 South College AvenueGrand Junction—222 South 6th Street, 208Pueblo—827 West 4th Street, Suite A

Common IssuesDid Not Receive W-2 Statement from your employer • Contact your employer to request a copy; or • Your final paycheck stub should list the year-to-

date (YTD) Colorado wages and withholding, which can be used to file using Revenue Online. Or, if filing a paper return, complete a Substitute W-2, DR 0084 and attach it to your return; or

• If neither option works, contact the IRS or the Department of Revenue, who might have your W-2 information available.

Records RetentionKeep all documentation you used to prepare your return at least 4 years after the due date, which is the statute of limitations for the Department to make changes to your return. However, if the Department does not receive your return, they may file one on your behalf using the best information available. There is no statute of limitations if a return is not filed.

Correcting Errors or Changing a ReturnIndividual income tax returns from 2009 and forward may be amended electronically through Revenue Online. Filing and amending returns in Revenue Online is a free service. You may amend online even if the original return was filed on paper. Revenue Online has all the information from your original return - you will not need to re-enter everything. If you cannot amend online, you may file the Form 104X. Make sure you use the appropriate form version for the year you are amending. If you are changing your Colorado return because the IRS made changes to your federal return, you must file Form 104X within 30 days of being notified by the IRS. You must amend your Colorado return in this case, even if there is no net change to your tax liability. ItisveryimportantthatyousubmitallschedulesandsupportingdocumentationwithyouramendedreturnEVENIFYOUARENOTCHANGINGTHOSEVALUES.

Estimated Tax RequirementsIf you expect next year’s Colorado tax liability to be greater than $1,000 after subtracting credits, you should make estimated tax payments using Form 104EP. We recommend that you read publication FYI Income 51 for additional information.

Filing Errors and Incomplete InformationIt is important to read all the information available for your specific tax situation and to submit all required documenta-tion with your return. Failure to do so may result in delayed processing of your return and refund. We recommend that you file using Revenue Online to avoid common mathematical errors. You may also opt to use a commercial tax preparation software program at home or to use a paid tax professional to help you complete your return.

Federal Credit and Colorado Insurance ProgramsIndividuals whose income does not exceed certain thresholds and/or have qualifying children may be eligible for a refund resulting from the federal Earned Income Tax Credit (EITC) and/or low-cost health insurance through Child Health Plan Plus (CHP+). You may obtain additional information regarding the EITC online at www.irs.gov or by calling Colorado United Way at 211. Additional information regarding CHP+ may be found at www.cchp.org or by calling 1-800-359-1991.

[ 49 ]

Page 25

[ 50 ]

Page 26

Colorado Income Tax TableTo find your tax from the table below, read down the taxable income column to the line containing your Colorado taxable income from line 20, Form 104. Then read across to the tax column and enter this amount on line 26, Form 104. Part-year residents and nonresidents enter tax on line 35, Form 104PN.

TAXABLE INCOMETAXOver But

not over0 10 0

10 30 130 50 250 75 375 100 4

100 200 7200 300 12300 400 16400 500 21500 600 25

600 700 30700 800 35800 900 39900 1,000 44

1,000 1,100 49

1,100 1,200 531,200 1,300 581,300 1,400 631,400 1,500 671,500 1,600 72

1,600 1,700 761,700 1,800 811,800 1,900 861,900 2,000 902,000 2,100 95

2,100 2,200 1002,200 2,300 1042,300 2,400 1092,400 2,500 1132,500 2,600 118

2,600 2,700 1232,700 2,800 1272,800 2,900 1322,900 3,000 1373,000 3,100 141

3,100 3,200 1463,200 3,300 1503,300 3,400 1553,400 3,500 1603,500 3,600 164

3,600 3,700 1693,700 3,800 1743,800 3,900 1783,900 4,000 1834,000 4,100 188

4,100 4,200 1924,200 4,300 1974,300 4,400 2014,400 4,500 2064,500 4,600 211


not over4,600 4,700 2154,700 4,800 2204,800 4,900 2254,900 5,000 2295,000 5,100 234

5,100 5,200 2385,200 5,300 2435,300 5,400 2485,400 5,500 2525,500 5,600 257

5,600 5,700 2625,700 5,800 2665,800 5,900 2715,900 6,000 2756,000 6,100 280

6,100 6,200 2856,200 6,300 2896,300 6,400 2946,400 6,500 2996,500 6,600 303

6,600 6,700 3086,700 6,800 3136,800 6,900 3176,900 7,000 3227,000 7,100 326

7,100 7,200 3317,200 7,300 3367,300 7,400 3407,400 7,500 3457,500 7,600 350

7,600 7,700 3547,700 7,800 3597,800 7,900 3637,900 8,000 3688,000 8,100 373

8,100 8,200 3778,200 8,300 3828,300 8,400 3878,400 8,500 3918,500 8,600 396

8,600 8,700 4008,700 8,800 4058,800 8,900 4108,900 9,000 4149,000 9,100 419

9,100 9,200 4249,200 9,300 4289,300 9,400 4339,400 9,500 4389,500 9,600 442


not over20,600 20,700 95620,700 20,800 96120,800 20,900 96520,900 21,000 97021,000 21,100 975

21,100 21,200 97921,200 21,300 98421,300 21,400 98921,400 21,500 99321,500 21,600 998

21,600 21,700 1,00221,700 21,800 1,00721,800 21,900 1,01221,900 22,000 1,01622,000 22,100 1,021

22,100 22,200 1,02622,200 22,300 1,03022,300 22,400 1,03522,400 22,500 1,03922,500 22,600 1,044

22,600 22,700 1,04922,700 22,800 1,05322,800 22,900 1,05822,900 23,000 1,06323,000 23,100 1,067

23,100 23,200 1,07223,200 23,300 1,07623,300 23,400 1,08123,400 23,500 1,08623,500 23,600 1,090

23,600 23,700 1,09523,700 23,800 1,10023,800 23,900 1,10423,900 24,000 1,10924,000 24,100 1,114

24,100 24,200 1,11824,200 24,300 1,12324,300 24,400 1,12724,400 24,500 1,13224,500 24,600 1,137

24,600 24,700 1,14124,700 24,800 1,14624,800 24,900 1,15124,900 25,000 1,15525,000 25,100 1,160

25,100 25,200 1,16425,200 25,300 1,16925,300 25,400 1,17425,400 25,500 1,17825,500 25,600 1,183

25,600 25,700 1,18825,700 25,800 1,19225,800 25,900 1,19725,900 26,000 1,20126,000 26,100 1,206


not over15,100 15,200 70115,200 15,300 70615,300 15,400 71115,400 15,500 71515,500 15,600 720

15,600 15,700 72515,700 15,800 72915,800 15,900 73415,900 16,000 73816,000 16,100 743

16,100 16,200 74816,200 16,300 75216,300 16,400 75716,400 16,500 76216,500 16,600 766

16,600 16,700 77116,700 16,800 77616,800 16,900 78016,900 17,000 78517,000 17,100 789

17,100 17,200 79417,200 17,300 79917,300 17,400 80317,400 17,500 80817,500 17,600 813

17,600 17,700 81717,700 17,800 82217,800 17,900 82617,900 18,000 83118,000 18,100 836

18,100 18,200 84018,200 18,300 84518,300 18,400 85018,400 18,500 85418,500 18,600 859

18,600 18,700 86318,700 18,800 86818,800 18,900 87318,900 19,000 87719,000 19,100 882

19,100 19,200 88719,200 19,300 89119,300 19,400 89619,400 19,500 90119,500 19,600 905

19,600 19,700 91019,700 19,800 91419,800 19,900 91919,900 20,000 92420,000 20,100 928

20,100 20,200 93320,200 20,300 93820,300 20,400 94220,400 20,500 94720,500 20,600 951


not over9,600 9,700 4479,700 9,800 4519,800 9,900 4569,900 10,000 461

10,000 10,100 465

10,100 10,200 47010,200 10,300 47510,300 10,400 47910,400 10,500 48410,500 10,600 488

10,600 10,700 49310,700 10,800 49810,800 10,900 50210,900 11,000 50711,000 11,100 512

11,100 11,200 51611,200 11,300 52111,300 11,400 52611,400 11,500 53011,500 11,600 535

11,600 11,700 53911,700 11,800 54411,800 11,900 54911,900 12,000 55312,000 12,100 558

12,100 12,200 56312,200 12,300 56712,300 12,400 57212,400 12,500 57612,500 12,600 581

12,600 12,700 58612,700 12,800 59012,800 12,900 59512,900 13,000 60013,000 13,100 604

13,100 13,200 60913,200 13,300 61313,300 13,400 61813,400 13,500 62313,500 13,600 627

13,600 13,700 63213,700 13,800 63713,800 13,900 64113,900 14,000 64614,000 14,100 651

14,100 14,200 65514,200 14,300 66014,300 14,400 66414,400 14,500 66914,500 14,600 674

14,600 14,700 67814,700 14,800 68314,800 14,900 68814,900 15,000 69215,000 15,100 697

[ 51 ]

Page 27


not over26,100 26,200 1,21126,200 26,300 1,21526,300 26,400 1,22026,400 26,500 1,22526,500 26,600 1,229

26,600 26,700 1,23426,700 26,800 1,23926,800 26,900 1,24326,900 27,000 1,24827,000 27,100 1,252

27,100 27,200 1,25727,200 27,300 1,26227,300 27,400 1,26627,400 27,500 1,27127,500 27,600 1,276

27,600 27,700 1,28027,700 27,800 1,28527,800 27,900 1,28927,900 28,000 1,29428,000 28,100 1,299

28,100 28,200 1,30328,200 28,300 1,30828,300 28,400 1,31328,400 28,500 1,31728,500 28,600 1,322

28,600 28,700 1,32628,700 28,800 1,33128,800 28,900 1,33628,900 29,000 1,34029,000 29,100 1,345

29,100 29,200 1,35029,200 29,300 1,35429,300 29,400 1,35929,400 29,500 1,36429,500 29,600 1,368

29,600 29,700 1,37329,700 29,800 1,37729,800 29,900 1,38229,900 30,000 1,38730,000 30,100 1,391

30,100 30,200 1,39630,200 30,300 1,40130,300 30,400 1,40530,400 30,500 1,41030,500 30,600 1,414

30,600 30,700 1,41930,700 30,800 1,42430,800 30,900 1,42830,900 31,000 1,43331,000 31,100 1,438

31,100 31,200 1,44231,200 31,300 1,44731,300 31,400 1,45231,400 31,500 1,45631,500 31,600 1,461


not over31,600 31,700 1,46531,700 31,800 1,47031,800 31,900 1,47531,900 32,000 1,47932,000 32,100 1,484

32,100 32,200 1,48932,200 32,300 1,49332,300 32,400 1,49832,400 32,500 1,50232,500 32,600 1,507

32,600 32,700 1,51232,700 32,800 1,51632,800 32,900 1,52132,900 33,000 1,52633,000 33,100 1,530

33,100 33,200 1,53533,200 33,300 1,53933,300 33,400 1,54433,400 33,500 1,54933,500 33,600 1,553

33,600 33,700 1,55833,700 33,800 1,56333,800 33,900 1,56733,900 34,000 1,57234,000 34,100 1,577

34,100 34,200 1,58134,200 34,300 1,58634,300 34,400 1,59034,400 34,500 1,59534,500 34,600 1,600

34,600 34,700 1,60434,700 34,800 1,60934,800 34,900 1,61434,900 35,000 1,61835,000 35,100 1,623

35,100 35,200 1,62735,200 35,300 1,63235,300 35,400 1,63735,400 35,500 1,64135,500 35,600 1,646

35,600 35,700 1,65135,700 35,800 1,65535,800 35,900 1,66035,900 36,000 1,66436,000 36,100 1,669

36,100 36,200 1,67436,200 36,300 1,67836,300 36,400 1,68336,400 36,500 1,68836,500 36,600 1,692

36,600 36,700 1,69736,700 36,800 1,70236,800 36,900 1,70636,900 37,000 1,71137,000 37,100 1,715


not over37,100 37,200 1,72037,200 37,300 1,72537,300 37,400 1,72937,400 37,500 1,73437,500 37,600 1,739

37,600 37,700 1,74337,700 37,800 1,74837,800 37,900 1,75237,900 38,000 1,75738,000 38,100 1,762

38,100 38,200 1,76638,200 38,300 1,77138,300 38,400 1,77638,400 38,500 1,78038,500 38,600 1,785

38,600 38,700 1,78938,700 38,800 1,79438,800 38,900 1,79938,900 39,000 1,80339,000 39,100 1,808

39,100 39,200 1,81339,200 39,300 1,81739,300 39,400 1,82239,400 39,500 1,82739,500 39,600 1,831

39,600 39,700 1,83639,700 39,800 1,84039,800 39,900 1,84539,900 40,000 1,85040,000 40,100 1,854

40,100 40,200 1,85940,200 40,300 1,86440,300 40,400 1,86840,400 40,500 1,87340,500 40,600 1,877

40,600 40,700 1,88240,700 40,800 1,88740,800 40,900 1,89140,900 41,000 1,89641,000 41,100 1,901

41,100 41,200 1,90541,200 41,300 1,91041,300 41,400 1,91541,400 41,500 1,91941,500 41,600 1,924

41,600 41,700 1,92841,700 41,800 1,93341,800 41,900 1,93841,900 42,000 1,94242,000 42,100 1,947

42,100 42,200 1,95242,200 42,300 1,95642,300 42,400 1,96142,400 42,500 1,96542,500 42,600 1,970


not over46,600 46,700 2,16046,700 46,800 2,16546,800 46,900 2,16946,900 47,000 2,17447,000 47,100 2,178

47,100 47,200 2,18347,200 47,300 2,18847,300 47,400 2,19247,400 47,500 2,19747,500 47,600 2,202

47,600 47,700 2,20647,700 47,800 2,21147,800 47,900 2,21547,900 48,000 2,22048,000 48,100 2,225

48,100 48,200 2,22948,200 48,300 2,23448,300 48,400 2,23948,400 48,500 2,24348,500 48,600 2,248

48,600 48,700 2,25248,700 48,800 2,25748,800 48,900 2,26248,900 49,000 2,26649,000 49,100 2,271

49,100 49,200 2,27649,200 49,300 2,28049,300 49,400 2,28549,400 49,500 2,29049,500 49,600 2,294

49,600 49,700 2,29949,700 49,800 2,30349,800 49,900 2,30849,900 50,000 2,313


not over42,600 42,700 1,97542,700 42,800 1,97942,800 42,900 1,98442,900 43,000 1,98943,000 43,100 1,993

43,100 43,200 1,99843,200 43,300 2,00243,300 43,400 2,00743,400 43,500 2,01243,500 43,600 2,016

43,600 43,700 2,02143,700 43,800 2,02643,800 43,900 2,03043,900 44,000 2,03544,000 44,100 2,040

44,100 44,200 2,04444,200 44,300 2,04944,300 44,400 2,05344,400 44,500 2,05844,500 44,600 2,063

44,600 44,700 2,06744,700 44,800 2,07244,800 44,900 2,07744,900 45,000 2,08145,000 45,100 2,086

45,100 45,200 2,09045,200 45,300 2,09545,300 45,400 2,10045,400 45,500 2,10445,500 45,600 2,109

45,600 45,700 2,11445,700 45,800 2,11845,800 45,900 2,12345,900 46,000 2,12746,000 46,100 2,132

46,100 46,200 2,13746,200 46,300 2,14146,300 46,400 2,14646,400 46,500 2,15146,500 46,600 2,155

Worksheet for taxable incomes over $50,000

Colorado Taxable Income from line 20, Form 104 $ .00

Multiply by 4.63% X .0463

Colorado Tax $ .00

Colorado Income Tax Table

[ 52 ]

The Department strongly recommends that you file using Revenue Online or other electronic method and remit your payment electronically or by EFT. However, to pay by mail, make check or money order payable to the Colorado Department of Revenue. Be sure to round your payment to the nearest dollar. Clearly write your Social Security number and “2015 Form 104” on the check memo line.

Complete the form below. The amount on the check and the amount entered on the payment form must be the same. This will help maintain accuracy in your tax account. Be sure to keep a copy of the money order or note the check number with your tax records.DO NOT submit a paper return if you have already filed electronically.

Return this form with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write your Social Security number and “2015 Form 104” on your check or money order. Do not send cash. Enclose, but do not staple or attach, your payment with this form.Your Last Name First Name Middle Initial SSN

Spouse Last Name (if joint) Spouse First Name Middle Initial Spouse SSN

Address

City State ZIP

IF NO PAYMENT IS DUE, DO NOT FILE THIS FORM. The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

Amount of Payment

$ .00

2015 Individual Income Tax Payment Form (Calendar year — Due April 18, 2016)

Caution!This form MUST accompany your payment if you filed electronically and wish to pay by check.

(0011)*150900==19999* DR 0900 (09/10/15)

COLORADO DEPARTMENT OF REVENUE Denver CO 80261-0008

[ 53 ]

Automatic Filing Extension General InformationColorado offers an automatic 6-month extension to file your income tax return if you cannot submit your return by the April 18 due date. This means that you can file your return by October 15 without filing this form. However, 90% of your tax MUST BE PAID by April 18. If you must wait until Monday, October 17 to file your return, use the following worksheet to calculate whether you need to remit a payment on April 18.

Persons Traveling or Residing AbroadIf you are traveling or residing outside the United States on April 18, the deadline for filing your return is June 15, 2016. If you need additional time to file your return, you will automatically have until October 17, 2016 to file. Interest is due on any payment received after April 18, 2016. To avoid any late payment penalties you must pay 90% of your tax liability by June 15, 2016. When filing your return, mark the appropriate box on Revenue Online or paper return.

Penalties and InterestIf a return is filed on extension and at least 90% of the tax is not paid by the April 18 due date, a late payment penalty and interest accruals will be assessed by the department. However, if all the terms of filing on extension are met, and the remaining tax is paid by October 17 the additional tax payment is subject to only interest accruals.Pay ElectronicallyTaxpayers may pay online at www.Colorado.gov/RevenueOnline Online payments reduce errors and provide instant payment confirmation. Revenue Online also allows users to submit various forms and to monitor their tax account. EFT Debit and EFT Credit options are free services offered by the Department. EFT services require pre-registration before payments can be made. Visit www.Colorado.gov/revenue/eft for more information. The DR 0158-I is not required if an online payment is made. Please be advised that a nominal processing fee may apply to electronic payments.

DR 0158-I (07/29/15)

Return the DR 0158-I with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write your Social Security number and “2015 DR 0158-I” on your check or money order. Do not send cash. Enclose, but do not staple or attach, your payment with this form. File only if you are making a payment by check or money order.Your Last Name First Name Middle Initial SSN

Spouse Last Name (if joint) Spouse First Name Middle Initial Spouse SSN

Address

City

State ZIP

If No Payment Is Due, Do Not File This Form. The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

Amount of Payment

$ .00

2015 Extension Payment for Colorado Individual Income Tax(calendar year — Due April 18, 2016)

(0019)*150158-I19999* DR 0158-I (07/29/15)

COLORADO DEPARTMENT OF REVENUE Denver CO 80261-0008

Tax Payment WorksheetPhotocopy for your records before returning.

1. Income tax you expect to owe 12. Tax payments and credits:

a. Colorado income tax withheld 2a

b. Colorado estimated income tax payments 2b

c. Other payments and credits 2c

Total tax payments and credits–Add lines 2a through 2c 2

3. Tax due–Subtract line 2 from line 1. Enter the result here and on the form below 3

[ 54 ]

Page 30

Disclosure of Colorado Expenditures and RevenuesExpenditures by Function

Justice

Transportation

Social Assistance

Other7.9%

Education40.1%

6.6%

5.4%

Business, Community & Consumer Affairs

6.0%

34.1%

Revenues by Source

Interest & Rents

Federal Grants & Contracts

Other3.3%

Taxes40.9%

1.4%Charges for

Goods & Services18.5%

32.6%

License, Permits & Fines

3.3%

Disclosure of Average Taxes PaidFiscal Year 2013 Adjusted Family Money Income

Less than

$10,000

$10,000 to

$15,000

$15,000 to

$20,000

$20,000 to

$30,000

$30,000 to

$40,000

$40,000 to

$50,000

$50,000 to

$70,000

$70,000 to

$80,000

$80,000 to

$100,000

$100,000 and over Average

State Taxes: ________________________________________________________________________________________________________________Individual Income $62 $107 $226 $417 $752 $1,072 $1,569 $2,012 $2,623 $7,203 $2,306Sales 145 211 241 300 337 387 516 617 692 1,174 551Gasoline and Special Fuels 60 86 116 132 159 179 209 229 253 311 192Licenses and Registrations 59 65 96 104 129 139 170 182 218 299 166Alcoholic Beverages 8 4 9 9 14 12 15 26 22 37 18Cigarettes and Tobacco 60 64 60 65 73 74 78 78 73 59 68Total State Taxes $394 $537 $747 $1,025 $1,464 $1,864 $2,558 $3,142 $3,882 $9,083 $3,301Local Taxes:Residential Property $279 $363 $657 $785 $900 $997 $1,525 $1,653 $1,742 $2,922 $1,412Sales and Use 226 329 375 467 525 603 804 961 1,079 1,828 858Specific Ownership 33 83 96 90 118 159 140 235 168 248 148Occupation 2 5 7 10 15 20 26 31 39 59 26Total Local Taxes $539 $780 $1,135 $1,352 $1,559 $1,779 $2,495 $2,880 $3,027 $5,057 $2,445Federal Taxes:Individual Income $507 $681 $950 $1,408 $2,339 $3,335 $5,189 $6,941 $9,080 $36,011 $10,327Medicare ** 104 265 397 583 867 1,108 1,469 1,776 2,219 4,731 1,779Social Security ** 406 1,036 1,554 2,281 3,394 4,338 5,750 6,952 8,685 13,083 5,792Total Federal Taxes $1,017 $1,982 $2,900 $4,271 $6,600 $8,781 $12,409 $15,669 $19,984 $53,824 $17,898Total Taxes PaidHouseholds & Employers ** $1,951 $3,299 $4,783 $6,648 $9,623 $12,425 $17,461 $21,691 $26,893 $67,964 $23,644Less Taxes Paid by Employer 255 650 975 1,432 2,130 2,723 3,610 4,364 5,452 8,907 3,786Households Only $1,696 $2,649 $3,807 $5,217 $7,492 $9,702 $13,852 $17,327 $21,441 $59,057 $19,858** Employers and households both pay taxes to Medicare and Social Security on employees’ behalf.

Note: MTS, LID, and LMD checks are cut directly to cities or counties.

[ 55 ]

Page 31

GO GREEN! GO ONLINE!

More services and information available. GO ONLINE TODAY!

Forms, Information and e-Services Find Information Review tax publications Learn how to file and pay Download forms View Education and Legal Research resources

www.Colorado.gov/RevenueOnlineManage your Account

File a return

Make a payment

View letters and bills

Send a Secure Message to the department

[ 56 ]

COLORADO DEPARTMENT OF REVENUE Denver CO 80261-0005www.TaxColorado.com

PRSRT STDU.S. POSTAGE

PAIDDENVER CO

PERMIT NO. 212

Check Off ColoradoA simple way to give.See lines 50-64 to contribute to any of these charitable funds. www.CheckoffColorado.com Nongame and Endangered Wildlife Cash FundNongame wildlife includes 750 species of wildlife that cannot be hunted, fished for or trapped. Funds go to projects that manage or recover wildlife such as lynx, river otter, black-footed ferret, green back cutthroat, and others. The nongame program receives no state tax dollars and depends on voluntary contributions.

Domestic Abuse Program FundDonations to this fund help support critical services provided by community-based domestic abuse programs across Colorado. These agencies provide 24-hour crisis line response, emergency safe shelter, counseling and advocacy services for victims of domestic violence and their children and information and referrals for their communities, and community education.

Homeless Preventive Activities Program FundApproximately 52,000 people in Colorado are at risk of becoming homeless this year. Keeping people in their homes saves tax dollars and is an effective and humane way of helping families in crisis. Your contribution will be used to support activities and programs which help prevent people from becoming homeless.

Western Slope Military Veterans Cemetery FundFunds assist in the maintenance of the Veterans Memorial cemetery of Western Colorado. The veterans cemetery is intended as a dignified final resting place for Colorado’s veterans and eligible dependents. It is a place of quiet contemplation for the veterans community. Please help maintain this solemn beauty for Colorado veterans.

Pet Overpopulation FundThe Pet Overpopulation Fund provides funding to local animal care and control organizations and veterinarians for sterilization surgeries for pets owned by Coloradans in areas of the state with the greatest need. The Fund also supports efforts to educate the public about the importance of preventing pet overpopulation.

Military Family Relief FundProvides emergency grants for financial hardships to members of Colorado National Guard or Reservist and their families when ordered to Active Military duty and to Active Duty Military Personnel stationed in Colorado and their family members when the Active Duty military member is deployed to a declared hostile fire zone.

Public Education FundThis fund supports the Colorado Preschool Program which provides high-quality preschool for children impacted by factors such as poverty, homelessness, abuse or neglect. Children are supported by qualified early childhood professionals in safe and nurturing learning environments. Children overcome substantial gaps and make significant gains that persist throughout their schooling.

Roundup River Ranch FundPart of Paul Newman’s SeriousFun Children’s Network, Roundup River Ranch enriches the lives of children with serious illnesses and their families by offering free, medically-supported camp programs that provide unforgettable opportunities to discover joy, friendships, and confidence. Your support ensures the healing power of camp is always free of charge.

9Health Fair FundThis fund provides free blood screenings and exams to thousands of underserved Coloradoans each year. Donations to this fund help offset lab and supply costs at 140 locations across the state. 9Health Fair is an independent nonprofit separate from 9News, our media partner, serving over 75,000 annually. Improving Colorado’s health since 1979.American Red Cross Colorado Disaster Response, Readiness, and Preparedness FundThe American Red Cross prevents and alleviates human suffering in the face of emergencies. In Colorado, the Red Cross teaches tens of thousands of people lifesaving skills every year, provides critical services for members of the military and their families and responds to, on average, a disaster a day.Colorado for Healthy Landscapes FundThe health and beauty of our landscapes defines our lifestyles as Coloradans. The Healthy Landscapes Initiative promotes sustainable management and healthy relationships with our lakes, rivers, peaks and high deserts. Stewardship efforts support education, wildlife habitats, agricultural diversity, research and invasive species management. Your contributions are the seeds for sustainability.Habitat for Humanity of Colorado FundSeeking to put God’s love into action, Habitat for Humanity brings people together to build homes, communities and hope. Through volunteer labor and donations, Habitat for Humanity builds and rehabilitates simple, decent homes in partnership with hardworking low-income individuals and families in 45 Colorado communities. Special Olympics of Colorado FundSpecial Olympics Colorado provides year-round athletic competition in 22 sports for over 19,000+ athletes with intellectual disabilities from 2 to 80+ years old. We create inclusive and welcoming schools for children with all differences through unified sports and youth leadership. Programs are free of charge to athletes and their families.

Colorado Youth Corps Association FundThis fund helps employ youth, young adults, and military veterans on critical projects in Colorado such as flood recovery, fire mitigation and suppression, removing invasive species, and building trails for hikers, bikers, and equestrian users—all while earning education scholarships. Please help CYCA change lives and landscapes for the better!

[ 57 ]

Full-Year, Part-Year and Nonresident Individuals Form 104

Colorado Income Tax Filing GuideRevenue Online offers a convenient and secure method to e-file your return and access your Colorado Department of Revenue tax information. Using

Revenue Online you will be able to:

• File or amend your return. • View copies of your returns.

• Catch mistakes on your return before you file. • Set up a payment plan.

• Upload attachments that go with your return. • Pay your tax bill (e-check, credit card or EFT).

• Check the status of your refund. • File a protest.

2016

2016

(11/28/16)

Booklet Includes:Instructions

Form 104Related Forms

Official State of Colorado Publication


WithA

Payment

WithoutA

Payment

COLORADO DEPARTMENT OF REVENUEDenver, CO 80261-0006


If you are filing this return:

Mail To:

Mail To:

Colorado Individual Income Tax Filing Guide - Book 104 - (2016)

[ 58 ]

Page 2

Disclosure of Colorado Expenditures and Revenues

Expenditures by Function

Other7.8%

Education39.9%

Justice6.0%

Transportation5.1%

Business, Community & Consumer Affairs

5.8%

Social Assistance35.4%

Revenues by Source

Other3.5%

Taxes38.5%

Interest & Rents1.2%

Charges for Goods & Services

19.7%

Federal Grants & Contracts

34.0%

License, Permits & Fines

3.2%

Disclosure of Average Taxes PaidFiscal Year 2014 Adjusted Family Money Income

Less than

$10,000

$10,000 to

$14,999

$15,000 to

$19,999

$20,000 to

$29,999

$30,000 to

$39,999

$40,000 to

$49,999

$50,000 to

$69,999

$70,000 to

$79,999

$80,000 to

$99,999

$100,000 and over Average

State Taxes: ________________________________________________________________________________________________________________Individual Income $60 $90 $208 $381 $673 $1,001 $1,402 $1,888 $2,460 $6,175 $2,148 Sales 197 235 274 359 409 459 571 660 730 1,171 611 Gasoline and Special Fuels 67 90 108 129 159 181 209 221 240 298 191 Licenses and Registrations 48 70 85 106 115 151 188 176 198 283 165 Alcoholic Beverages 4 4 5 8 8 10 11 10 15 24 12 Cigarettes and Tobacco 61 55 49 55 71 68 64 76 78 56 62 Total State Taxes $437 $544 $728 $1,038 $1,435 $1,870 $2,445 $3,030 $3,723 $8,006 $3,190 Local Taxes:Residential Property $304 $394 $691 $863 $965 $1,073 $1,433 $1,515 $1,636 $2,624 $1,389 Sales and Use 300 358 418 548 625 701 871 1,007 1,115 1,787 933 Specific Ownership 59 93 94 120 134 108 190 177 161 244 157 Occupation 2 5 7 10 14 18 23 29 36 59 26 Total Local Taxes $665 $850 $1,210 $1,540 $1,738 $1,900 $2,518 $2,728 $2,948 $4,714 $2,505 Federal Taxes:Individual Income $505 $591 $917 $1,305 $2,102 $3,084 $4,501 $6,416 $8,501 $31,686 $9,797 Medicare ** 103 270 392 564 815 1,065 1,349 1,694 2,098 4,600 1,798 Social Security ** 401 1,053 1,531 2,201 3,180 4,158 5,265 6,610 8,186 13,261 5,917 Total Federal Taxes $1,009 $1,914 $2,840 $4,071 $6,096 $8,308 $11,115 $14,720 $18,786 $49,547 $17,513 Total Taxes PaidHouseholds & Employers ** $2,111 $3,307 $4,778 $6,648 $9,270 $12,079 $16,078 $20,479 $25,456 $62,267 $23,207 Less Taxes Paid by Employer 252 662 961 1,383 1,997 2,612 3,307 4,152 5,142 8,931 3,858 Households Only $1,859 $2,646 $3,817 $5,266 $7,273 $9,467 $12,771 $16,327 $20,314 $53,337 $19,349

** Employers and households both pay taxes to Medicare and Social Security on employees’ behalf.

Note: MTS, LID, and LMD checks are cut directly to cities or counties.

** Due to rounding, the values in each chart may not sum to 100%

Disclosure of Average Taxes Paid ............................. 2Colorado Form 104 for All Resident Types ................ 3Using this Guide/Filing Information............................ 6DR 104CH–Voluntary Contributions Schedule .........11Taxpayer Service and Assistance ............................ 13Individual Payment Voucher .................................... 14

DR 104AD–Subtractions from Income Schedule .... 15Extension Information and Form ............................. 17Form 104PN: Part–Year Resident/Nonresident Tax Calculation Schedule ........................................ 19Tax Table ................................................................. 29Checkoff Colorado Information ................................ 31

Table of Contents

[ 59 ]

*160104==19999*FORM 104 (08/26/16) COLORADO DEPARTMENT OF REVENUE www.TaxColorado.com

Full-Year Part-Year or Nonresident (or resident, part-year, non-resident combination)

Mark if Abroad on due date – see instructions

Your Last Name Your First Name Middle Initial

Date of Birth (MM/DD/YYYY) SSN

DeceasedEnter the following information from your current driver license or state identification card.


If Joint, Spouse’s Last Name Spouse’s First Name Middle Initial

Date of Birth (MM/DD/YYYY) Spouse’s SSN

Deceased Enter the following information from your spouse’s current driver license or state identification card.


Mailing Address Phone Number

( )City State Zip Code Foreign Country (if applicable)

Round To The Next Dollar1. Enter Federal Taxable Income from your federal income tax form: 1040EZ

line 6, 1040A line 27, 1040 line 43 1 0 0Staple W-2s and 1099s with CO withholding here.

Additions to Federal Taxable Income2. State Addback, enter the state income tax deduction from your federal form

1040 schedule A, line 5 (see instructions) 2 0 0

3. Other Additions, explain (see instructions) 3 0 0Explain:


5. Subtractions from DR 0104AD Schedule, line 16 5 0 0

6. Colorado Taxable Income, line 4 minus line 5 6 0 0


2016(0013)

Colorado Individual Income Tax Form 104

[ 60 ]

Tax, Prepayments and Credits: full-year residents go to Form 104CR and part-year and nonresidents go to Form 104PN

7. Colorado Tax from tax table or Form 104PN line 36 7 0 0

8. Alternative Minimum Tax from Form 104AMT 8 0 0

9. Recapture of prior year credits 9 0 0

10. Subtotal, add lines 7 through 9 10 0 011. Nonrefundable Credits from Form 104CR line 39, cannot exceed the sum of

lines 7 and 8 11 0 012. Total Nonrefundable Enterprise Zone credits used – as calculated,

or from DR 1366 line 87 12 0 0

13. Net Income Tax, add lines 11 and 12. Then subtract that sum from line 10. 13 0 0

14. Use Tax reported on DR 0104US schedule line 7 14 0 0

15. Net Colorado Tax, add lines 13 and 14 15 0 0

16. CO Income Tax Withheld from W-2s and 1099s 16 0 0

17. Prior-year Estimated Tax Carryforward 17 0 018. Estimated Tax Payments, enter the sum of the quarterly payments

remitted for this tax year 18 0 0

19. Extension Payment remitted with form 158-I 19 0 0

20. Other Prepayments: 104BEP DR 0108 DR 1079 200 0

21. Gross Conservation Easement Credit from DR 1305G line 33 21 0 0


23. Refundable Credits from Form 104CR line 8 23 0 0

24. Subtotal, add lines 16 through 23 24 0 025. Federal Adjusted Gross Income from your federal income tax form:

1040EZ line 4; 1040A line 21; 1040 line 37 25 0 0

26. Overpayment, if line 24 is greater than 15 then subtract line 15 from line 24 26 0 0

27. Estimated Tax Credit Carry Forward to 2017 first quarter, if any 27 0 0

28. Voluntary Contributions elected on DR 0104CH schedule line 21 28 0 0

29. Subtotal, add lines 27 and 28 29 0 0

30. Refund, subtract line 29 from line 26 (see instructions) 30 0 0

Name SSN

FORM 104 (08/26/16) COLORADO DEPARTMENT OF REVENUE www.TaxColorado.com*160104==29999*

[ 61 ]

DirectDeposit

Routing Number Type: Checking Savings CollegeInvest 529

Account Number

For questions regarding CollegeInvest direct deposit or to open an account call 800-448-2424 or visit CollegeInvest.org

31. Net Tax Due, subtract line 24 from line 15, then add line 28 31 0 0

32. Delinquent Payment Penalty (see instructions) 32 0 0

33. Delinquent Payment Interest (see instructions) 33 0 0

34. Estimated Tax Penalty (see instructions) 34 0 0

35. Amount You Owe, add lines 31 through 34 35 0 0The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

Third Party DesigneeDo you want to allow another person to discuss this return and any other information related to this return with the Colorado Department of Revenue?

No Yes. Complete the following:

Designee’s Name Phone Number

Sign Below Under penalties of perjury, I declare that to the best of my knowledge and belief, this return is true, correct and complete.Your Signature Date (MM/DD/YY)

Spouse Signature. If joint return, BOTH must sign. Date (MM/DD/YY)

Paid Preparer’s Name Paid Preparer’s Phone

( )Paid Preparer’s Address City State Zip

FORM 104 (08/26/16) COLORADO DEPARTMENT OF REVENUE www.TaxColorado.com*160104==39999*

Name SSN

If you are filing this return with a check or payment, please mail the return to:COLORADO DEPARTMENT OF REVENUEDenver, CO 80261-0006

If you are filing this return without a check or payment, please mail the return to:COLORADO DEPARTMENT OF REVENUEDenver, CO 80261-0005

New For This Year:

[ 62 ]

Page 6

How To Use This Filing GuideThis filing guide will assist you with completing your Colorado Income Tax Return. Once you finish the form, file it with a computer, smartphone or tablet using our free and secure Revenue Online service at www.Colorado.gov/RevenueOnline or you may file using private e-file software or with a tax preparer. By filing your return electronically, you significantly reduce the chance of errors. If you cannot file electronically for any reason, mail the enclosed forms as instructed. Please read through this guide before starting your return.The following symbols appear throughout this guide and point out important information, reminders and changes to tax rules.

This points out a topic that is the source of common filing errors. Filing your return on Revenue Online will reduce the risk of errors; however, it is important to understand the information on your return. Errors cause processing delays and erroneous bills.

Several subtractions and tax credits require you to provide supporting documentation. This symbol points out those requirements. If the additional documentation is not provided, it will cause processing delays or denial of the credits/subtractions. These documents can be scanned and attached to your Revenue Online or other electronic filing, mailed with the form DR 1778 or attached to your paper return.

In-depth tax information is available in our easy to understand FYI Publications, which include examples and worksheets. This symbol lets you know when such a publication is available for a subject. All FYI publications are available in the Education and Legal Research section at www.TaxColorado.com.

Filing InformationWho Must File This Tax ReturnEach year you must evaluate if you should file a Colorado income tax return. Generally, you must file this return if you were:

• A full-year resident of Colorado, or• A part-year Colorado resident who received

taxable income while residing here, or• Not a resident of Colorado, but received income

from sources within Colorado, and

• Are required to file a federal income tax return with the IRS for this year, and

• Will have a Colorado income tax liability for this year. Colorado residents must file this return if they file

an income tax return with the IRS, even if they do not have a Colorado tax liability. Otherwise, the Department may file a return on your behalf and our return might not consider your unique tax situation. Also, the only way to determine if you are entitled to a refund is to file a return.

Due DateForm 104 and any tax payment owed are due April 18, 2017. Revenue Online will accept returns as timely filed until midnight. Returns that are mailed must be postmarked by April 18th. An automatic extension to file is granted until October 16th, but there is no extension to pay. See page 17 for more information.Deceased PersonsLegal representatives and surviving spouses may file a return on behalf of a deceased person. Surviving spouses may complete the return as usual and indicate the deceased status on the return. They can file the return and submit a copy of the death certificate through Revenue Online. Legal representatives may file the return and submit a copy of the death certificate through Revenue Online, but they must complete the Third Party Designee portion of the return. Either a surviving spouse or legal representative can avoid problems when filing on paper by marking the box next to the name of the deceased person, writing “DECEASED” in large letters in the white space above the tax year of the return, writing “FILING AS SURVIVING SPOUSE” or “FILING AS LEGAL REPRE-SENTATIVE” after their signature, and attaching the form DR 0102 and a copy of the death certificate to the return.

To claim a refund on behalf of a deceased person, complete form DR 0102 and submit it, as well as a copy of the death certificate, when filing the return.

Filing Status You must file using the same filing status on both

your federal and Colorado income tax returns. Parties to a Civil Union should refer to federal tax law to determine the correct filing status. For Married Filing Joint, you must list the taxpayer names in the same order on both the federal and Colorado returns. For married filing separate, do not list your spouse’s name or SSN on the return.

Claiming Credits from a Pass-through Entity Individuals claiming tax credits that are issued by

a partnership should obtain from the partnership a federal K-1 schedule for each credit. The federal K-1 is created and issued by the partnership. If a K-1 is unavailable, attach a statement to the individual return with the name of any pass-through entity. The Colorado Department of Revenue verifies the claim by reviewing the partnership’s return. The K-1s or statements may be submitted through Revenue Online, through tax software or may be attached to a paper return.

Line–by–Line Instructions for the Colorado Form 104First, complete the federal income tax return you will file with the IRS because you will use information from that return on your Colorado income tax return. Colorado income tax is based on your federal taxable income, which has already considered your exemptions and deductions.

[ 63 ]

Page 7

Residency StatusMark the appropriate box to designate your residency status. If Married Filing Joint, and one person is a full-year Colorado resident and the other is either a part-year resident or a nonresident, mark the Part-Year Resident/Nonresident box.

Part-Year Colorado Residents and Nonresidents

Tax is prorated so that it is calculated only on income received in Colorado or from sources within Colorado. We recommend you review publication FYI Income 6 if this applies to you. You will calculate your prorated tax by completing Form 104PN.

Persons Traveling or Residing AbroadIf you are traveling or residing outside the United States on April 18th, the deadline for filing your return is June 15, 2017. If you need additional time to file your return, you will automatically have until October 16, 2017 to file. Interest is due on any payment received after April 18, 2017. To avoid any late payment penalties, you must pay 90% of your tax liability by June 15, 2017. When filing your return, mark the “Abroad on Due Date” box on Revenue Online or the paper return.

Active Duty MilitaryResidency is determined by your Home of Record, which means you remain a resident of the state where you enlisted unless you have officially changed your Home of Record with your branch of the military. Your Home of Record can be found on your military Form DD214 or Leave and Earnings Statement. We recommend you read publication FYI Income 21 if this applies to you. Those with a Colorado Home of Record should file this return, even if stationed elsewhere. Those serving abroad or outside the USA at least 305 days of the year may file as a nonresident. You must mark the nonresident status-305 day exception box on Form 104PN.Those with a Home of Record from any other state, but who are stationed in Colorado, are not required to pay Colorado tax on their military income. However, any nonmilitary income received while stationed in Colorado is taxable here (for example: part-time work, rent payments received, etc.).

Those who were married to a serviceperson at the time of enlistment can also maintain their spouse’s Home of Record for tax purposes, if holding their own job in Colorado. You must complete the form DR 1059 and submit it to your employer when you are hired. Submit a copy of the form DR 1059 and your military ID card on Revenue Online, with the form DR 1778, or, if filing on paper, attached to your return. You must complete a new form DR 1059 each calendar year.

Name and Address Provide your name, mailing address, date of birth, Social Security number, as well as the State of Issue, last four digits, and the Date of Issuance of your state issued ID card in the provided spaces. If filing Married Filing Joint, provide the spouse’s information where prompted. Provide the spouse’s information ONLY if filing a joint return. Otherwise

leave blank. All Departmental correspondence will be mailed to the mailing address provided. We recommend you read publication FYI General 2 for the Privacy Act Notice.

Line 1 Federal Taxable IncomeRefer to your federal income tax return to complete this line:

• Form 1040EZ line 6• Form 1040A line 27• Form 1040 line 43

If your federal taxable income is a negative amount, be sure to enter the amount as such on your Colorado return. If submitting a paper return, put the negative amount in parentheses, for example ($1,234).

DO NOT enter your total income or wages on this line—doing so will make your tax too high. The Department will compare the amount you list here to the return you file with the IRS, so be very careful to complete this correctly.

AdditionsLine 2 State AddbackRefer to your federal income tax return to complete this line.

Enter $0 if you filed Form 1040EZ, Form 1040A, or Form 1040 but DID NOT itemize your deductions on Schedule A.If you filed Form 1040 and itemized your deductions on Schedule A, you are allowed $0 for the General Sales Tax Deduction and will complete the worksheet below to calculate the Income Tax Deduction.

We recommend that you read publication FYI Income 4 for special instructions before completing the worksheet below.

Complete the following worksheet to determine your state income tax deduction addback.a) State income tax deduction from

federal Form 1040 Schedule A line 5 $b) Total itemized deductions from federal

Form 1040 Schedule A line 29 $c) The amount of federal standard

deduction you could have claimed (See instructions federal Form 1040 line 40 for 2016 federal standard deductions.) $

d) Line (b) minus line (c), but not less than $0 $

Transfer to line 2 the smaller amount from line (a) or (d) of the worksheet above.

Line 3 Other AdditionsEnter the sum of the following:

• Bond interest—the amount of any interest earned from bonds issued by any state or political subdivision, excluding any bonds issued by the State of Colorado or its political subdivisions on or after May 1, 1980. Calculate the appropriate amount by subtracting the amortization of bond premiums and expenses (required to be allocated to interest income by Internal Revenue Code) from the gross amount of state and

[ 64 ]

Page 8local bond interest. We recommend that you read publication FYI Income 52 if this applies to you.

• Lump-Sum distribution—the amount of any lump-sum distribution from a pension or profit-sharing plan that was reported on IRS Form 4972, excluding any estate tax paid.

Distributions included here are subject to 10-year averaging on the federal return. If your lump-sum distributions are not subject to 10-year averaging and were included in your federal taxable income (line 1), DO NOT report them on line 3. The amount included here might be eligible for the pension subtraction on form DR 0104AD Subtractions from Income Schedule lines 3 or 4.

• Dependent child income—the amount from IRS Form 8814 line 14 or $1000, whichever is smaller. Include this income only if you elected to report your child’s income on your federal income tax return.

• Charitable gross conservation easement—the amount of your federal charitable deduction for a conservation easement that is also claimed for a Colorado tax credit. Complete form DR 1305 Part D.

• Alien labor—the amount of expenses for unauthorized alien labor services. We recommend that you read publication FYI Income 64 if this applies to you. • Partnership/Fiduciary—the amount of any

fiduciary adjustment or partnership modification that increases your federal taxable income.

Line 4 SubtotalEnter the sum of lines 1 through 3.

Line 5 Subtractions from form DR 0104AD Schedule, line 16Transfer the amount from form DR 0104AD line 16 to report any subtractions from your Federal Taxable Income. These subtractions will change your Colorado Taxable Income from the amount of Federal Taxable Income. See instructions in the income tax booklet for additional guidance on completing this schedule. Do not enter negative amounts.

Line 6 Colorado Taxable IncomeSubtract line 5 from line 4. This is your Colorado taxable income and is the figure used to determine how much Colorado tax is owed, if any.

Part-Year Residents or Nonresidents Go To Form 104PN. Full-Year Residents Continue To Line 7Line 7 Colorado TaxThe income tax rate is currently 4.63%, which is a reduction from the 1999 rate of 4.75% and the 1998 (and prior) rate of 5%. Full-year residents should refer to the tax table in this booklet. Determine the tax by the amount listed on line 6. Part-year residents and nonresidents should transfer the apportioned tax amount from Form 104PN line 36.

Line 8 Alternative Minimum TaxEnter the amount of any alternative minimum tax. Generally, if you pay alternative minimum tax on your federal income tax return, you will pay the same for your Colorado return. We recommend that you read publication FYI Income 14 if this applies to you.

Line 9 Recapture of Prior Year CreditsEnter any Historic Property Preservation Credit or any other credit claimed in prior years that is subject to recapture under Colorado law.

Line 10 SubtotalAdd lines 7 through 9.

Tax CreditsLine 11 Nonrefundable CreditsComplete Form 104CR line 39 to claim various nonrefund-able credits. Transfer the amount from Form 104CR line 39 to this line. To ensure faster processing of your paper return, the amount entered on line 11 must exactly match the amount on the Form 104CR.

Scan and submit any required documentation through Revenue Online E-Filer Attachment, attach to your electronic return or mail paper documentation with the form DR 1778 E-Filer Attachment.

Line 12 Nonrefundable Enterprise Zone CreditsUse your tax software, Revenue Online or form DR 1366 to calculate the total amount of Nonrefundable Enterprise Zone Credits being used to offset the current year tax liability. The total Nonrefundable Enterprise Zone Credit used combined with nonrefundable credits from the Form 104CR cannot exceed the sum of lines 7 and 8.

Line 13 Net Income TaxAdd lines 11 and 12. Subtract this sum from line 10.

Line 14 Use TaxEnter the amount from form DR 0104US schedule line 7. If you did not have any purchases from out-of-state or online vendors that did not include state sales tax, then enter $0 on this line.

Line 15 Net Colorado TaxEnter the sum of lines 13 and 14.

Line 16 Colorado Income Tax WithheldEnter the sum of all Colorado income tax withheld as reported on W-2, W-2G or various 1099 statements.

Staple your Colorado withholding forms where indicated or, if filing electronically, scan and submit them through Revenue Online E-Filer Attachments.

Failure to submit your withholding forms will result in the credit being denied. Do NOT include withholding for federal income tax, income tax from another state, or income tax from local governments. Be certain to exclude amounts withheld from Colorado real estate sales by nonresidents, nonresident beneficiary withholding, or Colorado partnership or S Corporation income withholding for nonresidents as these specified amounts should be listed on line 20.

[ 65 ]

Page 9

Line 17 Prior-year Estimate Tax CarryforwardEnter the amount, if any, from your 2015 Colorado Form 104 line 49.

Line 18 Quarterly Estimated PaymentsCarefully review your payment before completing this line. Use Revenue Online (www.Colorado.gov/RevenueOnline) to verify estimated taxes paid on your account. Doing so will reduce processing delays, which will be important if you are expecting a refund. Most taxpayers who have made quarterly estimated payments used the form DR 0104EP to remit these payments. Refer to FYI Income 51 for more information about Estimated Payments.

Line 19 Extension PaymentEnter the amount, if any, you remitted with the form DR 0158-I to ensure 90% of your tax was paid by the filing due date.

Line 20 Other PrepaymentsEnter the sum of payments remitted on your behalf because you are a nonresident who received Colorado income from:

• a real estate transaction – remitted using form DR 1079, and/or

• partnership or shareholder agreement – remitted using form DR 0108, and/or

• an estate as a beneficiary – remitted using Form 104BEP.

Be sure to mark corresponding box(es) as appropriate.

Line 21 Gross Conservation Easement CreditComplete all applicable parts of form DR 1305. Enter the amount from form DR 1305G line 33.

Line 22 Innovative Motor Vehicle CreditComplete the form DR 0617 schedule. Then enter the amount from form DR 0617 line 25. Attach the form DR 0617 to any income tax return claiming this credit. The Department checks a county motor vehicle database to verify ownership of these vehicles. If the registration is not in the taxpayer’s name in this database, a tax examiner will ask for copy of the purchase invoice and proof of Colorado registration. For information about this credit, see publication FYI Income 67.

Submit copies of the bill of sale, purchase invoice, lease agreement, or conversion receipts; AND proof of Colorado registration for each vehicle for which you are claiming a credit. Additionally, a vehicle history report (such as one available from CarFax) is required if a credit is claimed for the purchase of a used vehicle.

Line 23 Refundable CreditsComplete Form 104CR to claim various refundable credits. Transfer the amount from Form 104CR line 8 to this line.

See the Form 104CR for the required documentation for the credit claimed. Submit using Revenue Online, attach to an electronically filed return as a PDF or attach to your paper return.


Line 25 Federal Adjusted Gross IncomeRefer to your 2016 federal income tax return to complete this line:

• Form 1040EZ line 4• Form 1040A line 21• Form 1040 line 37

If your federal adjusted gross income is a negative amount, be sure to enter the amount as such on your Colorado return. If submitting a paper return, put the negative amount in parentheses, for example ($1,234).Compare lines 15 and 24. If line 15 is greater, skip to line 31. If line 24 is greater, continue to line 26.Line 26 OverpaymentSubtract line 15 from line 24.

Line 27 Estimated Tax CarryforwardEnter the amount, if any, you would like to be available for 2017 estimated tax.

Line 28 Voluntary ContributionsIf you would like to donate money to one of the organizations available as part of Checkoff Colorado first complete form DR 0104CH. Then enter the amount from form DR 0104CH line 21. See the last two pages of this booklet or go to www.CheckoffColorado.com to learn more about these approved organizations.

Line 29 SubtotalEnter the sum of lines 27 and 28.

Line 30 RefundSubtract line 29 from line 26. This is the amount of your refund. You have the option of authorizing a transaction by the Department to directly deposit these funds to your bank or CollegeInvest account. Otherwise, a refund check will be mailed to the address you have designated on this return.

• Direct Deposit—Enter the routing and account numbers and account type. The routing number is 9 digits. Account numbers can be up to 17 characters (numbers and/or letters). Include hyphens, but do NOT enter spaces or special symbols. We recommend that you contact your financial institution to ensure you are using the correct information and that they will honor a direct deposit. See the sample check below to assist you in finding the account and routing numbers.

Did you know you can now direct deposit your tax refund into a new or existing CollegeInvest account? Please contact 1-800-448-2424 or visit www.CollegeInvest.org for more information.

[ 66 ]

Page 10• Intercepted Refunds—The Department will

intercept your refund if you owe back taxes or if you owe a balance to another Colorado government agency or the IRS. If you are filing a joint return and only one party is responsible for the unpaid debt, you may file a written claim to: Injured Spouse Desk, 1375 Sherman Street, Room 240, Denver CO 80261. Claims must include a copy of your federal income tax return, federal form 8379 and copies of all W-2, W-2G, or any 1099 statements received by both parties. DO NOT attach your claim to this return. It will not be processed.

Line 31 Net Tax DueSubtract line 24 from line 15. Also, if you made any donations to charitable organizations using the form DR 0104CH, add line 28 to the subtotal. This is the amount you owe with this return. If you are filing after the due date (or valid extension) or you owe estimated tax penalty, continue to the next line. If you are filing timely and do not owe penalty or interest, go to line 35.

Line 32 Delinquent Payment PenaltyCalculate any penalty owed for delinquent filing or payment. The penalty is 5% of the net tax due for the first month after the due date and increased by 0.5% for each additional month past the due date. The maximum penalty is 12%. Or, if you prefer not to calculate this penalty, the Department will bill you.

Line 33 Delinquent Payment InterestCalculate any interest owed for delinquent filing or payment. The interest rate is 4% of the net tax due. Or, if you prefer not to calculate this interest, the Department will bill you. Interest on any bill issued that remains unpaid after 30 days of issuance will increase to 7%.

Line 34 Estimated Tax PenaltyTo calculate this penalty, complete the form DR 0204. Enter any estimated tax penalty owed on this line.

Scan and submit the form DR 0204 through Revenue Online E-Filer Attachments or attach the form to your paper form.

Line 35 Amount You OweEnter the sum of lines 31 through 34. You have three payment options.

• Pay Online—After submitting your return on Revenue Online, you will be given the opportunity to submit an online payment with your credit card, e-check or by Electronic Funds Transfer (EFT). A nominal processing fee may apply. If you file a paper return, you may still choose to pay electronically. Visit www.Colorado.gov/RevenueOnline for details.

• Pay by Mail—If filing by Revenue Online or other electronic filing method and you wish to send a check or money order, complete the form DR 0900 and mail with your payment. Make payable to “Colorado Department of Revenue” and clearly

write your Social Security number and “2016 Form 104” on the memo line. Be sure to keep a copy of the money order or note the check number with your tax records.

• Payment Plan—The Department will issue a bill for any unpaid balance due. When you receive the bill, you may set up a payment plan as instructed on the bill. Any assessment made by the Department will likely include delinquent payment penalty and interest. The only way to avoid paying penalty and interest is to pay in full by the filing due date.

Third Party DesigneeYou may authorize a person other than you (or your spouse) to discuss this tax return with the Department. This authorization is valid for any period of time and can be revoked by you with a written statement to the Department. Revocations must designate that the Third Party Designee is being revoked and must be signed and dated by the taxpayer and/or designee. By completing this area of the return, you are granting the designee the ability to:

• Provide any missing information needed for the processing of your return, and

• Call the Department for information about your return, including the status of your refund or processing time, and

• Receive upon request copies of notices, bills or transcripts related to your return, and

• Respond on your behalf to notices about math errors, intercepts and questions about the preparation of your return.

This designation does not allow the third party to receive your refund check, bind you to anything (including any additional tax liability), or otherwise represent you before the Colorado Department of Revenue. If you would like to expand the designee’s authorization, complete the form DR 0145 Power of Attorney for Department-Administered Tax Matters and submit via Revenue Online.

W-2s and 1099s When filing a paper return, all W-2s and 1099s that show Colorado income tax withholding must be stapled to the front of the form where indicated. When the W-2s and 1099s do not add up to the withholding claimed on the return (2016 Form 104 line 16), return processing will stop. We will ask the taxpayer to send copies of the W-2s and 1099s. When filing an electronic return, we recommend attaching scanned copies to the e-filed tax return. Taxpayers who e-file may also submit their W-2s and 1099s through Revenue Online, www.Colorado.gov/RevenueOnline.While there is no requirement to electronically attach scanned W-2s and 1099s to an e-filed return, doing so will allow the Department to continue processing the returns when questions arise during return review, or when the employers/entities have not yet sent in the W-2 and 1099 statements to the Department.


[ 67 ]

*160104CH19999*DR 0104CH (09/19/16) COLORADO DEPARTMENT OF REVENUE

Voluntary Contributions ScheduleInstructions:

Use this schedule to make voluntary contributions to selected Colorado charities. If you would like to donate money to one of the organizations available as part of

Checkoff Colorado, enter the desired amount here. See the back of the 104 booklet for more information about each of these charitable organizations.

Name SSN

1. Nongame and Endangered Wildlife Cash Fund 1 0 0

2. Colorado Domestic Abuse Program Fund 2 0 0

3. Homeless Prevention Activities Program Fund 3 0 0

4. Western Slope Military Veterans Cemetery Fund 4 0 0

5. Pet Overpopulation Fund 5 0 0

6. Military Family Relief Fund 6 0 0

7. Public Education Fund 7 0 0

8. Roundup River Ranch Fund 8 0 0

9. 9Health Fair Fund 9 0 010. American Red Cross Colorado Disaster Response, Readiness,

and Preparedness Fund 10 0 0

11. Colorado for Healthy Landscapes Fund 11 0 0

12. Habitat for Humanity of Colorado Fund 12 0 0

13. Special Olympics of Colorado Fund 13 0 0

14. Colorado Youth Corps Association Fund 14 0 0

15. Colorado Healthy Rivers Fund 15 0 0

16. Alzheimer’s Association Fund 16 0 0


[ 68 ]

Name SSN

DR 0104CH (09/19/16) COLORADO DEPARTMENT OF REVENUE*160104CH29999*

17. Colorado Cancer Fund 17 0 0

18. Make-A-Wish Foundation of Colorado Fund 18 0 0

19. Unwanted Horse Fund 19 0 0

20. Colorado Multiple Sclerosis Fund 20 0 0

21. Total of lines 1 through 20 (Transfer this amount to line 28 on the DR 0104) 21 0 0

DO NOT CUT – Return Full Page

[ 69 ]

Page 13

Taxpayer Service and AssistanceRevenue OnlineThe Department offers many services through Revenue Online. You can file or amend a return, submit required return attachments, monitor your account activity, pay taxes, check the status of a refund, file a protest and send a secure message to Department staff. Visit www.Colorado.gov/RevenueOnline to get started.

Taxation Web SiteVisit the official Colorado Department of Revenue’s Taxation Division web site, www.TaxColorado.com, for tax forms, FYI publications, education resources, legal research and more. Secure MessagingContact Department of Revenue support staff electronically through Revenue Online. This service is secure and confidential. Register at www.Colorado.gov/RevenueOnline to get started.

Call CenterRepresentatives are available Monday through Friday, 8 a.m. to 4:30 p.m. 303-238-SERV (7378) TTY/TDD 800-659-2656

Walk-in AssistanceForms and information are available Monday through Friday, 8 a.m. to 4:30 p.m.Denver—1375 Sherman StreetColorado Springs—2447 North Union BoulevardFort Collins—3030 South College AvenueGrand Junction—222 South 6th Street, 208Pueblo—827 West 4th Street, Suite A

Common IssuesDid Not Receive W-2 Statement from Your Employer

• Contact your employer to request a copy, or• Your final paycheck stub should list the year-to-

date (YTD) Colorado wages and withholding. Use this amount to complete a Substitute W-2, form DR 0084 and attach it to your return, or

• If neither of these options works, contact the IRS or the Department of Revenue, who might have your W-2 information available.

Records RetentionKeep all documentation you used to prepare your return at least 4 years after the due date, which is the statute of limitations for the Department to make changes to your return. However, if the Department does not receive your return, they may file one on your behalf using the best information available. There is no statute of limitations if a return is not filed.

Correcting Errors or Changing a ReturnIndividual income tax returns from 2009 and forward may be amended electronically through Revenue Online. Filing and amending returns in Revenue Online is a free service. You may amend online even if the original return was filed on paper. Revenue Online has all the information from your original return. You will not need to re-enter everything. If you cannot amend online, you may file the Form 104X. Make sure you use the appropriate form version for the year you are amending. If you are changing your Colorado return because the IRS made changes to your federal return, you must file Form 104X within 30 days of being notified by the IRS. You must amend your Colorado return in this case, even if there is no net change to your tax liability. It is very important that you submit all schedules and supporting documentation for any changes with your amended return. YOU MUST SUBMIT ALL SCHEDULES, EVEN IF YOU ARE NOT CHANGING THOSE VALUES.

Estimated Tax RequirementsIf you expect next year’s Colorado tax liability to be greater than $1,000 after subtracting credits, you should make estimated tax payments using Form 104EP. We recommend that you read publication FYI Income 51 for additional information.

Filing Errors and Incomplete InformationIt is important to read all the information available for your specific tax situation and to submit all required documentation with your return. Failure to do so may result in delayed processing of your return and refund, if any. We recommend that you file using Revenue Online to avoid common mathematical errors. You may also opt to use a commercial tax preparation software program or a paid tax professional to help you complete your return.

Federal Earned Income Tax Credit and Colorado Insurance ProgramsIndividuals whose income does not exceed certain thresholds and/or have qualifying children may be eligible for a refund resulting from the federal Earned Income Tax Credit (EITC) and/or low-cost health insurance through Child Health Plan Plus (CHP+). You may obtain additional information regarding the EITC online at www.irs.gov or by calling Colorado United Way at 211. Additional information regarding CHP+ may be found at www.cchp.org or by calling 1-800-359-1991.

[ 70 ]

*160900==19999* DR 0900 (08/26/16) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0008

(0011)

2016 Individual Income Tax Payment Form (Calendar year — Due April 18, 2017)

Caution!This form MUST accompany your payment if you filed electronically and wish to pay by check.

The Department strongly recommends that you file using Revenue Online or an other electronic filing method and remit your payment electronically. However, to pay by mail, make check or money order payable to the “Colorado Department of Revenue.” Be sure to round your payment to the nearest dollar. Clearly write your Social Security number and “2016 Form 104” on the check memo line. Be sure to keep a copy of the money

order or note the check number with your tax records.Complete the form below. The amount on the check and the amount entered on the payment form must be the same. This will help maintain accuracy in your tax account.DO NOT submit a paper return if you have already filed electronically.

Return this form with check or money order payable to the “Colorado Department of Revenue”, Denver, Colorado 80261-0008. Write your Social Security number and “2016 Form 104” on your check or money order. Do not send cash. Enclose but do not staple or attach your payment with this form.

SSN

Your Last Name First Name Middle Initial

Spouse SSN

Spouse Last Name (if joint) Spouse First Name Middle Initial

Address

City State ZIP


Amount of Payment

$ .00



[ 71 ]

*160104AD19999*DR 0104AD (09/19/16) COLORADO DEPARTMENT OF REVENUE

Subtractions from Income ScheduleUse this schedule to report any subtractions from your Federal Taxable Income. These subtractions will change your Colorado Taxable Income from the amount of Federal Taxable Income. See instructions in the income tax booklet for additional guidance on completing this schedule. Do not enter negative amounts.

Name SSN

Subtractions from Federal Taxable Income1. State Income Tax Refund from federal income tax form 1040 line 10;

enter $0 if filing 1040A or 1040EZ 1 0 0

2. U.S. Government Interest 2 0 03. Primary Taxpayer Pension/Annuity Income

Deceased SSN: 3 0 04. Spouse Pension/Annuity Income

Deceased SSN: 4 0 0

5. Colorado Source Capital Gain; 5-year assets acquired on or after 5/9/1994 5 0 06. Tuition Program Contribution:

(see instructions) Owner’s SSN: 6 0 0 Total Contribution Owner’s Name

7. Qualifying Charitable Contribution

Total Contribution

7$ 0 0

8. Qualified Reservation Income 8 0 09. PERA/DPSRS Subtraction, for PERA contributions made in 1984–1986 or

DPSRS contributions made in 1986 9 0 0

10. Railroad Benefit Subtraction, tier I or II only 10 0 0

11. Wildfire Mitigation Measures Subtraction 11 0 0

12. Colorado Marijuana Business Deduction 12 0 0

13. Non-Resident Disaster Relief Worker Subtraction 13 0 0

14. Active Duty Military Colorado HOME Subtraction (see instructions) 14 0 0

15. Other Subtractions, explain below (see instructions) 15 0 0Explain

16. Subtotal, add lines 1 through 15, transfer the amount to line 5 on the DR 0104 16 0 0 0 0


[ 72 ]

Page 16Line-by-line Instructions for the form DR 0104AD - Subtractions from Income ScheduleLine 1 State Income Tax RefundRefer to your federal income tax return to complete this line. If you used Form 1040A or 1040EZ, enter $0. If you used Form 1040, enter the amount from line 10.

Line 2 U.S. Government InterestEnter the sum of all interest earned from U.S. government bonds, treasury bills and other obligations of the U.S. or its territories, possessions and agencies that you reported on your federal income tax return and is calculated as part of your federal taxable income. We recommend that you read publication FYI Income 20 if this applies to you.

DO NOT include interest earned from Federal National Mortgage Association and Government National Mortgage Association (Fannie Mae and Ginnie Mae). Dividends from mutual funds may not be 100% exempt.

Line 3 Pension and Annuity SubtractionYou might be eligible to subtract the income you earned from a pension or annuity. We recommend that you read publications FYI Income 18 and 25 if this applies to you. Enter the qualifying amount if you:

• Earned income from a pension/annuity that was not a premature distribution; and

• It was included on your federal income tax return and is calculated as part of your federal taxable income; or

• It was a lump-sum distribution that was reported on Form 104 line 3; and

As of December 31, 2016, if you were:• Age 65 or older, then you are entitled to subtract

$24,000 or the total amount of your taxable pension/annuity income, whichever is smaller; or

• At least 55 years, but not yet 65, then you are entitled to subtract $20,000 or the total amount of your taxable pension/annuity income, whichever is smaller; or

• Younger than 55 years and you received pension/annuity income as a secondary beneficiary (widow, dependent child, etc.) due to the death of the person who earned the pension/annuity, then you are entitled to subtract $20,000 or the total amount of your secondary beneficiary taxable pension/annuity income, whichever is smaller. If this applies to you, please list the Social Security number of the deceased in the space provided.

Pension/annuity income should not be intermingled between spouses. Each spouse must meet the requirements for the subtraction separately and claim the subtraction only on their pension/annuity income. Any qualifying spouse pension/annuity income should be reported on line 4.

Submit copies of all 1099R and SSA-1099 statements with your return. Submit using Revenue Online or attach to your paper return.

Line 4 Spouse Pension and Annuity SubtractionIf the secondary taxpayer listed on a jointly filed return is eligible for the pension and annuity subtraction, enter the qualifying amount on this line. Review the instructions for line 3 to see what amount qualifies. We recommend that you read publication FYI Income 25 and FYI Income 18 if this applies to you.

If only one spouse qualifies for the pension/annuity subtraction on a jointly filed return, take precautions to report the subtraction on the correct line. The first person listed on the return shall report on line 3 and the second person listed shall report on line 4.

Line 5 Colorado Source Capital Gain SubtractionYou might be eligible to subtract the income you earned from a Colorado-source capital gain. We recommend that you read publication FYI Income 15 if this applies to you. The amount of this subtraction is limited to $100,000 and qualifies if the capital gain was:

• Earned from the sale of real or tangible personal property that was located in Colorado at the time of the sale transaction; and

• Included on your federal income tax return and is calculated as part of your federal taxable income; and

• Acquired on or after May 9, 1994 and was owned continuously for five years prior to the sale transaction date.

Complete and submit the form DR 1316. Paper filers should attach this form to their return. Take precaution to completely fill out each item of this form. Be as detailed as possible, especially when providing property descriptions, ownership, and dates of acquisition and sale.

Line 6 Tuition Program ContributionContributions to qualified Colorado tuition savings plans can be deducted from your return. The contribution must have been included on your federal income tax return and calculated as part of your federal taxable income. We recommend that you read publication FYI Income 44 if this applies to you.

The three fields on line 6 should be left blank if the taxpayer and/or spouse are the CollegeInvest account owners who set up the account for the student beneficiary. If you are not the account owner (e.g. grandparent, friend,) complete the three additional fields. To report contributions to more than one account, you must file electronically. DO NOT deduct contributions made to a tuition savings plan for another state or any tuition you paid while attending school.


[ 73 ]

*160158-I19999* DR 0158-I (11/28/16) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0008 (0019)

2016 Extension Payment for Colorado Individual Income Tax(calendar year — Due April 18, 2017)

Automatic Filing Extension General InformationColorado offers an automatic 6-month extension to file your income tax return if you cannot submit your return by the April 18 due date. This means that you can file your return by October 16 without filing this form. However, 90% of your tax MUST BE PAID by April 18. If you must wait until Monday, October 16 to file your return, use the following worksheet to calculate whether you need to remit a payment on April 18.Persons Traveling or Residing AbroadIf you are traveling or residing outside the United States on April 18, the deadline for filing your return is June 15, 2017. If you need additional time to file your return, you will automatically have until October 16, 2017 to file. Interest is due on any payment received after April 18, 2017. To avoid any late payment penalties you must pay 90% of your tax liability by June 15, 2017. When filing your return, mark the appropriate box on Revenue Online or paper return.

Penalties and InterestIf a return is filed on extension and at least 90% of the tax is not paid by the April 18 due date, a late payment penalty and interest accruals will be assessed by the department. However, if all the terms of filing on extension are met, and the remaining tax is paid by October 16 the additional tax payment is subject to only interest accruals.Pay ElectronicallyTaxpayers may pay online at www.Colorado.gov/RevenueOnline Online payments reduce errors and provide instant payment confirmation. Revenue Online also allows users to submit various forms and to monitor their tax account. EFT Debit and EFT Credit options are free services offered by the Department. EFT services require pre-registration before payments can be made. Visit www.Colorado.gov/revenue/eft for more information. The DR 0158-I is not required if an online payment is made. Please be advised that a nominal processing fee may apply to non-EFT electronic payments (e-check or credit card payments).

Tax Payment Worksheet – Photocopy for your records before returning1. Income tax you expect to owe 2. Tax payments and credits: a. Colorado income tax withheld b. Colorado estimated income tax payments c. Other payments and credits d. Total tax payments and credits – Add lines 2a through 2c 3. Tax due–Subtract line 2d from line 1. Enter the result here and on the form below DR 0158-I (06/21/16)

Return the DR 0158-I with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write your Social Security number and “2016 DR 0158-I” on your check or money order. Do not send cash. Enclose, but do not staple or attach, your payment with this form. File only if you are making a payment by check or money order.

SSN

Your Last Name First Name Middle Initial

Spouse SSN

Spouse Last Name (if joint) Spouse First Name Middle Initial

Address

City State Zip

If No Payment Is Due, Do Not File This Form.The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

Amount of Payment

$ . 0 0


[ 74 ]

Page 18Instructions for DR 0104AD–ContinuedLine 7 Qualifying Charitable ContributionsTaxpayers who make donations to charity, but do not claim federal itemized deductions on Schedule A of form 1040, might be eligible to deduct a portion of their donation on this form. We recommend that you read publication FYI Income 48 if this applies to you. Use the worksheet below to determine your qualifying contribution.

(a) Did you itemize your deductions on Schedule A of federal form 1040? Yes No

(b) As an individual or a business, did you deduct charitable contributions on the federal form? Yes No

If you answered Yes on either (a) or (b) above, enter $0 on line 7; you do not qualify for this subtraction. If you answered No on both (a) and (b) above, continue below.(c) Enter the amount you could have

deducted as charitable contributions on lines 16 and 17 of federal Schedule A. $

(d) Colorado adjustment $500(e) Subtract line (d) from line (c). This is

the qualifying amount. If the amount is greater than $0, transfer to line 7.

Enter the total contributions in the space provided and the subtraction after the $500 adjustment on line 7.

DO NOT enter an amount on this line if you already deducted your charitable donation on Schedule A of the federal 1040 form. Otherwise, you will be issued an assessment that will likely include penalty and interest.

For claims greater than $5,000, submit the receipts you received at the time of donation. For in-kind donations, submit an itemized list of the donated items and their fair market value. DO NOT send receipts of items that were purchased for donation. Submit using Revenue Online or attach to your paper return.

Line 8 Qualified Reservation IncomeList any amount of income that was derived wholly from reservation sources by a recognized tribal member, which was included as taxable income on the Federal income tax form.

Submit proof of tribal membership, residence, and source of income. This must be submitted only every three years by taxpayers claiming this subtraction.

Line 9 PERA/DPSRS SubtractionList the amount of contributions made to PERA between 7/1/1984 and 12/31/1986 or contributions made to Denver Public Schools District No. 1 Retirement during 1986. We recommend that you read publication FYI Income 16 if this applies to you.

Submit a copy of your previously taxed contribution. PERA statements can be obtained from www.copera.org or by calling 1-800-759-7372. Submit using Revenue Online or attach to your paper return.

DO NOT list the amount of contributions you made as an employee this past year.

Line 10 Railroad BenefitList any Tier I or II railroad retirement benefits that you reported on your federal income tax return and is calculated as part of your federal taxable income. We recommend that you read publication FYI Income 25 if this applies to you.

Submit copies of all RRB-1099 and RRB-1099R Statements. Submit using Revenue Online or attach to your paper return.

Line 11 Wildfire Mitigation MeasuresEnter half (50%) of any amount incurred in performing wildfire mitigation on your land, up to $2,500. We recommend that you read publication FYI Income 65 to properly calculate this subtraction.

Submit copies of receipts for costs associated with wildfire mitigation for your property. Submit using Revenue Online or attach to your paper return.


Line 13 Non resident Disaster Relief Worker SubtractionFor nonresident individuals, enter the amount of income tax withheld from your compensation earned while working in Colorado during a declared state disaster emergency on disaster-related work. Disaster related work includes repairing, renovating, installing, building, or rendering services that relate to infrastructure that has been damaged, impaired, or destroyed by a declared state disaster emergency or providing emergency medical, firefighting, law enforcement, hazardous material, search and rescue, or other emergency service related to a state declared disaster emergency.This subtraction is only available to nonresident individuals. If you are a full-year resident of Colorado, you are not eligible for this subtraction.


[ 75 ]

*160104PN19999*FORM 104PN (09/28/16) COLORADO DEPARTMENT OF REVENUE

Form 104PNPart-Year Resident/Nonresident Tax Calculation Schedule 2016


Use this form if you and/or your spouse were a resident of another state for all or part of 2016. This form apportions your gross income so that Colorado tax is calculated for only your Colorado income. Complete this form after you have filled out lines 1 through 6 of Form 104. If you filed federal form 1040NR, see the instructions.

Beginning (MM/YY) to Ending (MM/YY)

1. Taxpayer is (mark one): Full-Year Nonresident Part-Year Resident from


Beginning (MM/YY) to Ending (MM/YY)

2. Spouse is (mark one): Full-Year Nonresident Part-Year Resident from


3. Mark the federal form you filed: 1040 1040 A 1040 EZ 1040 NR Other

Federal Information Colorado Information4. Enter all income from form 1040 line 7; 1040A

line 7; or form 1040EZ line 1 4 005. Enter income from line 4 that was earned while working in Colorado and/or earned

while you were a Colorado resident. Part-year residents should include moving expense reimbursements only if paid for moving into Colorado 5 00

6. Enter all interest/dividend income from form 1040 lines 8a and 9a; form 1040A lines 8a and 9a; or form 1040EZ line 2 6 00

7. Enter income from line 6 that was earned while you were a resident of Colorado 7 008. Enter all income from form 1040 line 19; form

1040A line 13; or form 1040EZ line 3 8 009. Enter income from line 8 that is from State of Colorado unemployment benefits; and/or

is from another state’s benefits that were received while you were a Colorado resident 9 00If you filed federal form 1040EZ, go to line 24. All others continue with line 10.

10. Enter all income from form 1040 lines 13 and 14; or form 1040A line 10 10 00


[ 76 ]

Federal Information Colorado Information11. Enter income from line 10 that was earned during that part of the year you were

a Colorado resident and/or was earned on property located in Colorado 11 0012. Enter all income from form 1040 lines 15b, 16b,

and 20b; or form 1040A lines 11b, 12b, and 14b 12 0013. Enter income from line 12 that was received during that part of the year you

were a Colorado resident 13 00If you filed federal form 1040A, go to line 20. If you filed form 1040, continue with line14.

14. Enter all business and farm income from form 1040 lines 12 and 18 14 00


16. Enter all Schedule E income from form 1040 line 17 16 00

17. Enter income from line 16 that was earned from Colorado sources; and/or rent and royalty income received or credited to your account during the part of the year you were a Colorado resident; and/or partnership/S corporation/fiduciary income that is taxable to Colorado during the tax year 17 00

18. Enter all other income from form 1040 lines 10, 11 and 21 18 00

List Type


List Type

20. Total Income. Enter amount from form 1040 line 22; or form 1040A line 15 20 00

21. Total Colorado Income. Enter the total from the Colorado column, lines 5, 7, 9, 11, 13, 15, 17 and 19 21 00

22. Enter all federal adjustments from form 1040 line 36, or form 1040A line 20 22 00

List Type

23. Enter adjustments from line 22 as follows 23 00List Type

• Educator expenses, IRA deduction, business expenses of reservists, performing artists and fee-basis government officials, health savings account deduction, self-employment tax, self-employed health insurance deduction, SEP and SIMPLE deductions are allowed in the ratio of Colorado wages and/or self-employment income to total wages and/or self-employment income.

• Student loan interest deduction, alimony, and tuition and fees deduction are allowed in the Colorado to federal total income ratio (line 21 / line 20).

• Domestic production activities deduction is allowed in the Colorado to Federal QPAI ratio.• Penalty paid on early withdrawals made while a Colorado resident.

• Moving expenses if you are moving into Colorado, not if you are moving out.• For treatment of other adjustments reported on federal form 1040 line 36, see instructions.

FORM 104PN (09/28/16) COLORADO DEPARTMENT OF REVENUE*160104PN29999*

Name SSN

[ 77 ]

FORM 104PN (09/28/16) COLORADO DEPARTMENT OF REVENUE*160104PN39999*

Federal Information Colorado Information24. Adjusted Gross Income. Enter amount from form 1040 line

37; or form 1040A line 21; or form 1040EZ line 4 24 0025. Colorado Adjusted Gross Income. If you filed form 1040 or 1040A, subtract the

amount on line 23 of Form 104PN from the amount on line 21 of Form 104PN. If you filed form 1040EZ, enter the total of lines 5, 7 and 9 of Form 104PN 25 00

26. Additions to Adjusted Gross Income. Enter the amount from line 3 of Colorado Form 104 excluding any charitable contribution adjustments 26 00

27. Additions to Colorado Adjusted Gross Income. Enter any amount from line 26 that is from non-Colorado state or local bond interest earned while a Colorado resident, and/or any lump-sum distribution from a pension or profit sharing plan received while a Colorado resident. (See instructions for treatment of other additions) 27 00


29. Total of lines 25 and 27 29 0030. Subtractions from Adjusted Gross Income. Enter the

amount from line 5 of Colorado Form 104 excluding any qualifying charitable contributions 30 00

31. Subtractions from Colorado Adjusted Gross Income. Enter any amount from line 30 as follows: 31 00

• The state income tax refund subtraction to the extent included on line 19 above,• The federal interest subtraction to the extent included on line 7 above,• The pension/annuity subtraction and the PERA or DPS retirement subtraction to the extent included on line 13 above,• The Colorado capital gain subtraction to the extent included on line above,• For treatment of other subtractions, see instructions.

32. Modified Adjusted Gross Income. Subtract the amount on line 30 from the amount on line 28 32 00

33. Modified Colorado Adjusted Gross Income. Subtract the amount on line 31 from the amount on line 29 33 00

34. Amount on line 33 divided by the amount on line 32 34 %

35. Tax from the tax table based on income reported on Colorado Form 104 line 6 35 0036. Apportioned tax. Amount on line 35 multiplied by the

percentage on line 34. Enter here and on Form 104 line 7 36 00

Name SSN

[ 78 ]

Page 22Instructions for form DR 104AD–ContinuedLine 14 Active Duty Military Colorado HOME SubtractionEnter the amount of compensation received for active duty military service in the armed forces of the United States if you reacquire residency in Colorado during 2016. To reacquire residency, you must have evidence of an intent to make Colorado your state of legal residence. That evidence includes one or more of the following:

• registering to vote in Colorado,• purchasing residential property or an unimproved

lot in Colorado,• titling and registering a motor vehicle in Colorado,• notifying the state of your previous legal residence

of the intent to make Colorado your legal residence, or

• preparing a new last will and testament that indicates Colorado as your state of legal residence.

If you are a current active duty military serviceperson who has maintained Colorado residency and have received compensation for active duty military service, you are not eligible for this subtraction. If you are eligible for this subtraction and claim it on your tax return, you must retain as evidence at least one of the previously mentioned pieces of evidence. We recommend you read publication FYI Income 21 for more information.Line 15 Other Subtractions from Federal Taxable IncomeEnter the sum of all other allowable subtractions. For more information about what to enter on this line, see the Income Tax – Subtractions page on www.TaxColorado.com

DO NOT include amounts that were earned outside Colorado, net operating losses, K-1 adjustments, military income, wage adjustments or donations made to the Military Family Relief Fund on this line. Include a clear explanation of the subtraction being claimed on your return.




Forms, Information and e-ServicesFind Information Review tax publications Learn how to file and pay Download forms View Education and Legal Research resources

www.Colorado.gov/RevenueOnlineManage your Account File a return Make a payment View letters and bills Send a Secure Message to the department

[ 79 ]

*160104US19999*DR 0104US (09/19/16) COLORADO DEPARTMENT OF REVENUE

Consumer Use Tax Reporting ScheduleUse this schedule to report consumer use tax due. This is one of three methods of filing to pay a consumer use liability. You may also use Revenue Online or file a DR 252. See the back of this form for additional instructions.

What is Consumer Use Tax?Consumer use tax is a complement to state sales tax. Consumer use tax is payable to the state when sales tax is due but has not been collected. Individuals and businesses have always been required to pay sales or use tax on tangible personal property purchased from out-of-state vendors if the item is sold, leased, or delivered in Colorado for use, storage, distribution, or consumption in the state.

Colorado’s use tax rate is 2.9%. For additional information on Colorado consumer use tax, see FYI General 10 at www.TaxColorado.comSpecial Districts also assess a use tax. More than half of Colorado residents live in one or more of these districts. The special districts that assess a use tax on purchases and the applicable tax rates are:


Name SSN

1. Enter the total purchases for which state sales or use tax was not previously paid. 1 0 0

2. Multiply line 1 by 0.029. Enter the result in whole dollars here. 2 0 03. Enter the total purchases for which special district sales or use tax was not

previously paid. 3 0 04. Enter the 2-digit SDCU Code for any applicable special district(s).

See instructions. 4

5. Enter the corresponding use tax rate. See instructions. 5

6. Multiply line 3 by the rate on line 5. Enter the result in whole dollars here. 6 0 0

7. Add line 2 and line 6, transfer to the DR 0104 line 14 7 0 0



[ 80 ]

Page 24

Instructions for Form DR 0104US–Consumer Use Tax Reporting ScheduleWas Colorado sales or use tax paid on your purchases from out-of-state vendors?

YES: Some online purchases will have sales or use tax included. Check your invoices and receipts to see if tax was paid. If tax was paid on your purchases, no consumer use tax is due. DO NOT FILL OUT THIS FORM.

NO: Many online or out-of-state retailers do not collect sales or use tax from customers on purchases. Total the amount of your 2016 purchases where no tax was paid. State and special district (if applicable) consumer use tax must be paid on your purchases.

Lines 1–2 State Consumer Use TaxEnter the total amount of 2016 purchases where no state sales tax was paid on line 1. Multiply line 1 by 0.029 (for the Colorado state sales tax of 2.9%). Round this number to the nearest whole dollar to calculate your Colorado consumer use tax liability. Enter this number on line 2.

Lines 3–6 Special District Use TaxUse the table below to determine if you lived within a special district(s) in 2016. Report the total amount of 2016 purchases where no special district tax was paid on line 3. Then, enter the Special District Consumer Use (SDCU) code based on you lived in 2016 on line 4. If no special districts apply, enter 00 in the SDCU code field on line 4 and skip to line 6. Enter the special district use tax rate on line 5. Multiply line 3 by line 5. Round this number to the nearest whole dollar and enter your special district use tax liability on line 6. If no special districts apply, enter $0.

Line 7Enter the sum of 2 and 6. Transfer this amount to Form 104 line 14.

Special District Rates and Boundaries Table

Special District Name and Boundaries Use Tax Rate

SDCU Code

No Special District N/A 00Regional Transportation District (RTD) OnlyThe Denver metropolitan area including all of Boulder, Denver, and Jefferson Counties, northern Douglas County, the western areas of Adams and Arapahoe Counties, most of Broomfield County, and small part of southwest Weld County.

0.010 10

Scientific & Cultural Facilities District (CD) Only The Denver metropolitan area including all areas of Adams, Arapahoe, Boulder, Broomfield, Denver, and Jefferson Counties. All of Douglas county EXCEPT the city limits of Castle Rock and Larkspur.

0.001 20

Regional Transportation District (RTD) and Scientific & Cultural Facilities District (CD) Overlap between the RTD and CD districts (see individual descriptions above.)

0.011 12

Pikes Peak Rural Transportation Authority El Paso County EXCEPT within the municipal limits of Calhan, Fountain, Monument, Palmer Lake, or the Colorado Springs Commercial Aeronautical Zone.

0.010 30

Baptist Road Regional Transportation AuthorityA portion of the town of Monument and the areas surrounding the Baptist Road and I-25 interchange. Consult the El Paso County Assessor’s office for a map of district boundaries.* Baptist Rd RTA only applies to purchases made through June 30, 2016.

0.010 40

South Platte Valley Regional Transportation Authority Within the city limits of Sterling.

0.001 50

Roaring Fork Transportation Authority Within the city limits of Glenwood Springs or Carbondale.

0.010 61

Roaring Fork Transportation Authority Within the city limits of Basalt or New Castle. 0.008 62

Roaring Fork Transportation Authority Areas of unincorporated Eagle County in the El Jebel area and outside the city limits of Carbondale.

0.006 63

Roaring Fork Transportation Authority Aspen and Snowmass Village city limits, unincorporated Pitkin County.

0.004 64

Reference form DR 1002 at www.TaxColorado.com, your county assessor’s office, or district maps for additional information to determine whether you live within the boundaries of the above special districts.Most residents of the Denver metropolitan area are within the district boundaries of both the Regional Transportation District (RTD) and the Scientific & Cultural Facilities District (CD).

[ 81 ]

*160104CR19999*FORM 104CR (11/18/16) COLORADO DEPARTMENT OF REVENUE

Form 104CRIndividual Credit Schedule 2016

Taxpayer’s Last Name First Name Middle Initial SSN

Use this schedule to calculate your income tax credits. For best results, visit TaxColorado.com to research eligibility requirements and other information about these credits before following the line-by-line instructions contained below.

• Be sure to submit the required supporting documentation as indicated for each credit.• Most e-File software and tax preparers have the ability to submit this schedule and attachments electronically.

However, Revenue Online can also be used to file your return and attachments electronically. Otherwise, attach all required documents to your paper return.

• If you received any of these credits from a pass-through entity, be sure to provide the entity’s name and account number and your ownership percentage where required. If credits were passed through from multiple entities, attach to your return a written statement that includes all relevant information.

• Dollar amounts shall be rounded to the nearest whole dollar. Calculate percentages to the second decimal place.

Part I — Refundable Credits

1. Child Care Expenses Credit from Form DR 0347 1 00Earned Income Tax Credit - full or part-year Colorado residents who claim the federal EITC are allowed an earned income tax credit against their income tax. Complete the table for each qualifying child.

2. Enter the amount of Earned Income calculated for your federal return 2 00

3. The federal EITC you claimed 3 00Qualifying Child’s Last Name Qualifying Child’s First Name Year of Birth SSN

4. COEITC, multiply line 3 by 10% (.1) 4 005. Part-year residents only, multiply line 4 by the percentage on line 34

of Form 104PN (If the percentage exceeds 100%, use 100%) 5 006. Business Personal Property Credit: Use the worksheet in the DR 0104

book instructions to calculate, submit copy of assessor’s statement 6 00

7. Refundable Renewable Energy Tax Credit from line 88 of Form DR 1366 7 008. Total Refundable Credits, add lines 1, 4 (or 5), 6, and 7.

Enter the sum on line 23 of Form 104. 8 00


[ 82 ]

Part II — Credit for Tax Paid to Another State• Colorado nonresidents do not qualify for this credit.• Part-year residents generally do not qualify for this credit.• If you have income or losses from two or more states, you must separately calculate lines 10 through 16 for each

state. If you do not file electronically, you must submit Form 104CR for each state. Then, enter “Combined” on line 9 and complete lines 10 through 16 to disclose the combined total for each line. A summary schedule is not acceptable

Submit a copy of the tax return for each other state when claiming this credit. The portion of the return submitted must include the adjusted gross income calculation, any disallowed federal deductions by that state, and the tax calculation for the other state.

9. Name of other state:

10. Total of lines 7 and 8 Form 104 10 00

11. Modified Colorado adjusted gross income from sources in the other state 11 00

12. Total modified Colorado adjusted gross income 12 00

13. Amount on line 11 divided by amount on line 12 13 00

14. Amount on line 10 multiplied by the percentage on line 13 14 00

15. Tax liability to the other state 15 00

16. Allowable credit, the smaller of lines 14 or 15 16 00

Part III — Other CreditsThe following credits can be carried forward to subsequent tax years if your current tax liability is less than the sum of your credits. Visit TaxColorado.com for limitations that are specific to each credit. To report this properly, use the first column to report the total credit that is available (the amount generated this year plus any prior-year carryforward). Then, use the second column to report the amount you are using this year to offset your tax liability. The difference should be reported on line 40, which is your subsequent carryforward amount.



17. Plastic recycling investment credit, submit required receipts 17 00 00

Plastic recycling net expenditures amount (fill below):

18. Colorado Minimum Tax Credit 18 00 00 2016 Federal Minimum Tax Credit (fill below):

19. Historic Property Preservation credit, submit verification or a copy of the federal credit calculation 19 00 00

20. Child Care Center Investment credit, submit a copy of your facility license and a list of depreciable tangible personal property 20 00 00

FORM 104CR (11/18/16) COLORADO DEPARTMENT OF REVENUE*160104CR29999*

Name SSN

[ 83 ]



21. Employer Child Care Facility Investment credit, submit proof that you operate a licensed child care facility 21 00 00

22. School-to-Career Investment credit, submit a copy of the certification 22 00 00

23. Colorado Works Program credit, submit a copy of the letter from the county Department of Social/Human Services 23 00 00

24. Child Care Contribution credit, submit form(s) DR 1317 24 00 00

25. Long-term Care Insurance credit, submit a year-end statement to show premiums paid 25 00 00

26. Aircraft Manufacturer New Employee credit, submit Forms DR 0085 and DR 0086 26 00 00

27. Credit for remediation of contaminated land, submit a copy of the CDPHE certification when claiming this credit 27 00 00

28. Colorado Job Growth Incentive credit, submit certification from OEDIT 28 00 00

29. Certified Auction Group License Fee credit, submit a copy of the certification 29 00 00

30. Advanced Industry Investment credit, submit a copy of the certification 30 00 00

31. Low-income Housing credit, submit CHFA certification 31 00 00

32. Credit for Food Contributed to Hunger-Relief Charitable Organizations, submit Form(s) DR 0346 32 00 00

33. Preservation of Historic Structures credit (attach certificate from Office of Economic Development) 33 00 00

34. Unused current year Preservation of Historic Structures credit, subtract line 33 column B from line 33 column A 34 00

35. Amount of Preservation of Historic Structures credit transferred for this tax year (attach written transfer agreement submitted to Office of Economic Development) 35 00

36. Amount of Preservation of Historic Structures credit carried forward, subtract line 35 column A from line 34 column A 36 00

37. Rural Jump–Start Zone credit (attach certificate from Office of Economic Development) 37 00 00

38. Total of column A lines 17 through 32 plus 37 38 0039. Nonrefundable Credits Used, total of column B plus any amount from line 16.

Also enter this amount on line 11 of Form 104 39 0040. Carryforward Amount, subtract line 39 from line 38 - excluding any expiring

credits and include the amount in column A of line 36 40 0041. If you are claiming the Preservation of Historic Structures credit enter your

credit certificate number issued by OEDIT. 41

FORM 104CR (11/18/16) COLORADO DEPARTMENT OF REVENUE*160104CR39999*

Name SSN

[ 84 ]

Page 28

To Calculate the Colorado Earned Income Tax Credit (EITC) on Form 104CR:Line 2 Enter the amount of earned income calculated for your federal return.

In order to calculate the value of your Federal earned income tax credit, you must determine the amount of earned income. You may use the Earned Income Credit Worksheet (EIC Worksheet) and the Earned Income Credit (EIC) Table in the instruction booklet for Federal Form 1040, Form 1040A, or Form 1040EZ, or use the EITC Assistant Tool online: www.irs.gov/Credits-&-Deduc-tions/Individuals/Earned-Income-Tax-Credit/Use-the-EI-TC-Assistant. It is available in both English and Spanish.

Line 3 The federal EITC you claimedRefer to the credit you entered on the Federal Form 1040, 1040A or 1040EZ.

• If you filled out a Federal Form 1040, then enter the amount of line 66a on the Colorado Form 104CR line 3.

• If you filled out a Federal Form 1040A, then enter the amount of line 42a on the Colorado Form 104CR line 3.

• If you filled out a Federal Form 1040EZ, then enter the amount of line 8a on the Colorado Form 104CR line 3.

Table Instructions: If you have a qualifying child and you claimed the EITC on either the Federal 1040 or 1040A, you will need to identify that child or those children in this table. Enter each qualifying child’s last name, first name, year of birth and Social Security number.

Line 4 COEITCMultiply the amount you entered on line 3 by 0.1 to calculate your Colorado EITC.

Line 5 If you are filing as a part-year resident ONLYMultiply the amount you entered on line 4 by the percentage on Form 104PN line 34. (If the percentage exceeds 100%, use 100%.) Enter the result on line 5. This is the portion of the Colorado EITC you are allowed.

Instructions for Select Credits from Form 104CRChild Care Expenses Credit (Form DR 0347 and Form 104CR Part I)Even when the federal tax is zero, Colorado offers taxpayers with an Adjusted Gross Income of $25,000 or less a Colorado income tax credit of 25% of their child care expenses up to $500 for one child, or up to $1,000 for two or more children. Use form DR 0347 to calculate this credit and submit it along with the Form 104CR.

Business Personal Property Credit for Individual Business OwnersThis credit is only available if business personal property tax was paid to a Colorado county in 2016 and the business had business personal property of $15,000 or less. Submit a copy of the assessor’s statement with your return.

Business personal property credit calculation worksheetEnter the amount of business personal property tax paid in 2016.

A

Enter the Credit Rate from Table 1 below that corresponds with your Federal Taxable Income and Filing Status.

B

Multiply line A times line B to calculate the credit allowed. Enter on Form 104CR line 6.

Table 1 - Determine your credit rate by using your federal filing status and your federal taxable income amount from Form 104 line 1.

Federal Taxable Income (Form 104,

Line 1)

Credit Rate by Filing Status Table for Business Personal Property CreditSingle Joint Head of Household Married Filing Separate Credit rate$0 - $9,275 $0 - $18,550 $0 - $13,250 $1 - $9,275 .8537$9,276 - $37,650 $18,551 - $75,300 $13,251 - $50,400 $9,276 - $37,650 .8037$37,651 - $91,150 $75,301 - $151,900 $50,401 - $130,150 $37,651 - $75,950 .7037$91,151 - $190,150 $151,901 - $231,450 $130,151 - $210,800 $75,951 - $115,725 .6737$190,151 - $413,350 $231,451 - $413,350 $210,801 - $413,350 $115,726 - $206,675 .6237$413,351 - $415,050 $413,351 - $466,950 $413,351 - $441,000 $206,676 - $233,475 .6037$415,051 and up $466,951 and up $441,001 and up $233,476 and up .5577

[ 85 ]

Page 29

Colorado Income Tax TableTo find your tax from the table below, read down the taxable income column to the line containing your Colorado taxable income from Form 104 line 6. Then read across to the tax column and enter this amount on Form 104 line 7. Part-year residents and nonresidents, enter tax on Form 104PN line 35.


not over0 10 0

10 30 130 50 250 75 375 100 4

100 200 7200 300 12300 400 16400 500 21500 600 25

600 700 30700 800 35800 900 39900 1,000 44

1,000 1,100 49

1,100 1,200 531,200 1,300 581,300 1,400 631,400 1,500 671,500 1,600 72

1,600 1,700 761,700 1,800 811,800 1,900 861,900 2,000 902,000 2,100 95

2,100 2,200 1002,200 2,300 1042,300 2,400 1092,400 2,500 1132,500 2,600 118

2,600 2,700 1232,700 2,800 1272,800 2,900 1322,900 3,000 1373,000 3,100 141

3,100 3,200 1463,200 3,300 1503,300 3,400 1553,400 3,500 1603,500 3,600 164

3,600 3,700 1693,700 3,800 1743,800 3,900 1783,900 4,000 1834,000 4,100 188

4,100 4,200 1924,200 4,300 1974,300 4,400 2014,400 4,500 2064,500 4,600 211


not over4,600 4,700 2154,700 4,800 2204,800 4,900 2254,900 5,000 2295,000 5,100 234

5,100 5,200 2385,200 5,300 2435,300 5,400 2485,400 5,500 2525,500 5,600 257

5,600 5,700 2625,700 5,800 2665,800 5,900 2715,900 6,000 2756,000 6,100 280

6,100 6,200 2856,200 6,300 2896,300 6,400 2946,400 6,500 2996,500 6,600 303

6,600 6,700 3086,700 6,800 3136,800 6,900 3176,900 7,000 3227,000 7,100 326

7,100 7,200 3317,200 7,300 3367,300 7,400 3407,400 7,500 3457,500 7,600 350

7,600 7,700 3547,700 7,800 3597,800 7,900 3637,900 8,000 3688,000 8,100 373

8,100 8,200 3778,200 8,300 3828,300 8,400 3878,400 8,500 3918,500 8,600 396

8,600 8,700 4008,700 8,800 4058,800 8,900 4108,900 9,000 4149,000 9,100 419

9,100 9,200 4249,200 9,300 4289,300 9,400 4339,400 9,500 4389,500 9,600 442


not over20,600 20,700 95620,700 20,800 96120,800 20,900 96520,900 21,000 97021,000 21,100 975

21,100 21,200 97921,200 21,300 98421,300 21,400 98921,400 21,500 99321,500 21,600 998

21,600 21,700 1,00221,700 21,800 1,00721,800 21,900 1,01221,900 22,000 1,01622,000 22,100 1,021

22,100 22,200 1,02622,200 22,300 1,03022,300 22,400 1,03522,400 22,500 1,03922,500 22,600 1,044

22,600 22,700 1,04922,700 22,800 1,05322,800 22,900 1,05822,900 23,000 1,06323,000 23,100 1,067

23,100 23,200 1,07223,200 23,300 1,07623,300 23,400 1,08123,400 23,500 1,08623,500 23,600 1,090

23,600 23,700 1,09523,700 23,800 1,10023,800 23,900 1,10423,900 24,000 1,10924,000 24,100 1,114

24,100 24,200 1,11824,200 24,300 1,12324,300 24,400 1,12724,400 24,500 1,13224,500 24,600 1,137

24,600 24,700 1,14124,700 24,800 1,14624,800 24,900 1,15124,900 25,000 1,15525,000 25,100 1,160

25,100 25,200 1,16425,200 25,300 1,16925,300 25,400 1,17425,400 25,500 1,17825,500 25,600 1,183

25,600 25,700 1,18825,700 25,800 1,19225,800 25,900 1,19725,900 26,000 1,20126,000 26,100 1,206


not over15,100 15,200 70115,200 15,300 70615,300 15,400 71115,400 15,500 71515,500 15,600 720

15,600 15,700 72515,700 15,800 72915,800 15,900 73415,900 16,000 73816,000 16,100 743

16,100 16,200 74816,200 16,300 75216,300 16,400 75716,400 16,500 76216,500 16,600 766

16,600 16,700 77116,700 16,800 77616,800 16,900 78016,900 17,000 78517,000 17,100 789

17,100 17,200 79417,200 17,300 79917,300 17,400 80317,400 17,500 80817,500 17,600 813

17,600 17,700 81717,700 17,800 82217,800 17,900 82617,900 18,000 83118,000 18,100 836

18,100 18,200 84018,200 18,300 84518,300 18,400 85018,400 18,500 85418,500 18,600 859

18,600 18,700 86318,700 18,800 86818,800 18,900 87318,900 19,000 87719,000 19,100 882

19,100 19,200 88719,200 19,300 89119,300 19,400 89619,400 19,500 90119,500 19,600 905

19,600 19,700 91019,700 19,800 91419,800 19,900 91919,900 20,000 92420,000 20,100 928

20,100 20,200 93320,200 20,300 93820,300 20,400 94220,400 20,500 94720,500 20,600 951


not over9,600 9,700 4479,700 9,800 4519,800 9,900 4569,900 10,000 461

10,000 10,100 465

10,100 10,200 47010,200 10,300 47510,300 10,400 47910,400 10,500 48410,500 10,600 488

10,600 10,700 49310,700 10,800 49810,800 10,900 50210,900 11,000 50711,000 11,100 512

11,100 11,200 51611,200 11,300 52111,300 11,400 52611,400 11,500 53011,500 11,600 535

11,600 11,700 53911,700 11,800 54411,800 11,900 54911,900 12,000 55312,000 12,100 558

12,100 12,200 56312,200 12,300 56712,300 12,400 57212,400 12,500 57612,500 12,600 581

12,600 12,700 58612,700 12,800 59012,800 12,900 59512,900 13,000 60013,000 13,100 604

13,100 13,200 60913,200 13,300 61313,300 13,400 61813,400 13,500 62313,500 13,600 627

13,600 13,700 63213,700 13,800 63713,800 13,900 64113,900 14,000 64614,000 14,100 651

14,100 14,200 65514,200 14,300 66014,300 14,400 66414,400 14,500 66914,500 14,600 674

14,600 14,700 67814,700 14,800 68314,800 14,900 68814,900 15,000 69215,000 15,100 697

[ 86 ]

Page 30


not over26,100 26,200 1,21126,200 26,300 1,21526,300 26,400 1,22026,400 26,500 1,22526,500 26,600 1,229

26,600 26,700 1,23426,700 26,800 1,23926,800 26,900 1,24326,900 27,000 1,24827,000 27,100 1,252

27,100 27,200 1,25727,200 27,300 1,26227,300 27,400 1,26627,400 27,500 1,27127,500 27,600 1,276

27,600 27,700 1,28027,700 27,800 1,28527,800 27,900 1,28927,900 28,000 1,29428,000 28,100 1,299

28,100 28,200 1,30328,200 28,300 1,30828,300 28,400 1,31328,400 28,500 1,31728,500 28,600 1,322

28,600 28,700 1,32628,700 28,800 1,33128,800 28,900 1,33628,900 29,000 1,34029,000 29,100 1,345

29,100 29,200 1,35029,200 29,300 1,35429,300 29,400 1,35929,400 29,500 1,36429,500 29,600 1,368

29,600 29,700 1,37329,700 29,800 1,37729,800 29,900 1,38229,900 30,000 1,38730,000 30,100 1,391

30,100 30,200 1,39630,200 30,300 1,40130,300 30,400 1,40530,400 30,500 1,41030,500 30,600 1,414

30,600 30,700 1,41930,700 30,800 1,42430,800 30,900 1,42830,900 31,000 1,43331,000 31,100 1,438

31,100 31,200 1,44231,200 31,300 1,44731,300 31,400 1,45231,400 31,500 1,45631,500 31,600 1,461


not over31,600 31,700 1,46531,700 31,800 1,47031,800 31,900 1,47531,900 32,000 1,47932,000 32,100 1,484

32,100 32,200 1,48932,200 32,300 1,49332,300 32,400 1,49832,400 32,500 1,50232,500 32,600 1,507

32,600 32,700 1,51232,700 32,800 1,51632,800 32,900 1,52132,900 33,000 1,52633,000 33,100 1,530

33,100 33,200 1,53533,200 33,300 1,53933,300 33,400 1,54433,400 33,500 1,54933,500 33,600 1,553

33,600 33,700 1,55833,700 33,800 1,56333,800 33,900 1,56733,900 34,000 1,57234,000 34,100 1,577

34,100 34,200 1,58134,200 34,300 1,58634,300 34,400 1,59034,400 34,500 1,59534,500 34,600 1,600

34,600 34,700 1,60434,700 34,800 1,60934,800 34,900 1,61434,900 35,000 1,61835,000 35,100 1,623

35,100 35,200 1,62735,200 35,300 1,63235,300 35,400 1,63735,400 35,500 1,64135,500 35,600 1,646

35,600 35,700 1,65135,700 35,800 1,65535,800 35,900 1,66035,900 36,000 1,66436,000 36,100 1,669

36,100 36,200 1,67436,200 36,300 1,67836,300 36,400 1,68336,400 36,500 1,68836,500 36,600 1,692

36,600 36,700 1,69736,700 36,800 1,70236,800 36,900 1,70636,900 37,000 1,71137,000 37,100 1,715


not over37,100 37,200 1,72037,200 37,300 1,72537,300 37,400 1,72937,400 37,500 1,73437,500 37,600 1,739

37,600 37,700 1,74337,700 37,800 1,74837,800 37,900 1,75237,900 38,000 1,75738,000 38,100 1,762

38,100 38,200 1,76638,200 38,300 1,77138,300 38,400 1,77638,400 38,500 1,78038,500 38,600 1,785

38,600 38,700 1,78938,700 38,800 1,79438,800 38,900 1,79938,900 39,000 1,80339,000 39,100 1,808

39,100 39,200 1,81339,200 39,300 1,81739,300 39,400 1,82239,400 39,500 1,82739,500 39,600 1,831

39,600 39,700 1,83639,700 39,800 1,84039,800 39,900 1,84539,900 40,000 1,85040,000 40,100 1,854

40,100 40,200 1,85940,200 40,300 1,86440,300 40,400 1,86840,400 40,500 1,87340,500 40,600 1,877

40,600 40,700 1,88240,700 40,800 1,88740,800 40,900 1,89140,900 41,000 1,89641,000 41,100 1,901

41,100 41,200 1,90541,200 41,300 1,91041,300 41,400 1,91541,400 41,500 1,91941,500 41,600 1,924

41,600 41,700 1,92841,700 41,800 1,93341,800 41,900 1,93841,900 42,000 1,94242,000 42,100 1,947

42,100 42,200 1,95242,200 42,300 1,95642,300 42,400 1,96142,400 42,500 1,96542,500 42,600 1,970


not over46,600 46,700 2,16046,700 46,800 2,16546,800 46,900 2,16946,900 47,000 2,17447,000 47,100 2,178

47,100 47,200 2,18347,200 47,300 2,18847,300 47,400 2,19247,400 47,500 2,19747,500 47,600 2,202

47,600 47,700 2,20647,700 47,800 2,21147,800 47,900 2,21547,900 48,000 2,22048,000 48,100 2,225

48,100 48,200 2,22948,200 48,300 2,23448,300 48,400 2,23948,400 48,500 2,24348,500 48,600 2,248

48,600 48,700 2,25248,700 48,800 2,25748,800 48,900 2,26248,900 49,000 2,26649,000 49,100 2,271

49,100 49,200 2,27649,200 49,300 2,28049,300 49,400 2,28549,400 49,500 2,29049,500 49,600 2,294

49,600 49,700 2,29949,700 49,800 2,30349,800 49,900 2,30849,900 50,000 2,313


not over42,600 42,700 1,97542,700 42,800 1,97942,800 42,900 1,98442,900 43,000 1,98943,000 43,100 1,993

43,100 43,200 1,99843,200 43,300 2,00243,300 43,400 2,00743,400 43,500 2,01243,500 43,600 2,016

43,600 43,700 2,02143,700 43,800 2,02643,800 43,900 2,03043,900 44,000 2,03544,000 44,100 2,040

44,100 44,200 2,04444,200 44,300 2,04944,300 44,400 2,05344,400 44,500 2,05844,500 44,600 2,063

44,600 44,700 2,06744,700 44,800 2,07244,800 44,900 2,07744,900 45,000 2,08145,000 45,100 2,086

45,100 45,200 2,09045,200 45,300 2,09545,300 45,400 2,10045,400 45,500 2,10445,500 45,600 2,109

45,600 45,700 2,11445,700 45,800 2,11845,800 45,900 2,12345,900 46,000 2,12746,000 46,100 2,132

46,100 46,200 2,13746,200 46,300 2,14146,300 46,400 2,14646,400 46,500 2,15146,500 46,600 2,155

Worksheet for taxable incomes over $50,000

Colorado Taxable Income from Form 104 line 6 $ .00

Multiply by 4.63% X .0463

Colorado Tax $ .00

Colorado Income Tax Table

[ 87 ]

Page 31Check Off ColoradoA simple way to give.Complete form DR 0104CH Voluntary Contributions Schedule to contribute to any of these charitable funds. Visit www.CheckoffColorado.com to learn more about these charities.Nongame and Endangered Wildlife Cash FundNongame wildlife includes 750 species of wildlife that cannot be hunted, fished for or trapped. Funds go to projects that manage or recover wildlife such as lynx, river otter, black-footed ferret, green back cutthroat, and others. The nongame program receives no state tax dollars and depends on voluntary contributions.Domestic Abuse Program FundDonations to this fund help support critical services provided by community-based domestic abuse programs across Colorado. These agencies provide 24-hour crisis line response, emergency safe shelter, counseling and advocacy services for victims of domestic violence and their children and information and referrals for their communities, and community education.Homeless Preventive Activities Program FundApproximately 52,000 people in Colorado are at risk of becoming homeless this year. Keeping people in their homes saves tax dollars and is an effective and humane way of helping families in crisis. Your contribution will be used to support activities and programs which help prevent people from becoming homeless.Western Slope Military Veterans Cemetery FundFunds assist in the maintenance of the Veterans Memorial cemetery of Western Colorado. The veterans cemetery is intended as a dignified final resting place for Colorado’s veterans and eligible dependents. It is a place of quiet contemplation for the veterans community. Please help maintain this solemn beauty for Colorado veterans.Pet Overpopulation FundThe Pet Overpopulation Fund provides funding to local animal care and control organizations and veterinarians for sterilization surgeries for pets owned by Coloradans in areas of the state with the greatest need. The Fund also supports efforts to educate the public about the importance of preventing pet overpopulation.

Military Family Relief FundProvides emergency grants for financial hardships to members of Colorado National Guard or Reservist and their families when ordered to Active Military duty and to Active Duty Military Personnel stationed in Colorado and their family members when the Active Duty military member is deployed to a declared hostile fire zone.

Public Education FundThis fund supports the Colorado Preschool Program which provides high-quality preschool for children impacted by factors such as poverty, homelessness, abuse or neglect. Children are supported by qualified early childhood professionals in safe and nurturing learning environments. Children overcome substantial gaps and make significant gains that persist throughout their schooling.Roundup River Ranch FundPart of Paul Newman’s SeriousFun Children’s Network, Roundup River Ranch enriches the lives of children with serious illnesses and their families by offering free, medically-supported camp programs that provide unforgettable opportunities to discover joy, friendships, and confidence. Your support ensures the healing power of camp is always free of charge.

9Health Fair FundThis fund provides free blood screenings and exams to thousands of underserved Coloradoans each year. Donations to this fund help offset lab and supply costs at 140 locations across the state. 9Health Fair is an independent nonprofit separate from 9News, our media partner, serving over 75,000 annually. Improving Colorado’s health since 1979.American Red Cross Colorado Disaster Response, Readiness, and Preparedness FundThe American Red Cross prevents and alleviates human suffering in the face of emergencies. In Colorado, the Red Cross teaches tens of thousands of people lifesaving skills every year, provides critical services for members of the military and their families and responds to, on average, a disaster a day.Colorado for Healthy Landscapes FundThe health and beauty of our landscapes defines our lifestyles as Coloradans. The Healthy Landscapes Initiative promotes sustainable management and healthy relationships with our lakes, rivers, peaks and high deserts. Stewardship efforts support education, wildlife habitats, agricultural diversity, research and invasive species management. Your contributions are the seeds for sustainability.Habitat for Humanity of Colorado FundSeeking to put God’s love into action, Habitat for Humanity brings people together to build homes, communities and hope. Through volunteer labor and donations, Habitat for Humanity builds and rehabilitates simple, decent homes in partnership with hardworking low-income individuals and families in 45 Colorado communities. Special Olympics of Colorado FundSpecial Olympics Colorado provides year-round athletic competition in 22 sports for over 19,000+ athletes with intellectual disabilities from 2 to 80+ years old. We create inclusive and welcoming schools for children with all differences through unified sports and youth leadership. Programs are free of charge to athletes and their families.

Colorado Youth Corps Association FundThis fund helps employ youth, young adults, and military veterans on critical projects in Colorado such as flood recovery, fire mitigation and suppression, removing invasive species, and building trails for hikers, bikers, and equestrian users—all while earning education scholarships. Please help CYCA change lives and landscapes for the better!Colorado Healthy Rivers FundThis fund protects Colorado’s lands and waterways. The state’s streams, wetlands, mountains and forests serve many needs including water supply, agriculture, wildlife and recreation. Your generous support of this program will fund stream restoration projects and assist local groups in watershed protection efforts. Remember, your contribution will make a difference!Alzheimer’s Association FundOne in 10 Coloradans over 65 and nearly half over 85 have Alzheimer’s disease with 70% cared for at home. 100% of your donation to the Alzheimer’s Association will fund essential education, training, and counseling services to urban and rural families. Without support, the emotional burden on caregivers is tremendous.

Continued on back cover

[ 88 ]

COLORADO DEPARTMENT OF REVENUE www.TaxColorado.com

PRSRT STDU.S. POSTAGE

PAIDDENVER CO

PERMIT NO. 212

Check Off Colorado–ContinuedColorado Cancer FundCancer touches every Coloradan as it is the leading cause of death in our state. Your donation to the Colorado Cancer Fund assists Coloradans through education, prevention, treatment, and support programs. The Colorado Cancer Coalition, collaborating with over 250 organizations, administers the fund to lead the fight against cancer.Make-A-Wish Foundation® of Colorado Fund Since 1983, Make-A-Wish Foundation® of Colorado has given hope, strength and joy to over 3,300 Colorado children with life-threatening medical conditions. As one of 65 chapters in the U.S., and 27 international chapters on five continents, Make-A-Wish Foundation® is the largest wish granting organization in the world.

Unwanted Horse FundApproximately 6,000 Colorado horses become unwanted each year because their owners no longer want them or can afford them. Abuse and abandonment are increasing whilst traditional outlets for unwanted horses—rescue facilities, therapeutic riding programs, etc., are reaching capacity. CUHA addresses the problem through grant programs, education initiatives and research.Colorado Multiple Sclerosis Fund1 in 580 people in Colorado have Multiple Sclerosis; a chronic and often disabling central nervous system disease usually beginning in young adulthood. 100% of your tax dollars will assist these Coloradoans through the National Multiple Sclerosis Society with education, medical equipment, exercise programs, counseling, family support, homecare, and advocacy.


WithA

Payment

WithoutA

Payment




Mail To:

Mail To:

[ 89 ]

(12/04/15)

1. First, complete your federal income tax return — IRS Form 1120. You will need information from your federal return to complete this return.

2. FilethereturnforfreeusingRevenueOnlineorfileelectronicallyusinge-filingsoftware.Youcanfileonpaperifyoucannotfileelectronically,butpleasenotethatfilingonpapercanincreasereturnproblemsanddelay refunds. Returns are due three and one-half months after the close of thetaxableyear.

3. If you owe the state, pay electronically through Revenue Online. If you cannot pay online, makeyourcheckormoneyorderpayabletotheColorado Department of Revenue. Please print the corporation’sColoradoaccountnumberand“2015Form 112” on the check or money order.

Manage your account File and pay onlineGet started with Revenue Online today!www.Colorado.gov/RevenueOnline

COLORADO C CORPORATION INCOME TAX BOOKLET

BOOKLET INCLUDES:Instructions, Form 112 and Related Forms

20152015Colorado C Corporation Income Tax Filing Guide - Book 112 - (2015)

[ 90 ]

DR 0158-C (07/22/15)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0008www.TaxColorado.com

(0029)

*150158-C19999*

DR 0158-C (07/06/15)For tax period: (MM/DD)

2015Ending: (MM/DD/YY)

ReturntheDR158-CwithcheckormoneyorderpayabletotheColoradoDepartmentofRevenue,Denver,Colorado80261-0008.WriteyourColoradoAccountNumberorFederalEmployerIdentificationNumberand“2015DR0158-C”onyourcheckormoneyorder.Donotsendcash.Enclose,butdonotstapleorattach,yourpaymentwiththisform.File only if you are making an extension payment.Corporation Name ColoradoAccountNumber

Address FEIN

City State ZIP

If No Payment Is Due, Do Not File This Form. TheStatemayconvertyourchecktoaonetimeelectronicbankingtransaction.YourbankaccountmaybedebitedasearlyasthesamedayreceivedbytheState.Ifconverted,yourcheckwillnotbereturned.Ifyourcheckisrejectedduetoinsufficientoruncollectedfunds,theDepartmentofRevenuemaycollectthepaymentamountdirectlyfromyourbankaccountelectronically.

Amount Owed

$ .00

General InformationCorporate income tax returns are due 3½ months after theendofyourtaxyear,orbyApril18,2016fortraditionalcalendaryearfilers.Ifyouareunabletofilebyyourprescribedduedate,youmayfileunderextension.Thiswillallowyouanadditional6monthstofileyourreturn,oruntilMondayOctober17,2016fortraditionalcalendaryearfilers.However,theextensiontofiledoesnotallowyoutoextend your payment due date. You must pay at least 90% ofyourtaxliabilitybytheoriginalduedateofyourreturn(orApril18th)andtheremainderbythefilingextensionduedate(orOctober17th)toavoiddelinquentpaymentpenalties.

Penalties and InterestIfthe90%ruleisnotmetbytheoriginalduedate,thendelinquentpenaltyandinterestwillbeassessedwhenyoufileyourreturn.If90%ormoreofyourtaxliabilityispaidbytheoriginalduedate,andtheremainingbalanceispaidbytheextensionduedate,nopenaltywillbeassessed.However,youwillbebilledinterest,butonlyontheamount

beingpaidbytheextensionduedate.If after the original due date, you determine that you underpaid your extension payment you should pay theadditionaltaxassoonaspossibletoavoidfurtheraccumulation of penalty and/or interest.

Pay OnlineVisit www.Colorado.gov/RevenueOnline to pay online. Online payments reduce errors and provide instant paymentconfirmation.RevenueOnlinealsoallowsuserstosubmitvariousformsandtomonitortheirtaxaccount.DR0158-Cisnotrequiredifanonlinepaymentismade.Pleasebeadvisedthatanominalprocessingfeemayapplyto online payments.

Pay by Electronic Funds Transfer (EFT)EFTDebitandEFTCreditoptionsarefreeservicesofferedbytheDepartment.EFTservicesrequirepre-registrationbeforepaymentscanbemade.Visit www.Colorado.gov/revenue/eft for more information.

Extension of Time for Filing a Colorado C Corporation Income Tax Return

[ 91 ]

DR 0900C (08/06/15)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0008www.TaxColorado.com

2015 C Corporation Income Tax Payment

This form must accompany your payment if you filed electronically and wish to pay by checkTheDepartmentstronglyrecommendsthatyoufileusingRevenue Online or other electronic method and remit your paymentelectronicallyorbyEFT.

The amount on the check and the amount entered on thepaymentdocumentmustbethesame.Thiswillhelpmaintain accuracy in your tax account. Be sure to keep a copyofthemoneyorderornotethechecknumberwithyour tax records.DONOTsubmitapaper112returnifyouhavealreadyfiledand paid electronically.

DR 0900C (12/04/15)For tax period: (MM/DD)

2015Ending: (MM/DD/YY)

ReturnthisformwithcheckormoneyorderpayabletotheColoradoDepartmentofRevenue,Denver,Colorado 80261-0008.WriteyourColoradoAccountNumberorFederalEmployerIdentificationNumberand“2015FORM112”onyourcheckormoneyorder.Donotsendcash.Enclose,butdonotstapleorattach,yourpaymentwiththisform.

Corporation Name ColoradoAccountNumber FEIN


If no payment is due, do not file this form. TheStatemayconvertyourchecktoaonetimeelectronicbankingtransaction.YourbankaccountmaybedebitedasearlyasthesamedayreceivedbytheState.Ifconverted,yourcheckwillnotbereturned.Ifyourcheckisrejectedduetoinsufficientoruncollectedfunds,theDepartmentofRevenuemaycollectthepaymentamountdirectlyfromyourbankaccountelectronically.

Amount Owed

$ .0 0

*150900C=19999*(0021)

[ 92 ]

Page 4

Instructions For Completing Form 112S Corporations use Form 106 ThisfilingguidewillassistyouwithcompletingthisColoradoIncomeTaxReturn.Onceyoufinishtheform,fileitwithacomputer,smartphone,ortabletusingourfreeandsecure Revenue Online service at www.Colorado.gov/RevenueOnlineOr,youmayfileusingprivatee-Filesoftwareorwithapaidtaxpreparer.Byfilingyourreturnelectronically,yousignificantlyreducethechance of errors and you will receive your refund much faster.Ifyoucannotfileelectronicallyforanyreason,mailthe enclosed forms as instructed.Pleasereadthroughthisguidebeforestartingyourreturn.AllColoradoformsandpublicationsreferencedinthisguideareavailablefordownloadatwww.TaxColorado.com — the officialTaxationWebsite.

Filing RequirementsEachCcorporationdoingbusinessinColorado,orthosewhoderiveincomefromColoradosources,mustfilethisreturn.OrganizationsthathavebeengrantedtaxexemptstatusbytheIRSaregenerallyexemptfromColoradotaxation.However,thosetaxexemptentitiesthatfileFederalform990-TtoreportunrelatedbusinesstaxableincomefromColoradosourcesorfrombusinessactivityinColoradoaresubjecttoColoradotaxationandarerequiredtofileForm112.Anyinsurancecompanysubjecttothetaximposedongrosspremiumsby§10-3-209,C.R.S.isexempt from Colorado income tax.

Due DateCorporate income tax returns are due the 15th day of the fourthmonthaftertheendofyourtaxyear,orbyApril18,2016fortraditionalcalendaryearfilers.Ifyouareunabletofilebyyourprescribedduedate,youmayfileunderextension.SeeDR0158-Cformoreinformationaboutfilingextensions.

Estimated TaxEveryCcorporationsubjecttoColoradoincometaxmustfileForm112EP,ifitcanreasonablyexpectthenettaxliabilitytoexceed$5,000duringthetaxableyear.SeepublicationFYIIncome51formoreinformation.

Accounting Period and MethodThe accounting period and method for Colorado income tax mustbethesameaccountingperiodandmethodasusedfor federal income tax.

Account NumbersTheColoradoaccountnumberis8digitsandmustbelistedinadditiontotheFederalEmployerIdentificationNumber(FEIN)onanyformwhererequested.TheColoradoaccountnumberusedonthisformisusuallythesamenumberthatisfoundonsalestaxlicensesandformsrelated to wage withholding.

Line by Line InstructionsFirst,completethefederalincometaxreturntobefiledwith the IRS. You will use information from that return to complete the Colorado income tax return.

Section AMarktheappropriateboxrelatedtoyourapportionmentmethod.Corporationsdoingbusinessinmultiplestatesmustapportiontheirtaxableincometoeachstateinwhichtheyconductbusiness.Thisensuresthetaxispaidtothestateinwhichtheincomeisearnedandtaxable,andeliminatesdoubletaxation.WerecommendthatyoureadpublicationFYIIncome59formoreinformation.Generally,income is apportioned using the single sales factor.

• Not ApportioningTheCcorporationconductsbusinessonlyinthestateofColorado.Taxwillbecalculatedon100%oftheColoradotaxableincome.

• Single Sales FactorAllbusinessincomemustbeapportionedusingasinglefactor:sales.Nonbusinessincomemayeitherbedirectlyallocatedtotheappropriatestateortreatedasbusinessincome,subjecttothesinglesalesfactor.ScheduleSFisrequiredifusingthismethodandcanbecompletedbyclickingtheappropriateeditbuttononRevenueOnline.Otherwise,submitviathee-FilerAttachmentonRevenueOnline or send with the paper return.

• Gross ReceiptsThe C corporation that performs no Colorado activities other than making sales, that does not own or rent real estatewithinColoradoborders,andthatgeneratesannual Colorado gross sales of $100,000 or less, may elect to pay tax on one-half percent of the annual Colorado gross receipts – in lieu of paying the normal incometax.WerecommendthatyoureadpublicationFYIIncome 58 if this applies to you. If using this method, you must enter the annual Colorado gross receipts on line 16, thecalculated.5%taxonline17,andenter“grossreceipttax” on the dotted lines next to each of these two lines.

• Other Apportionment MethodWhen Colorado apportionment methods do not fairly measure the Colorado-source income, the corporation mayrequest(ortheDepartmentmightrequire)analternative apportionment method.

[ 93 ]

Page 5

Section BMarktheappropriateboxtodesignateaseparate,consolidated,orcombinedreturn.TherearefourpossiblefilingalternativesforCcorporations. We recommend that you read publicationFYIIncome 60 for additional information.

• SeparateForasinglecorporation,regardlessofitsmembershipinanaffiliatedgroup.Asinglecorporationcannotusethisfilingalternativeifitelectstobepartofaconsolidatedreturnorifitisrequiredtobeincludedinacombinedfiling.

• ConsolidatedForaffiliatedmembersofagroupofcorporationsdefinedby§1504InternalRevenueCode.However,onlythosemembersconductingbusinessinColoradocanbeincludedintheconsolidatedreturn.ThisfilingalternativeisbindingforfouryearsandrequiresconsentoftheColoradomembersofthegroup.Filingsuchareturnshallbedeemedconsent.

• CombinedForaffiliatedmembersofagroupofcorporationsdefinedby§39-22-303,C.R.S.thatmeetsatleasthalfofthesix-partintercompanybusinessrelationshiptestforthisandtheprecedingtwoyearsthisisarequiredfilingalternative.

• Combined/ConsolidatedForanaffiliatedgroupfilingacombinedreturn,butwhohasamemberthatfiledafederalconsolidatedreturnwith another corporation, and the other corporation is conductingbusinessinColoradobutisnototherwiseeligibletobeincludedinthecombinedreport.

Taxable IncomeLine 1Enterthefederaltaxableincome(orloss)fromIRSform1120 or 990-T. Line 2Enteranyamountfromline1thatisattributedtoaffiliatedcorporations that are not included in this consolidated or combinedreturn.Line 3ThislineisautomaticallycalculatedbyRevenueOnline,orsubtractline2fromline1iffilingapaperreturn.Thisreflectsthetaxableincomeofthefederalpro-formareturnincluded on the Colorado form.

AdditionsLine 4Enter any federal net operating loss deduction claimed inthecomputationofthefederaltaxableincome.Werecommend that you read publicationFYIIncome 19 if this applies to you.

Line 5Enter any Colorado income tax claimed as a deduction in thecomputationofthefederaltaxableincome.Line 6Enterthesumofallotherqualifyingadditions.Forthisline,youmustfurtherexplainyourbasisforthisadjustment.IfyouareusingRevenueOnline,submitthisexplanationtoyour return electronically with the E-Filer Attachment option. Otherwise, use the DR 1778 or attach a written statement to your paper return. We recommend that you read publicationFYIIncome58ifthisappliestoyou:

• Interest income – the amount of state or municipal obligationsthatwerenotincludedinfederaltaxableincome.DONOTincludebondpremiumamortization,oranyinterestearnedfrombondsissuedbyanystateorpoliticalsubdivision,excludinganybondsissuedbytheStateofColoradooritspoliticalsubdivisionsonorafterMay1,1980.QualifyinginterestshallbenetofanyexpenserequiredtobeallocatedtheretobytheInternalRevenue Code for federal income tax purposes. See publicationFYIIncome52formoreinformation.

• Foreign-source income - the amount of any income, warprofits,orexcessprofitstaxespaidoraccruedtoany foreign country or to any possession of the United States that were claimed as a deduction of the federal return.

•GrossConservationEasementcharitablecontribution–Anycharitabledeductiontakenonthefederalreturnfora gross conservation easement that has also claimed for a Colorado tax credit. Complete form DR 1305 Part D.

Line 7ThislineisautomaticallycalculatedbyRevenueOnline,orenter the sum of lines 3 through 6iffilingapaperreturn.

SubtractionsLine 8Enter any income that is included on line 1, which is derivedfromanyU.S.governmentbondinterestandanyinterestordividendincomeonobligationssecuritiesofany authority, commission, or instrumentality of the United States to the extent that such income is exempt from state taxationbyfederallaw.WerecommendthatyoureadpublicationFYIIncome20ifthisappliestoyou.

Line 9Enter any income that is included on line 1, which is derivedfromforeignincomethatqualifiesasexcludableforeignsourceincome.ExcludableforeignsourceincomemeanstaxableincomefromsourcesoutsidetheUnitedStatesasusedin§862oftheInternalRevenueCode.Excludableforeignsourceincomeshallalsobeomittedindetermining the Colorado sales factor on Schedule SF. We recommendthatyoureadpublicationFYIIncome58ifthisapplies to you.

[ 94 ]

Page 6

• The corporation has elected to claim foreign tax paid or accrued as a deduction on the federal income tax return andthereforetheColoradoexclusioncanequalthatofthe federal deduction.

• The corporation has elected to claim foreign tax paid or accrued as a credit on the federal income tax return andthereforetheColoradoexclusioniscalculatedbyexcluding section 78 dividend gross up from the total foreignsourceincome,thenmultiplyingbyafraction,the numerator of which is the federal foreign tax credit, andthedenominatorbeingtheforeignsourceincome(excludingsection78dividendgrossup),multipliedbythe effective federal corporation income tax rate (federal corporateincometaxdividedbyfederalcorporatetaxableincome).Excludableforeignsourceincomemay not exceed total foreign-source income excluding section 78 dividend gross up. Foreign source income fromaforeigncorporationwithanaffiliatedgroupofcorporationsshallbedeterminedwithoutregardto§882(a)(2)oftheInternalRevenueCode.

Line 10Enter up to $100,000 of any income that is included on line 1, which is derived from Colorado-source capital gain. This isincomeearnedfromthesaleofrealortangiblepersonalpropertythatislocatedinColorado,wasacquiredonorafterMay 9, 1994, and was continuously held for at least 5 years prior to the transaction date from which the capital gains arise.CompleteandsubmitformDR1316.RevenueOnlineallowsyoutodirectlyenterDR1316byclickingtheEDITbutton.Paperfilersshouldattachthisformtotheirreturn.Takeprecautiontocompletelyfillouteveryfieldofthisform.Beasdetailedaspossible,especiallywhenprovidingpropertydescriptions,ownership,anddatesofacquisitionand sale.Line 11ForColorado-licensedmarijuanabusinesses,listanyexpenditurethatiseligibletobeclaimedasafederalincometaxdeductionbutisdisallowedbysection280EoftheInternalRevenueCodebecausemarijuanaisacontrolledsubstanceunderfederallaw.To calculate this deduction, you must create pro forma federalschedule(s)forBusinessProfitorLossasifthefederal government would have allowed the expenditures fromthemarijuanabusiness.TheColoradodeductionshallbethedifferencebetweentheprofit/lossascalculatedontheACTUALschedule(s)filedwiththefederalreturnandtheproformaschedule(s)describedabove.Youmustattachboththe pro forma schedule(s) and the actual schedule(s) to your Colorado return to receive this deduction.Line 12Enterthesumofallotherqualifyingsubtractions.Forthisline,youmustfurtherexplainyourbasisforthisadjustment.IfyouareusingRevenueOnline,submitthisexplanationto your return electronically using the E-Filer Attachment option. Otherwise, use DR 1778 or attach a written statement to your paper return. We recommend that you readpublicationFYIIncome58ifthisappliestoyou:

• Colorado income tax refund–the amount of any Colorado income tax refund that was included on line 3.

•Grossupprovisions–theamountofanyIRCsection78gross up provisions that was included on line 3.

• Various credits–the amount of any salary or wage expensethatwasnotallowedasafederaldeductionbythe IRS due to the provisions of the Indian employment credit, work opportunity credit, empowerment zone employment credit, orphan drug credit, the credit for increasing research activities, employee retention credit, welfare-to-work credit, or mine rescue team training credit.

Line 13ThislineisautomaticallycalculatedbyRevenueOnline,orenter the sum of lines 8 through 12iffilingapaperreturn.

Taxable IncomeLine 14ThislineisautomaticallycalculatedbyRevenueOnline,orcalculateyourmodifiedfederaltaxableincomebysubtractingline13 from line 7iffilingapaperreturn.Line 15ThislineisautomaticallycalculatedbyRevenueOnline,orentertheColoradotaxableincome.Forthosefilingapaper return, this amount is transferred from line 14 if not apportioning income. Otherwise, corporations that are apportioningincome,thisamountshallbetransferredfromline 16 of Schedule SF.Line 16Enter the Colorado net operating loss deduction. This amount is calculated in the same manner as the federal net operating loss deduction, except that in the case of a corporation apportioning income, it is the part of the federal netoperatingloss(asmodified)thatisfromColoradosources.Coloradonetoperatinglossesmaybecarriedforward20yearsfortaxyearsbeginningonorafterAugust6,1997.Theymaynotbecarriedback.Federallimitationsoncarryoverlossesbetweenpredecessorandsuccessorcorporations apply to Colorado income tax as well. We suggestthatyoureadpublicationFYIIncome19ifthisapplies to you. Line 17ThislineisautomaticallycalculatedbyRevenueOnline,orcalculateyourColoradotaxableincomebysubtractingline16 from line 15iffilingapaperreturn.

TaxLine 18Calculate your Colorado tax. This is automatically entered byRevenueOnline.Iffilingapaperreturn,multiplyline17 bythetaxrateof4.63%.

[ 95 ]

Page 7

CreditsLine 19Complete Form 112CR to calculate this line. If you are usingRevenueOnlinethisfieldwillautomaticallypopulatewhen you complete the Form 112CR, or transfer the amountofnonrefundablecreditsfromline23 of Form 112CRiffilingapaperreturn.Line 20Use your tax software, Revenue Online or form DR 1366 tocalculatethetotalamountofnonrefundableenterprisezonecreditsbeingusedtooffsetthecurrentyeartaxliability.Thetotalnonrefundableenterprisezonecreditusedcannotexceed the amount of line 18. Line 21NetTax-thisisautomaticallyenteredbyRevenueOnline.Iffilingapaperreturn,subtractline19 and 20 from line 18.

Line 22CorporationsrequiredtorecapturefederalinvestmentcreditswithrespecttoColoradoassets,mustrecapturethe“old”Colorado investment credits as well. Include any investment credit recapture, historic property preservation credit recapture, low income housing credit recapture, or any other creditrecapture.SubmitanattachmenttoRevenueOnline,or a paper statement to your mailed return that itemizes each recaptured amount calculated for this line.Line 23ThislineisautomaticallycalculatedbyRevenueOnline,orenter the sum of lines 21 and 22iffilingapaperreturn.Line 24Carefullyreviewpaymentrecordsbeforecompletingthis line. Use Revenue Online (www.Colorado.gov/RevenueOnline) to verify estimated taxes paid on the account. Doing so will reduce processing delays. Allow ample time to sign up for Revenue Access and to receive theAuthenticationCodeforfirsttimeuse.Entertheamountof credit for prepayments. Include the sum of the following on line 24.

• Estimated tax payments for 2015• Any overpayment from 2014 that was carried forward to 2015

Extension payment(s)• Payments remitted with DR 1079 to satisfy withholding requirementsforthesaleofColoradorealestate

Line 25EntertheamountofwithholdingreportedonformW-2Gmadeonlotteryorgamblingwinnings.Thisisrareandwillnot apply to most taxpayers.

Line 26GrossConservationEasementCredit.CompleteallapplicablepartsofformDR1305.Entertheamountfromline33ofDR1305G.

Line 27Innovative Motor Vehicle Credit from Form DR 0617Line 28Business Personal Property Credit for C-Corporation Business OwnersThiscreditisonlyavailableifbusinesspersonalpropertytax was paid to a Colorado county in 2015 and the businesshadbusinesspersonalpropertyof$15,000orless.Submitacopyoftheassessor’sstatementwithyourreturn.Table 1–Matchyourfederaltaxableincomeamountfromline 1 of the 112 form.

Amount from Form 112 line 1 Credit rate$0 - $50,000 .8037$50,001 - $75,000 .7037$75,001 - $100,000 .6137$100,001 - $335,000 .5637$335,001 - $10,000,000 .6137$10,000,001 - $15,000,000 .6037$15,000,001 - $18,333,333 .5737Over $18,333,333 .6037


Entertheamountofbusinesspersonal property tax paid in 2015 A _____________EntertheCreditRatefromTable1 that corresponds with your FederalTaxableIncome B _____________Multiply line A times line B to calculate the credit allowed, enter on Form 112 line 28 $ _____________

Line 29RenewableEnergyTaxCredit.Entertheamountfromline88 of form DR 1366.Line 30ThislineisautomaticallycalculatedbyRevenueOnline,orenter the sum of lines 24 through 29iffilingapaperreturn.If the amount of line 23 exceeds the amount of line 30, additional tax is due with this return and continue to line 31. If not, go to line 36. Line 31Nettaxdue–thisamountiscalculatedautomaticallybyRevenueOnline,orsubtractline30 from line 23iffilingapaper return.Line 32Calculateanypenaltyowedfordelinquentfilingorpayment.Thepenaltyis5%ofthenettaxdueforthefirstmonth after the due date, and ½% for each additional month past the due date. The minimum penalty is $5 and the maximum penalty is 12%. Or, if you prefer not to calculatethispenalty,theDepartmentwillbillyouifdue.

[ 96 ]

Page 8

Line 33Calculateanyinterestowedfordelinquentfilingorpayment. The interest rate is 3% of the net tax due. Or, if you prefer not to calculate this interest, the Department willbillyouifdue.Interestonanybillissuedthatremainsunpaid after 30 days of issuance will increase to 6%.Line 34To calculate this penalty, complete Form 205. Enter any estimated tax penalty owed on this line.Line 35Total Tax Due–enter the sum of lines 31 through 34. Paymentcanbemadeelectronicallyat:

• www.Colorado.gov/RevenueOnline; or• www.Colorado.gov/Revenue/EFT or• Mail to – Colorado Department of Revenue, Denver CO

80261-0006Line 36Overpayment –thisamountiscalculatedautomaticallybyRevenueOnline.Otherwise,subtractline30 from line 23.Line 37Entertheamount,ifany,youwouldliketobeavailablefor2016 estimated tax.Line 38Refund –subtractline37 from line 36. This is the amount of your refund. You have the option of authorizing a transaction bytheDepartmenttodirectlydepositthesefundstoyourbankaccount.Otherwise,arefundcheckwillbemailedtothe address you have designated on this return. If you use Direct Deposit, you will receive your refund 1 to 2 weeks faster than if you wait for a paper check.

Direct DepositEntertheroutingandaccountnumbersandaccounttype.Includehyphens,butdoNOTenterspacesorspecialsymbols.Werecommendthatyoucontactyourfinancialinstitution to ensure you are using the correct information and that they will honor a direct deposit.

Intercepted RefundsThe Department will intercept your refund if you owe backtaxesorifyouoweabalancetoanotherColoradogovernment agency or the IRS.

Section CEnter the name, phone, and address of the party responsibleformaintainingthebooksbelongingtothiscorporation.

Section DEnterthe6-digitNorthAmericanIndustryClassificationSystem(NAICS)numberthatbestdescribesthepurposeofthisbusiness.Usethesamecodeusedonthefederalreturn.

Section EEntertheyearthecorporationbegandoingbusinessinColorado.

Section FDesignate whether the paid preparer can discuss this return with the Department. By completing this area of the return,youaregrantingthedesigneetheabilityto:


•CalltheDepartmentforinformationaboutyourreturn,including the status of your refund or processing time; and

•Receiveuponrequestcopiesofnotices,bills,ortranscripts related to your return; and

•Respondonyourbehalftonoticesaboutmatherrors,intercepts,andquestionsaboutthepreparationofyourreturn.

This designation does not allow the third party to receive yourrefundcheck,bindyoutoanything(includinganyadditionaltaxliability),orotherwiserepresentyoubeforethe Colorado Department of Revenue. If you would like to expand the designee’s authorization, complete the DR 0145, Power of Attorney for Department Administered Tax Matters.

Section G – HCompletethedataasrequested.

SignatureThelawrequiresthereturntobesignedunderpenaltyofperjury.Personsauthorizedtosignthisreturnmusteitherbethepresident,vicepresident,treasurer,assistanttreasurer,chiefaccountingofficer,orotherofficerthatisdulyauthorizedtoactonbehalfofthecorporation.Incaseswherereceivers,trusteesinbankruptcy,orassigneesareoperatingthepropertyorbusinessofcorporations,such receivers, trustees, or assignees shall make returns for such corporations in the same manner and form as corporationsarerequiredtomakereturns.

AmendmentsIfanamendedreturnisfiledwiththeIRS,oriftheIRSchanges the content of the return, an amendment must befiledwithColorado.UseRevenueOnlineortheForm112X to amend the Colorado return. If the corporation operates in multiple states, the Department will accept the revenue agent report (RAR) in lieu of an amended return. BesuretolisttheColoradoaccountnumberontheRARbeforemailingacopytoColoradoDepartmentofRevenue,Denver CO 80261-0006.Caution: federal adjustments must be reported to the Colorado Department of Revenue. See §39-22-601(6), C.R.S. for information about the statute of limitations.

[ 97 ]

Form 112 (12/04/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0006

(0023)

2015 -or-

Fiscal Year Beginning (MM/DD/15)

2015Year Ending (MM/DD/YY)

Name of Corporation ColoradoAccountNumber

Address FEIN

City State Zip

Final Return Ifyouaresubmittingastatementdisclosingalistedorreportedtransaction,markthisbox

A. Apportionment of Income.Thisreturnisbeingfiledfor:

(42) A corporation not apportioning income; (45) A corporation electing to pay a tax on its gross Colorado sales;

(43)Acorporationengagedininterstatebusiness apportioning income using single-factor apportionment(ScheduleSFrequired);

(46) A corporation claiming an exemption under P.L.86-272;

(44)Acorporationengagedininterstatebusiness apportioning income using special regulation (Sched-uleSFrequired);

(47) Otherappointmentmethod,mustbepre-approvedbythedepartment(fillinbelow)

B. Separate/Consolidate/Combined Filing.Thisreturnisbeingfiledfor:

Asinglecorporationfilingaseparatereturn; Anaffiliatedgroupofcorporationsrequiredtofileacombinedreturn(ScheduleCrequired.);

Anaffiliatedgroupofcorporationselectingtofilea consolidated return. Warning: suchelectionisbindingforfour years. If your election was made in a prior year, enter theyearofelectioninlinebelow.(ScheduleCrequired);

Anaffiliatedgroupofcorporationsrequiredtofileacombinedreturnthatincludesanotheraffiliated,consolidatedgroup(ScheduleCrequired.)

Enter the year of election (YYYY)

Federal Taxable Income Round to nearest dollar

1. FederaltaxableincomefromFederalform1120or990-T 1 00

2. Federaltaxableincomeofcompaniesnotincludedinthisreturn 2 00

3. Netfederaltaxableincome,line1minusline2 3 00Additions

4. Federal net operating loss deduction 4 00

5. Colorado income tax deduction 5 00

6. Other additions, include explanation 6 00

7. Total of lines 3 through 6 7 00


*150112==19999*

Colorado C Corporation Income Tax Form 112

Do not submit federal return, forms or schedules when filing this return.

[ 98 ]

Form 112*150112==29999*Name AccountNumber

Subtractions8. Exempt federal interest 8 00

9. Excludableforeignsourceincome 9 00

10. Coloradosourcecapitalgain(assetsacquiredonorafter5/9/94,heldfiveyears) 10 00

11. ColoradoMarijuanaBusinessDeduction 11 00

12. Othersubtractions,includeexplanation 12 00

13. Total of lines 8 through 12 13 00Taxable Income

14. Modifiedfederaltaxableincome,line7minusline13 14 00

15. Coloradotaxableincomebeforenetoperatinglossdeduction 15 00

16. Colorado net operating loss deduction 16 00

17. Coloradotaxableincome,line15minusline16 17 00

18. Tax, 4.63% of the amount on line 17 18 00Credits

19. Totalnonrefundablecreditsfromline23,Form112CR(maynotexceedtaxonline18) 19 00

20. Non-refundableEnterpriseZonecreditsused–ascalculated,orfromDR1366line87 20 00

21. Net tax, line 18 minus lines 19 and 20 21 00

22. Recapture of prior year credits 22 00


24. Estimated tax and extension payments and credits 24 00

25. W-2GWithholdingfromlotterywinnings 25 00

26. GrossConservationEasementCreditfromDR1305Gline33 26 00

27. Innovative Motor Vehicle Credit from form DR 0617 27 0028. BusinessPersonalPropertyCredit:UsetheworksheetintheDR112book

instructionstocalculate,submitcopyofassessor’sstatement 28 00

29. RenewableEnergyTaxCreditfromline88offormDR1366 29 00


31. Nettaxdue.Subtractline30fromline23 31 00

32. Penalty 32 00

Do Not Submit Federal Return, Forms or Schedules when Filing this Return

[ 99 ]

Form 112*150112==39999*

33. Interest 33 00

34. Estimated tax penalty due 34 00

35. Total due. Enter the sum of lines 31 through 34 35 00

36. Overpayment, line 30 minus line 23 36 00

37. Amount from line 36 to carry forward for future year estimated tax 37 00

38. Amountfromline36toberefunded 38 00

Name AccountNumber

DirectDeposit

RoutingNumber Type: Checking Savings

AccountNumber

Pay electronically at www.Colorado.gov/RevenueOnline or Mail and Make Checks Payable to: Colorado Department of Revenue Denver, CO 80261-0006

TheStatemayconvertyourchecktoaonetimeelectronicbankingtransaction.YourbankaccountmaybedebitedasearlyasthesamedayreceivedbytheState.Ifconverted,yourcheckwillnotbereturned.Ifyourcheckisrejectedduetoinsufficientoruncollectedfunds,theDepartmentofRevenuemaycollectthepaymentdirectlyfromyourbankaccountelectronically.

C. Thecorporation’sbooksareincareof:LastName First Name Middle Initial PhoneNumber

( )Address City State Zip

D. Businesscodenumberperfederalreturn(NAICS) E. YearcorporationbegandoingbusinessinColorado

F. May the Colorado Department of Revenue discuss this returnwiththepaidpreparershowbelow (see instructions) Yes No

G. Kindofbusinessindetail

H. HastheInternalRevenueServicemadeanyadjustmentsinthe corporation’sincomeortaxorhaveyoufiledamendedfederalincome tax returns at any time during the last four years?

Yes No

If yes, for which year(s)? (YYYY)

DidyoufileamendedColoradoreturnstoreflectsuchchangesor submitcopiesoftheFederalAgent’sreports? Yes No

LastNameofpersonorfirmpreparingreturn First Name Middle Initial

Address ofpersonorfirmpreparingreturn PhoneNumber( )

City State Zip

Underpenaltiesofperjuryintheseconddegree,IdeclarethatIhaveexaminedthisreturnandtothebestofmyknowledgeistrue,correctandcomplete.Declarationofpreparer(otherthantaxpayer)isbasedonallinformationofwhichpreparerhasanyknowledge.SignatureorTitleofOfficer Date (MM/DD/YY)

[ 100 ]

Page 12

ScheduleCmustbecompletedifthecorporationforwhichthereturnisfiledowneda)morethan50percentofthestockofanothercorporationor,b)morethan50percentofthestockofthecorporationforwhichthereturnisfiledwasownedbyanothercorporation.Enterinformationforthecommonparentonline1.Lines2through6areforsubsidiarycorporations.Photocopyandsubmitadditionalsheetsifnecessary.Columns A through CEnter the corporation’s name, address, Colorado Account NumberandFederalEmployerIdentificationNumber.Column DTaxpayerswhoareaffiliatedcorporations,asdescribedabove,andwhohavemorethan20percentoftheirproperty and payroll located within the United States must complete Column D.TheblocksinColumnDarenumberedfromone(1)tosix(6)andcorrespondtothesixnumberedintercompanybusinessrelationshipsdescribedbelow.ForeachaffiliatelistedonScheduleC,markyesornointheblocksofColumnD,toindicatewhetherthebelowdescribedintercompanybusinessrelationshipsdidordidnotexistduring the tax year and the two preceding tax years.Intercompany Business Relationships1. Is 50 percent or more of the corporation’s gross receipts

fromsalesorleasestootheraffiliatesoris50percentor more of the corporation’s cost of goods sold or leasedfromotheraffiliates?

2. Does the corporation receive 50 percent or more of the totalannualvalueofeachoffiveormoreofthefollowingservicesfromotheraffiliates:advertisingandpublicrelations;accountingandbookkeeping;legal;personnel;sales; purchasing; research and development; insurance;employeebenefitprograms.Donotcountserviceswhichareprovidedatan“arm’slengthcharge.”(SeeU.S.TreasuryRegulation1.482-2(b)(3).)

3.Is20percentormoreofthecorporation’slong-termdebtowedtoorguaranteedbyotheraffiliates?Is20percentormoreofanyotheraffiliate’slong-termdebtowedtoorguaranteedbythecorporation?

4. Does the corporation use patents, trademarks, service marks, logos, trade secrets, copyrights or other proprietarymaterialsownedbyotheraffiliates?

5.Are50percentormoreofthemembersofthecorporation’sboardofdirectorsalsomembersoftheboardofdirectorsorcorporateofficersofotheraffiliates?

6. Are 25 percent or more of the corporation’s 20 (twenty) highestrankingofficersalsomembersoftheboardofdirectorsorcorporateofficersofotheraffiliates?

Column EMarktheblockinColumnEifthecorporationisincludedinacombinedreport.Corporationsincludedinacombinedreport must have answered yes to three or more of the intercompanybusinessrelationshipsreferredtoinColumnD.Columns F through IEntercorporation’sownernumber,whetherornottherewas a change in ownership, the ownership percentage and principalbusinessactivity.

Instructions For Schedule C

[ 101 ]

*150112SF19999*

Name AccountNumber

1. Totalmodifiedfederaltaxableincomefromline14,page2,Form112 1Business Income Apportioned to Colorado By Use of the Sales Factor Donotincludeforeignsourcerevenuesmodifiedoutonline9,page1,Form112

Colorado Total

2. Grosssalesoftangiblepersonalproperty 2

3. Grossrevenuefromservices 3

4. Grossrentsandroyaltiesfromrealproperty 4

5. Grossproceedsfromsalesofrealproperty 5

6. Taxableinterestanddividendincome 67. Gainfromthesaleofintangiblepersonal

property 7

8. Patent and copyright royalties 89. Revenue from the performance of purely

personal services 910. Total revenue (total of lines 2 through

9 in each column) 10

11. Line10(Colorado)dividedbyline10(Total) 11Complete Lines 12 and 15 only if nonbusiness income is being directly allocated. If all income is being treated as business income, enter 0 (Zero) on Lines 12 and 15.

12. Lessincomedirectlyallocable

NonbusinessIncome

Only

(a) Net rents and royalties from real or tangibleproperty

(b)Capitalgainsandlosses

(c) Interest and dividends

(d) Patents and copyright royalties

(e)Othernonbusinessincome

(f)Totalincomedirectlyallocable[addlines(a)through(e)] 12

13. Modifiedfederaltaxableincomesubjecttoapportionmentbyformula,line1lessline12 13

14. IncomeapportionedtoColoradobyformula,line11multipliedbyline13 14

Do not submit federal return, forms or schedules when filing this return. continued on page 14

2015 Schedule SF — Single Factor Apportionment Schedule

Form 112 Schedule SF (08/06/15)

[ 102 ]

15. AddincomedirectlyallocabletoColorado:

Nonbusiness Income

Only

(a) Net rents and royalties from realortangibleproperty

(b)Capitalgainsandlosses

(c) Interest and dividends (d) Patents and copyright

royalties

(e)Othernonbusinessincome

(f)Totalincomedirectlyallocable[addlines(a)through(e)] 15

16. Total income apportioned to Colorado, line 14 plus line 15. Enter on line 15, page 2, Form 112 16

17. Pursuant to§39-22-303.5(6)C.R.S.,taxpayerelectstotreatnonbusinessincomeasbusinessincomefor:

Tax year ending (MM/DD/YY)

*150112SF29999*Name AccountNumber

[ 103 ]

*150112C=19999*

Parent1. A. Name of Corporation B.ColoradoAccountNumber

Address of Corporation City State Zip C. FEIN

D. Intercompany Business Relationships (See Instructions)

1.

Yes

No 2.

Yes

No 3.

Yes

No 4.

Yes

No

5.

Yes

No 6.

Yes

No

E.Markifcorporationisincludedincombinedreturn

I. Principalbusinessactivity

2. A. Name of Corporation B.ColoradoAccountNumber



1.

Yes

No 2.

Yes

No 3.

Yes

No 4.

Yes

No

5.

Yes

No 6.

Yes

No

E.MarkifcorporationisincludedincombinedreturnF. Ownedbycorporationnumber

G.Changeinownership%duringtaxableperiod Yes No

H. %ofownershipcloseoftaxableperiod





1.

Yes

No 2.

Yes

No 3.

Yes

No 4.

Yes

No

5.

Yes

No 6.

Yes

No


F. Ownedbycorporationnumber

G.Changeinownership%duringtaxableperiod

Yes

No



Form 112 Schedule C (07/23/15)

Schedule C — Colorado Affiliations ScheduleDo not submit federal return, forms or schedules when filing this return.

[ 104 ]

Name AccountNumber




1.

Yes

No 2.

Yes

No 3.

Yes

No 4. Yes

No

5.

Yes

No 6.

Yes

No




Yes

No






1.

Yes

No 2.

Yes

No 3.

Yes

No 4.

Yes

No

5.

Yes

No 6.

Yes

No




Yes

No






1.

Yes

No 2.

Yes

No 3.

Yes

No 4.

Yes

No

5.

Yes

No 6.

Yes

No




Yes

No



Photocopy and submit additional pages as needed

*150112C=29999*

[ 105 ]

Submit the following information with your tax return• Usethisscheduletodeterminewhichtaxcreditsyouareeligibletoclaim.• Besuretosubmittherequiredsupportingdocumentationforeachcredit.• Moste-filesoftwareproductsandtaxpreparershavetheabilitytosubmitthisscheduleandattachmentselectronically.RevenueOnlinecanalsobeusedtofileyourreturnandattachmentselectronically.Otherwise,attachallrequireddocumentstoyourpaperreturn.

• Dollaramountsshallberoundedtothenearestwholedollar.Calculatepercentagestotheseconddecimalplace.Name of Corporation ColoradoAccountNumber

Pass-through Entity Name Ownership % EntityAccountNumber

EnterinColumn(A)thetotalcreditgeneratedin2015andanycarryforwardcreditthatisavailablefromaprioryear.EnterinColumn(B)theportionofthecreditinColumn(A)thatisbeingusedtooffsettaxin2015.IfColumn(A)islargerthanColumn(B)andthecreditcanbecarriedforwardtofutureyears,enterthecarryforwardamountonline24.

1. Taxliabilityfromline18,Form112 1

A. The New Investment Tax Credit

Column (A) Column (B)

2. $1,000 minus amount on line 7 2

3. Currentyearqualifiedinvestment 3

4. 1% of the amount on line 3 4

5. New investment tax credit carried over from prior year 56. Enter in Column (A) the total of lines 4 and 5. Enter in Column (B)

the lesser of the amount in Column (A) or the amount on line 2 6B. Other Credits

7. Old investment tax credit 7

8. Cropandlivestockcontributioncredit 8

9. Historicpropertypreservationcredit 9

10. ChildCareContributioncredit,submitform(s)DR1317 10

11. Child care center/family care home investment credit 11

12. Employer child care facility investment credit 12

13. School-to-Career investment credit 13

14. Colorado works program credit 14

15. Contaminated land redevelopment credit from line 9 of form DR 0349 15

16. Aircraft manufacturer new employee credit 16

Form 112CR 2015 Credit Schedule for Corporations

*150112CR19999* Form 112CR (09/11/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0006

[ 106 ]

*150112CR29999*

Column (A) Column (B)

17. ColoradoJobgrowthincentivecredit 17

18. Alternative fuel refueling facility credit 18

19. Certifiedauctiongrouplicensefeecredit 19

20. Advanced Industry Investment credit 20

21. Low-incomehousingcredit,submitCHFAcertification 2122. Creditforfoodcontributedtohunger-reliefcharitable

organizations,submitform(s)DR0346 2223. Totalnonrefundablecredits,addamountsinColumn(B)lines6through22

Enter here and on line 19 of Form 112 23Limitation: The total credits entered on line 23 on this Form 112CR may not exceed the tax on line 1. Most unused portion(s)ofthecreditsonthisform[thedifferencebetweentheamountsinColumn(A)andColumn(B)]foreachlinemaybecarriedforwardtothenextincometaxyear.Pleaselistanycreditstobecarriedforwardtotaxyear2016below.

24. Creditstobecarriedforwardto2016 24

Name AccountNumber

[ 107 ]

For Tax Year (MM/DD/YY) orfiscalyearbeginning(MM/DD/YY)

Tax Type Individual Income C-Corp Income Partnership Income S-Corp Income LLCIncome

LPIncome LLPIncome LLLPIncome Association Income Non-ProfitIncome

Please print or typeTaxpayerLastName First Name Middle Initial

Spouse Name (if applicable) First Name Middle Initial

Taxpayer SSN Spouse SSN (if applicable) FEIN

Taxpayer address City State Zip

Mark the box for the documents submitted. ForfurtherinformationvisittheDepartmentofRevenueWebsite www.TaxColorado.com.

Other state(s) income tax return(s) ColoradoSourceCapitalGainSubtraction: DR 1316

Enterprise Zone Credit: DR 1366 and any applicablecertificationformsfromtheZone Administrator

JobGrowthIncentiveTaxCredit:Certification letter from the Colorado Department Commission.

GrossConservationEasement:DR1303,DR1304and/or DR 1305 and supplemental documentation.

Low-IncomeHousingCredit:CHFAcertificationletter

Aircraft Manufacturer New Employee Credit: DR 0085 and/or DR 0086

Non-residentPartner,ShareholderorMembersAgreement: DR 0107

Innovative Motor Vehicle Credit: Vehicle registration andthepurchaseinvoiceorbillofsale.

PlasticRecyclingCredit:Requireddocumentationtosubstantiatecredit(receipts,bills,etc)

ChildCareContributionCredit:DR1317 School-to-Career Investment Credit: Certificationletter.

Claimforrefundonbehalfofdeceasedtaxpayer: DR0102,deathcertificate

Otherdocumentationforcredits/subtractionsclaimed(marktheOtherboxbelowandenterdetails)

Other Explain

Signature of Taxpayer or Preparer Date (MM/DD/YY)

*151778==19999*

Instructions for DR 1778

DR 1778 (07/23/15)COLORADO DEPARTMENT OF REVENUEDenver, CO 80261-0006 www.TaxColorado.com

e-Filer Attachment Form

TheDepartmentstronglyrecommendsthatyousubmitthese documents using the e-Filer Attachment option of www.Colorado.gov/RevenueOnline, which eliminates the requirementtomailthisform.Failuretotimelysubmitrequireddocumentationwillresultindenialoftherelatedcredit. Revenue Online e-Filer Attachment provides you withaconfirmationnumberandwillbeavailabletotheDepartment immediately.

Otherwise, complete this form, package it with your documentationandmailtotheaddressbelow.Usingthisform can extend return processing time up to 6 weeks. Colorado Department of Revenue Denver, CO 80261-0006Youmustresubmityoursupportingdocumentationifyoufileanamendedreturn.

[ 108 ]

Certaincreditsrequiresupplementaldocumentation,ortheymightbedenied.WestronglysuggestthatyousubmityourdocumentationusingtheE-FilerAttachmentoptionthroughRevenueOnline.Otherwise,useformDR1778,supportedefile

software,orattachtoyourpaperreturn.FYIsareavailableatwww.TaxColorado.com

COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0006www.TaxColorado.com

Alternative Fuel Refueling Facility CreditCreditsfrom2006-2010inexcessofthetaxduecanbecarried forward for 5 years.The Old Investment Tax CreditThe old investment tax credit is the sum of the old investment tax credit carry over, the current year old investment tax credit and the old investment tax credit carryback.Thecurrentyearcreditis10percentofthefederalcurrentyearrehabilitation,energyandreforestationinvestment credit on assets located in Colorado. The credit islimitedtothefirst$5,000oftaxliabilityplus25percentofthetaxinexcessof$5,000.Excesscreditmaybecarriedbackthreeyearsandforwardseven.SeepublicationFYIIncome 11 if this applies to you.Crop and Livestock Contribution CreditA25percentcreditisavailableforthedonationofcropsorlivestocktoacharitableorganization.SeepublicationFYIIncome 57 if this applies to you.Historic Property Preservation CreditAcreditof20percentofthecostofrestoringcertifiedhistoricpropertyinColoradoisavailable.SeepublicationFYI Income 1 if this applies to you.Child Care Contribution CreditA75percentcreditisavailableforqualifyingcontributionsmadetopromotechildcareinColorado.SeepublicationFYI Income 35 if this applies to you.Child Care Facility Investment CreditA20percentinvestmentcreditisavailableforcertaintangiblepersonalpropertyusedintheoperationofachildcare center, a family child care home, or a foster care home.SeepublicationFYIIncome7ifthisappliestoyou.

Employer Child Care Facility Investment CreditA10percentinvestmentcreditisavailableforemployersponsoredchildcarefacilityinvestment.SeepublicationFYI Income 7 if this applies to you.

School-to-Career Investment CreditA credit of 10 percent of the current year investment inaqualifiedschool-to-careerprogramisavailable.SeepublicationFYIIncome32ifthisappliestoyou.

Colorado Works Program CreditA credit of 20 percent of an employer’s expenditures to employrecipientsofpublicassistanceisavailable.SeepublicationFYIIncome34ifthisappliestoyou.

Contaminated Land Redevelopment CreditA20to50percentcreditisavailableforexpendituresmadeto redevelop contaminated land in Colorado. This credit mayonlybeusedasacarryforwardfromprioryears.SeepublicationFYIIncome42ifthisappliestoyou.

Aircraft Manufacturer New Employee CreditAcreditisavailabletoqualifiedaircraftmanufacturers locatedinanaviationdevelopmentzone.SeepublicationFYI Income 62 if this applies to you.

Job Growth Incentive CreditCreditsareapprovedandcertifiedbytheColoradoEconomicDevelopmentCommission.AcreditcertificateissuedbytheCommissionmustbesubmittedwithanyreturnclaimingthiscredit.SeepublicationFYIIncome66ifthis applies to you.

[ 109 ]

(08/24/16)

BOOKLET INCLUDES:Instructions, Form 112 and Related Forms

C Corporation Form 112

Colorado C Corporation Income Tax Filing Guide

2016

2016

(11/15/16)




1. First, complete your federal income tax return — IRS Form 1120. You will need information from your federal return to complete this return.

2. File the return for free using Revenue Online or file electronically using e-filing software. You can file on paper if you cannot file electronically. Returns are due 3 ½ months after the close of the taxable year.

3. If you owe the state, pay electronically through Revenue Online. If you cannot pay online, make your check or money order payable to the “Colorado Department of Revenue”. Please print the corporation’s Colorado Account Number and “2016 Form 112” on the check or money order


WithA

Payment

WithoutA

Payment

Colorado C Corporation Income Tax Filing Guide - Book 112 - (2016)

[ 110 ]

DR 0158-C (07/29/16)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0008www.TaxColorado.com

(0029)

DO NOT CUT – Return Full PageDR 0158-C (07/29/16)

For tax period: (MM/DD/16) Ending: (MM/DD/YY)

2016Return the DR 158-C with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write your Colorado Account Number or Federal Employer Identification Number and “2016 DR 0158-C” on your check or money order. Do not send cash. Enclose, but do not staple or attach, your payment with this form. File only if you are making an extension payment.FEIN

Colorado Account Number

Corporation Name

Address

City State ZIP

If no payment is due, do not file this form.The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically

Amount Owed

$ .00


General InformationCorporate income tax returns are due 3½ months after the end of your tax year, or by April 18, 2017 for traditional calendar year filers. If you are unable to file by your prescribed due date, you may file under extension. This will allow you an additional 6 months to file your return, or until Monday October 16, 2017 for traditional calendar year filers. However, the extension to file does not allow you to extend your payment due date. You must pay at least 90% of your tax liability by the original due date of your return (or April 18th) and the remainder by the filing extension due date (or October 16th) to avoid delinquent payment penalties.

Penalties and InterestIf the 90% rule is not met by the original due date, then delinquent penalty and interest will be assessed when you file your return. If 90% or more of your tax liability is paid by the original due date, and the remaining balance is paid by the extension due date, no penalty will be assessed. However, you will be billed interest, but only on the amount

being paid by the extension due date.If after the original due date, you determine that you underpaid your extension payment you should pay the additional tax as soon as possible to avoid further accumulation of penalty and/or interest.

Pay OnlineVisit www.Colorado.gov/RevenueOnline to pay online. Online payments reduce errors and provide instant payment confirmation. Revenue Online also allows users to submit various forms and to monitor their tax account. DR 0158-C is not required if an online payment is made. Please be advised that a nominal processing fee may apply to non-EFT online payments (e-check or credit card payments).

Pay by Electronic Funds Transfer (EFT)EFT Debit and EFT Credit options are free services offered by the Department. EFT services require pre-registration before payments can be made. Visit www.Colorado.gov/revenue/eft for more information.

Extension of Time for Filing a Colorado C Corporation Income Tax Return

*160158-C19999*

[ 111 ]

Page 3

[ 112 ]

DR 0900C (07/29/16)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0008www.TaxColorado.com

2016 C Corporation Income Tax Payment

This form must accompany your payment if you filed electronically and wish to pay by checkThe Department strongly recommends that you file using Revenue Online or other electronic method and remit your payment electronically or by EFT.

The amount on the check and the amount entered on the payment document must be the same. This will help maintain accuracy in your tax account. Be sure to keep a copy of the money order or note the check number with your tax records.DO NOT submit a paper 112 return if you have already filed and paid electronically.

DO NOT CUT – Return Full PageDR 0900C (07/29/16)

For tax period: (MM/DD/16) Ending: (MM/DD/YY)

2016Return this form with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write your Colorado Account Number or Federal Employer Identification Number and “2016 FORM 112” on your check or money order. Do not send cash. Enclose, but do not staple or attach, your payment with this form.

FEIN

Colorado Account Number

Corporation Name

Address

City State Zip

If no payment is due, do not file this form. The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

Amount Owed

$ .0 0


(0021)

*160900C=19999*

[ 113 ]

Page 5

Instructions For Completing Form 112S Corporations use Form 106 This filing guide will assist you with completing this Colorado Income Tax Return. Once you finish the form, file it with a computer, smartphone or tablet at www.Colorado.gov/RevenueOnline, our free and secure Revenue Online service. Or, you may file using private e-File software or with a paid tax preparer. If you cannot file electronically for any reason, mail the enclosed forms as instructed.Please read through this guide before starting your return. All Colorado forms and publications referenced in this guide are available for download at www.TaxColorado.com — the official Taxation Web site.

Filing RequirementsEach C corporation doing business in Colorado, or those who derive income from Colorado sources, must file this return. Organizations that have been granted tax exempt status by the IRS are generally exempt from Colorado taxation. However, those tax exempt entities that file federal Form 990-T to report unrelated business taxable income from Colorado sources or from business activity in Colorado are subject to Colorado taxation and are required to file Form 112. Any insurance company subject to the tax imposed on gross premiums by §10-3-209, C.R.S. is exempt from Colorado income tax.

Due DateCorporate income tax returns are due April 18, 2017 for traditional calendar year filers. If you are unable to file by your prescribed due date, you may file under extension. See Form DR 0158-C for more information about filing extensions.

Estimated TaxEvery C corporation subject to Colorado income tax must file Form 112EP, if it can reasonably expect the net tax liability to exceed $5,000 during the taxable year. See publication FYI Income 51 for more information.

Accounting Period and MethodThe accounting period and method for Colorado income tax must be the same accounting period and method as used for federal income tax.

Account NumbersThe Colorado Account Number (CAN) is 8 digits and must be listed in addition to the Federal Employer Identification Number (FEIN) on any form where requested. The CAN used on this form is usually the same number that is found on sales tax licenses and forms related to wage withholding.

Line–by–Line InstructionsFirst, complete the federal income tax return to be filed with the IRS. You will use information from that return to complete the Colorado income tax return.

Section AMark the appropriate box related to your apportionment method. Corporations doing business in multiple states must apportion their taxable income to each state in which they conduct business. This ensures the tax is paid to the state in which the income is earned and taxable, and eliminates double taxation. We recommend that you read publication FYI Income 59 for more information. Generally, income is apportioned using the single sales factor.

• Not ApportioningThe C corporation conducts business only in the state of Colorado. Tax will be calculated on 100% of the Colorado taxable income.

• Single Sales FactorAll business income must be apportioned using a single factor: sales. Nonbusiness income may either be directly allocated to the appropriate state or treated as business income, subject to the single sales factor. Schedule SF is required if using this method and can be completed by clicking the appropriate edit button on Revenue Online. Otherwise, submit via the e-Filer Attachment on Revenue Online or send with the paper return.

• Gross ReceiptsThe C corporation that performs no Colorado activities other than making sales, that does not own or rent real estate within Colorado borders, and that generates annual Colorado gross sales of $100,000 or less, may elect to pay tax on 0.5% of the annual Colorado gross receipts – in lieu of paying the normal income tax. We recommend that you read publication FYI Income 58 if this applies to you. If using this method, you must enter the annual Colorado gross receipts on line 17, the calculated 0.5% tax on line 18, and enter “gross receipt tax” next to each of these two lines.

• Other Apportionment MethodWhen Colorado apportionment methods do not fairly measure the Colorado-source income, the corporation may request (or the Department might require) an alternative apportionment method.

Section BMark the appropriate box to designate a separate, consolidated, or combined return.There are four possible filing alternatives for C corporations. We recommend that you read publication FYI Income 60 for additional information.

• SeparateThis designation is for a single corporation, regardless of its membership in an affiliated

[ 114 ]

Page 6

group. A single corporation cannot use this filing alternative if it elects to be part of a consolidated return or if it is required to be included in a combined filing.

• ConsolidatedThis designation is for affiliated members of a group of corporations defined by §1504 Internal Revenue Code. However, only those members conducting business in Colorado can be included in the consolidated return. This filing alternative is binding for four years and requires consent of the Colorado members of the group. Filing such a return shall be deemed consent.

• CombinedThis designation is for affiliated members of a group of corporations defined by §39-22-303, C.R.S. that meets at least half of the six-part intercompany business relationship test for this year and the preceding two years. This is a required filing alternative.

• Combined/ConsolidatedThis designation is for an affiliated group filing a combined return, but who has a member that filed a federal consolidated return with another corporation, and the other corporation is conducting business in Colorado but is not otherwise eligible to be included in the combined report.

Taxable IncomeLine 1Enter the federal taxable income (or loss) from IRS Form 1120 or 990-T. Line 2Enter any amount from line 1 that is attributed to affiliated corporations that are not included in this consolidated or combined return.Line 3This line is automatically calculated by Revenue Online, or subtract line 2 from line 1 if filing a paper return. This reflects the taxable income of the federal pro-forma return included on the Colorado form.

AdditionsLine 4Enter any federal net operating loss deduction claimed in the computation of the federal taxable income. We recommend that you read publication FYI Income 19 if this applies to you.Line 5Enter any Colorado income tax claimed as a deduction in the computation of the federal taxable income.Line 6Enter the sum of all other qualifying additions. For this line, you must further explain your basis for this adjustment. If you are using Revenue Online, submit this explanation to

your return electronically with the E-Filer Attachment option. Otherwise, use the Form DR 1778 or attach a written statement to your paper return. We recommend that you read publication FYI Income 58 if this applies to you:

• Interest income – the amount of state or municipal obligations that were not included in federal taxable income. DO NOT include bond premium amortization, or any interest earned from bonds issued by any state or political subdivision, excluding any bonds issued by the State of Colorado or its political subdivisions on or after May 1, 1980. Qualifying interest shall be net of any expense required to be allocated thereto by the Internal Revenue Code for federal income tax purposes. See publication FYI Income 52 for more information.

• Foreign-source income – the amount of any income, war profits, or excess profits taxes paid or accrued to any foreign country or to any possession of the United States that were claimed as a deduction on the federal return.

• Gross Conservation Easement charitable contribution – Any charitable deduction taken on the federal return for a gross conservation easement that has also been claimed for a Colorado tax credit. Complete Form DR 1305 Part D.

Line 7This line is automatically calculated by Revenue Online, or enter the sum of lines 3 through 6 if filing a paper return.

SubtractionsLine 8Enter any income that is included on line 1, which is derived from any U.S. government bond interest and any interest or dividend income on obligations securities of any authority, commission, or instrumentality of the United States to the extent that such income is exempt from state taxation by federal law. We recommend that you read publication FYI Income 20 if this applies to you.

Line 9Enter any income that is included on line 1, which is derived from foreign income that qualifies as excludable foreign–source income. Excludable foreign–source income means taxable income from sources outside the United States as used in §862 of the Internal Revenue Code. Excludable foreign–source income shall also be omitted in determining the Colorado sales factor on Schedule SF.We recommend that you read publication FYI Income 58 if these conditions apply to you:

• The corporation has elected to claim foreign tax paid or accrued as a deduction on the federal income tax return and therefore the Colorado exclusion can equal that of the federal deduction.

[ 115 ]

Page 7

• The corporation has elected to claim foreign tax paid or accrued as a credit on the federal income tax return and therefore the Colorado exclusion is calculated by excluding section 78 dividend gross up from the total foreign–source income, then multiplying by a fraction, the numerator of which is the federal foreign tax credit, and the denominator being the foreign–source income (excluding section 78 dividend gross up), multiplied by the effective federal corporation income tax rate (federal corporate income tax divided by federal corporate taxable income). Excludable foreign–source income may not exceed total foreign–source income excluding section 78 dividend gross up. Foreign–source income from a foreign corporation with an affiliated group of corporations shall be determined without regard to §882(a)(2) of the Internal Revenue Code.

Line 10Enter up to $100,000 of any income that is included on line 1, which is derived from Colorado-source capital gain. This is income earned from the sale of real or tangible personal property that is located in Colorado, was acquired on or after May 9, 1994, and was continuously held for at least 5 years prior to the transaction date from which the capital gains arise.Complete and submit Form DR 1316. Revenue Online allows you to directly enter Form DR 1316 by clicking the EDIT button. Paper filers should attach this form to their return. Take precaution to completely fill out every field of this form. Be as detailed as possible, especially when providing property descriptions, ownership, and dates of acquisition and sale.Line 11For Colorado-licensed marijuana businesses, list any expenditure that is eligible to be claimed as a federal income tax deduction but is disallowed by section 280E of the Internal Revenue Code because marijuana is a controlled substance under federal law.To calculate this deduction, you must create pro forma federal schedule(s) for Business Profit or Loss as if the federal government would have allowed the expenditures from the marijuana business. The Colorado deduction shall be the difference between the profit/loss as calculated on the ACTUAL schedule(s) filed with the federal return and the pro forma schedule(s) described above. You must attach both the pro forma schedule(s) and the actual schedule(s) to your Colorado return to receive this deduction.Line 12Enter the sum of all other qualifying subtractions. For this line, you must further explain your basis for this adjustment. If you are using Revenue Online, submit this explanation to your return electronically using the E-Filer Attachment option. Otherwise, use Form DR 1778 or attach a written statement to your paper return.We recommend that you read publication FYI Income 58 if these subtractions apply to you:

• Colorado income tax refund–the amount of any Colorado income tax refund that was included on line 3.

• Gross up provisions–the amount of any IRC section 78 gross up provisions that was included on line 3.

• Various credits–the amount of any salary or wage expense that was not allowed as a federal deduction by the IRS due to the provisions of the Indian employment credit, work opportunity credit, empowerment zone employment credit, orphan drug credit, the credit for increasing research activities, employee retention credit, welfare-to-work credit, or mine rescue team training credit.

Line 13This line is automatically calculated by Revenue Online, or enter the sum of lines 8 through 12 if filing a paper return.

Taxable IncomeLine 14This line is automatically calculated by Revenue Online, or calculate your modified federal taxable income by subtracting line 13 from line 7 if filing a paper return.Line 15This line is automatically calculated by Revenue Online, or enter the Colorado taxable income. For those filing a paper return, this amount is transferred from line 14 if not apportioning income. Otherwise, corporations that are apportioning income, this amount shall be transferred from line 16 of Schedule SF.Line 16Enter the Colorado net operating loss deduction. This amount is calculated in the same manner as the federal net operating loss deduction, except that in the case of a corporation apportioning income, it is the part of the federal net operating loss (as modified) that is from Colorado sources. Colorado net operating losses may be carried forward 20 years for tax years beginning on or after August 6, 1997. They may not be carried back. Federal limitations on carryover losses between predecessor and successor corporations apply to Colorado income tax as well. We suggest that you read publication FYI Income 19 if this applies to you. Line 17This line is automatically calculated by Revenue Online, or calculate your Colorado taxable income by subtracting line 16 from line 15 if filing a paper return.

TaxLine 18Calculate your Colorado tax. This is automatically entered by Revenue Online. If filing a paper return, multiply line 17 by the tax rate of 4.63%.

CreditsLine 19Complete Form 112CR to calculate this line. If you are using Revenue Online, this field will automatically populate

[ 116 ]

Page 8

when you complete the Form 112CR, or transfer the amount of nonrefundable credits from line 27 of Form 112CR if filing a paper return.Line 20Use your tax software, Revenue Online or Form DR 1366 to calculate the total amount of nonrefundable enterprise zone credits being used to offset the current year tax liability. The total nonrefundable enterprise zone credit used cannot exceed the amount of line 18. Line 21Subtract the sum of lines 19 and 20 from line 18.

Line 22Corporations required to recapture federal investment credits with respect to Colorado assets must recapture the “old” Colorado investment credits as well. Include any investment credit recapture, historic property preservation credit recapture, low income housing credit recapture, or any other credit recapture. Submit an attachment through Revenue Online or a paper statement to your mailed return that itemizes each recaptured amount calculated for this line.Line 23Enter the sum of lines 21 and 22 if filing a paper return. Line 24Carefully review payment records before completing this line. Use Revenue Online (www.Colorado.gov/RevenueOnline) to verify estimated taxes paid on the account. Doing so will reduce processing delays. Enter the amount of credit for prepayments. Include the sum of the following on line 24:

• Estimated tax payments for 2016; and• Any overpayment from 2015 that was carried forward to

2016 Extension payment(s); and• Payments remitted with DR 1079 to satisfy

withholding requirements for the sale of Colorado real estate.

Line 25Enter the amount of withholding reported on Form W-2G made on lottery or gambling winnings, if any.

Line 26Complete all applicable parts of Form DR 1305. Enter the amount from line 33 of Form DR 1305G.Line 27Enter the Innovative Motor Vehicle Credit from Form DR 0617, if any.Line 28This credit is only available if business personal property tax was paid to a Colorado county in 2016 and the business had business personal property of $15,000 or less.Submit a copy of the assessor’s statement with your return.Table 1 – Match your federal taxable income amount from line 1 of the Form 112.

Amount from Form 112 line 1 Credit rate$0 - $50,000 .8037$50,001 - $75,000 .7037$75,001 - $100,000 .6137$100,001 - $335,000 .5637$335,001 - $10,000,000 .6137$10,000,001 - $15,000,000 .6037$15,000,001 - $18,333,333 .5737$18,333,334 and up .6037


Enter the amount of business personal property tax paid in 2016 A _____________Enter the Credit Rate from Table 1 that corresponds with your Federal Taxable Income B _____________Multiply line A times line B to calculate the credit allowed, enter on Form 112 line 28 $ _____________

Line 29Enter the amount from line 88 of Form DR 1366.Line 30Enter the sum of lines 24 through 29 if filing a paper return.If the amount of line 23 exceeds the amount of line 30, additional tax is due with this return, continue to line 31. If not, go to line 36. Line 31Subtract line 30 from line 23 if filing a paper return.Line 32Calculate any penalty owed for delinquent filing or payment. The penalty is 5% of the net tax due for the first month after the due date, and 0.5% for each additional month past the due date. The minimum penalty is $5 and the maximum penalty is 12% of net tax due. Or, if you prefer not to calculate this penalty, the Department will bill you.Line 33Calculate any interest owed for delinquent filing or payment. The interest rate is 4% of the net tax due. Or, if you prefer not to calculate this interest, the Department will bill you. Interest on any bill issued that remains unpaid after 30 days of issuance will increase to 7%.Line 34To calculate this penalty, complete Form 205. Enter any estimated tax penalty owed on this line.Line 35Enter the sum of lines 31 through 34. Payment can be made electronically at:

• www.Colorado.gov/RevenueOnline; or• www.Colorado.gov/Revenue/EFT : or

[ 117 ]

Page 9

• If you are filing this return WITH a check or payment, please mail the return to:

COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0006

Line 36This amount is calculated automatically by Revenue Online. Otherwise, subtract line 30 from line 23.Line 37Enter the amount, if any, you would like to be available for 2017 estimated tax.Line 38Subtract line 37 from line 36 to calculate the amount of your refund. You have the option of authorizing a transaction by the Department to directly deposit these funds to your bank account. Otherwise, a refund check will be mailed to the address you have designated on this return.

Direct DepositEnter the routing and account numbers and account type. Include hyphens, but do NOT enter spaces or special symbols. We recommend that you contact your financial institution to ensure you are using the correct information and that they will honor a direct deposit.

Intercepted RefundsThe Department will intercept your refund if you owe back taxes or if you owe a balance to another Colorado government agency or the IRS.

Section CEnter the name, phone, and address of the party responsible for maintaining the books belonging to this corporation.

Section DEnter the 6-digit North American Industry Classification System (NAICS) number that best describes the purpose of this business. Use the same code used on the federal return.

Section EEnter the year the corporation began doing business in Colorado.

Section FDesignate whether the paid preparer can discuss this return with the Department. By completing this area of the return, you are granting the designee the ability to:



• Receive upon request copies of notices, bills, or transcripts related to your return; and


This designation does not allow the third party to receive your refund check, bind you to anything (including any additional tax liability), or otherwise represent you before the Colorado Department of Revenue. If you would like to expand the designee’s authorization, complete the Form DR 0145, Power of Attorney for Department Administered Tax Matters.

Section G – HComplete the data as requested.

SignatureThe law requires the return to be signed under penalty of perjury. Persons authorized to sign this return must either be the president, vice president, treasurer, assistant treasurer, chief accounting officer, or other officer that is duly authorized to act on behalf of the corporation. In cases where receivers, trustees in bankruptcy, or assignees are operating the property or business of corporations, such receivers, trustees, or assignees shall make returns for such corporations in the same manner and form as corporations are required to make returns.

AmendmentsIf an amended return is filed with the IRS, or if the IRS changes the content of the return, an amendment must be filed with Colorado. Use Revenue Online or the Form 112X to amend the Colorado return. If the corporation operates in multiple states, the Department will accept the revenue agent report (RAR) in lieu of an amended return. Be sure to list the Colorado Account Number on the RAR before mailing a copy to one of the addresses below:

New For This Year:If you are filing this return WITH a check or payment, please mail the return to:COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0006If you are filing this return WITHOUT a check or payment, please mail the return to:COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0005

Caution: Federal adjustments must be reported to the Colorado Department of Revenue. See §39-22-601(6), C.R.S. for information about the statute of limitations.

[ 118 ]

Form 112 (08/31/16) COLORADO DEPARTMENT OF REVENUE

(0023)2016 -or-Fiscal Year Beginning (MM/DD/16) Year Ending (MM/DD/YY)

2016

Name of Corporation Colorado Account Number

Address FEIN

City State ZIP

Final Return If you are submitting a statement disclosing a listed or reported transaction, mark this box

A. Apportionment of Income. This return is being filed for:

(42) A corporation not apportioning income; (45) A corporation electing to pay a tax on its gross Colorado sales;

(43)A corporation engaged in interstate business apportioning income using single-factor apportionment (Schedule SF required);

(46) A corporation claiming an exemption under P.L. 86-272;

(44)A corporation engaged in interstate business apportioning income using special regulation (Sched-ule SF required);

(47)Other appointment method, must be pre-approved by the department (fill in below)

B. Separate/Consolidate/Combined Filing. This return is being filed for:

A single corporation filing a separate return; An affiliated group of corporations required to file a combined return (Schedule C required);

An affiliated group of corporations electing to file a consolidated return. Warning: such election is binding for four years. If your election was made in a prior year, enter the year of election in line below. (Schedule C required);

An affiliated group of corporations required to file a combined return that includes another affiliated, consolidated group (Schedule C required)

Enter the year of election (YYYY)

Federal Taxable Income Round to nearest dollar

1. Federal taxable income from Federal form 1120 or 990-T 1 00

2. Federal taxable income of companies not included in this return 2 00

3. Net federal taxable income, line 1 minus line 2 3 00Additions

4. Federal net operating loss deduction 4 00

5. Colorado income tax deduction 5 00

6. Other additions, include explanation 6 00



*160112==19999*

Colorado C Corporation Income Tax Form 112

Do not submit federal return, forms or schedules when filing this return.

[ 119 ]

Subtractions

8. Exempt federal interest 8 00

9. Excludable foreign source income 9 00

10. Colorado source capital gain (assets acquired on or after 5/9/94, held five years) 10 00

11. Colorado Marijuana Business Deduction 11 00

12. Other subtractions, include explanation 12 00

13. Total of lines 8 through 12 13 00Taxable Income

14. Modified federal taxable income, line 7 minus line 13 14 00

15. Colorado taxable income before net operating loss deduction 15 00

16. Colorado net operating loss deduction 16 00

17. Colorado taxable income, line 15 minus line 16 17 00

18. Tax, 4.63% of the amount on line 17 18 00Credits

19. Total nonrefundable credits from line 27, Form 112CR (may not exceed tax on line 18) 19 00

20. Non-refundable Enterprise Zone credits used – as calculated, or from DR 1366 line 87 20 00

21. Net tax, line 18 minus lines 19 and 20 21 00

22. Recapture of prior year credits 22 00


24. Estimated tax and extension payments and credits 24 00

25. W-2G Withholding from lottery winnings 25 00

26. Gross Conservation Easement Credit from DR 1305G line 33 26 00

27. Innovative Motor Vehicle Credit from form DR 0617 27 0028. Business Personal Property Credit: Use the worksheet in the DR 112 book

instructions to calculate, submit copy of assessor’s statement 28 00

29. Renewable Energy Tax Credit from line 88 of form DR 1366 29 00


31. Net tax due. Subtract line 30 from line 23 31 00

32. Penalty 32 00

Form 112

Name Account Number

*160112==29999* Form 112 (08/31/16) COLORADO DEPARTMENT OF REVENUE

[ 120 ]

Form 112

Name Account Number

*160112==39999*

DirectDeposit

Routing Number Type: Checking Savings

Account Number

The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment directly from your bank account electronically.

Pay electronically at www.Colorado.gov/RevenueOnline or Mail and Make Checks Payable to: Colorado Department of Revenue Denver, CO 80261-0006C. The corporation’s books are in care of: Last Name First Name Middle Initial Phone Number

( )Address City State Zip

D. Business code number per federal return (NAICS) E. Year corporation began doing business in Colorado

F. May the Colorado Department of Revenue discuss this return with the paid preparer show below (see instructions) Yes No

G. Kind of business in detail

H. Has the Internal Revenue Service made any adjustments in the corporation’s income or tax or have you filed amended federal income tax returns at any time during the last four years?

Yes No

If yes, for which year(s)? (YYYY)

Did you file amended Colorado returns to reflect such changes or submit copies of the Federal Agent’s reports? Yes No

Do Not Submit Federal Return, Forms or Schedules when Filing this Return

33. Interest 33 00

34. Estimated tax penalty due 34 00

35. Total due. Enter the sum of lines 31 through 34 35 00


37. Amount from line 36 to carry forward for future year estimated tax 37 00

38. Amount from line 36 to be refunded 38 00


[ 121 ]

Form 112

Name Account Number

*160112==49999*

Last Name of person or firm preparing return First Name Middle Initial

Address of person or firm preparing return Phone Number

( )City State Zip

Under penalties of perjury in the second degree, I declare that I have examined this return and to the best of my knowledge is true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.Signature or Title of Officer Date (MM/DD/YY)

If you are filing this return with a check or payment, please mail the return to:


If you are filing this return without a check or payment, please mail the return to:


New For This Year:


[ 122 ]

*160112SF19999*

Name Account Number

1. Total modified federal taxable income from line 14, page 2, Form 112 1Business Income Apportioned to Colorado By Use of the Sales Factor Do not include foreign source revenues modified out on line 9, page 1, Form 112

Colorado Total2. Gross sales of tangible

personal property 2

3. Gross revenue from services 34. Gross rents and royalties from

real property 45. Gross proceeds from sales

of real property 56. Taxable interest and

dividend income 67. Gain from the sale of intangible

personal property 7

8. Patent and copyright royalties 89. Revenue from the performance

of purely personal services 910. Total revenue (total of lines 2

through 9 in each column) 10

11. Line 10 (Colorado) divided by line 10 (Total) 11Complete Lines 12 and 15 only if nonbusiness income is being directly allocated. If all income is being treated as business income, enter 0 (Zero) on Lines 12 and 15.

12. Less income directly allocable

NonbusinessIncome

Only

(a) Net rents and royalties from real or tangible property

(b) Capital gains and losses



(e) Other nonbusiness income

(f) Total income directly allocable [add lines (a) through (e)] 12

13. Modified federal taxable income subject to apportionment by formula, line 1 less line 12 13

14. Income apportioned to Colorado by formula, line 11 multiplied by line 13 14Do not submit federal return, forms or schedules when filing this return.

2016 Schedule SF — Single Factor Apportionment Schedule

Form 112 Schedule SF (06/29/16)COLORADO DEPARTMENT OF REVENUE

[ 123 ]

15. Add income directly allocable to Colorado:

Nonbusiness Income

Only

(a) Net rents and royalties from real or tangible property

(b) Capital gains and losses



(e) Other nonbusiness income

(f) Total income directly allocable [add lines (a) through (e)] 1516. Total income apportioned to Colorado, line 14 plus line 15. Enter on line 15,

page 2, Form 112 16Tax year ending (MM/DD/YY)

17. Pursuant to §39-22-303.5(6) C.R.S., taxpayer elects to treat nonbusiness income as business income for:

*160112SF29999*Name Account Number

Form 112 Schedule SF (06/29/16)COLORADO DEPARTMENT OF REVENUE

[ 124 ]

Page 17

Schedule C must be completed if the corporation for which the return is filed owned

• a) more than 50% of the stock of another corporation or,

• b) more than 50% of the stock of the corporation for which the return is filed was owned by another corporation.

Enter information for the common parent on line 1. Lines 2 through 6 are for subsidiary corporations. Photocopy and submit additional sheets if necessary.Sections A through CEnter the corporation’s name, address, Colorado Account Number and Federal Employer Identification Number.Section DTaxpayers who are affiliated corporations, as described above, and who have more than 20% of their property and payroll located within the United States must complete Section D.The blocks in Section D are numbered from 1 to 6 and correspond to the six numbered intercompany business relationships described below. For each affiliate listed on Schedule C, mark yes or no in the blocks of Section D, to indicate whether the below described intercompany business relationships did or did not exist during the tax year and the two preceding tax years.Intercompany Business Relationships1. Is 50% or more of the corporation’s gross receipts from

sales or leases to other affiliates or is 50% or more of the corporation’s cost of goods sold or leased from other affiliates?

2. Does the corporation receive 50% or more of the total annual value of each of five or more of the following services from other affiliates: advertising and public relations, accounting and bookkeeping, legal, personnel, sales, purchasing, research and development, insurance, employee benefit programs? Do not count services which are provided at an “arm’s length charge.” (See U.S. Treasury Regulation 1.482-2(b)(3).)

3. Is 20% or more of the corporation’s long-term debt owed to or guaranteed by other affiliates or is 20% or more of any other affiliate’s long-term debt owed to or guaranteed by the corporation?

4. Does the corporation use patents, trademarks, service marks, logos, trade secrets, copyrights or other proprietary materials owned by other affiliates?

5. Are 50% or more of the members of the corporation’s board of directors also members of the board of directors or corporate officers of other affiliates?

6. Are 25% or more of the corporation’s 20 highest ranking officers also members of the board of directors or corporate officers of other affiliates?

Section EMark the block in Section E if the corporation is included in a combined report. Corporations included in a combined report must have answered yes to three or more of the intercompany business relationships referred to in Section D.Sections F through IEnter corporation’s owner number, whether or not there was a change in ownership, the ownership%age and principal business activity.

Instructions For Schedule C

[ 125 ]

*160112C=19999*Parent1. A. Name of Corporation B. Colorado Account Number

Address of Corporation City State ZIP C. FEIN


1. Yes No 2. Yes No 3. Yes No 4. Yes No

5. Yes No 6. Yes No

F. Owned by corporation number

E. Mark if corporation is included in combined return

H. % of ownership close of taxable period

G. Change in ownership % during taxable period Yes No

I. Principal business activity

2. A. Name of Corporation B. Colorado Account Number




5. Yes No 6. Yes No








Form 112 Schedule C (08/19/16)

Schedule C — Colorado Affiliations ScheduleDo not submit federal return, forms or schedules when filing this return.


[ 126 ]

*160112C=29999*Name Account Number



5. Yes No 6. Yes No










5. Yes No 6. Yes No









Form 112 Schedule C (0819/16)COLORADO DEPARTMENT OF REVENUE

[ 127 ]

*160112C=39999*Name Account Number



5. Yes No 6. Yes No










5. Yes No 6. Yes No







Form 112 Schedule C (0819/16)COLORADO DEPARTMENT OF REVENUE

[ 128 ]

Submit the following information with your tax return• Use this schedule to determine which tax credits you are eligible to claim.• Be sure to submit the required supporting documentation for each credit.• Most e-file software products and tax preparers have the ability to submit this schedule and attachments

electronically. Revenue Online can also be used to file your return and attachments electronically. Otherwise, attach all required documents to your paper return.

• Dollar amounts shall be rounded to the nearest whole dollar. Calculate percentages to the second decimal place.Name of Corporation Colorado Account Number

Pass-through Entity Name Ownership % Entity Account Number

Enter in Section (A) the total credit generated in 2016 and any carryforward credit that is available from a prior year. Enter in Section (B) the portion of the credit in Section (A) that is being used to offset tax in 2016. If Section (A) is larger than Section (B) and the credit can be carried forward to future years, enter the carryforward amount on line 27.

1. Tax liability from line 18, Form 112 1A. The New Investment Tax Credit

Section (A) Section (B)

2. $1,000 minus amount on line 7 2

3. Current year qualified investment 3

4. 1% of the amount on line 3 4

5. New investment tax credit carried over from prior year 56. Enter in Section (A) the total of lines 4 and 5. Enter in Section (B)

the lesser of the amount in Section (A) or the amount on line 2 6B. Other Credits

7. Old investment tax credit 7

8. Crop and livestock contribution credit 8

9. Historic property preservation credit 9

10. Child Care Contribution credit, submit form(s) DR 1317 10

11. Child care center/family care home investment credit 11

12. Employer child care facility investment credit 12

13. School-to-Career investment credit 13

14. Colorado works program credit 1415. Contaminated land redevelopment credit from line 9

of form DR 0349 15

16. Aircraft manufacturer new employee credit 16

Form 112CR 2016 Credit Schedule for Corporations

*160112CR19999* Form 112CR (09/21/16) COLORADO DEPARTMENT OF REVENUE

[ 129 ]

*160112CR29999*

Section (A) Section (B)

17. Colorado Job growth incentive credit 17

18. Certified auction group license fee credit 18

19. Advanced Industry Investment credit 19

20. Low-income housing credit, submit CHFA certification 2021. Credit for food contributed to hunger-relief charitable

organizations, submit form(s) DR 0346 2122. Preservation of Historic Structures credit (attach

certificate from Office of Economic Development) 2223. Unused current year Preservation of Historic Structures credit,

subtract line 22 Section B from line 22 Section A 2324. Amount of Preservation of Historic Structures credit transferred

(attach written transfer agreement submitted to Office of Economic Development) 24

25. Amount of Preservation of Historic Structures credit carried forward, subtract line 24 Section A from line 23 Section A 25

26. Rural Jump Start Zone credit (attach certificate from Office of Economic Development) 26

27. Total nonrefundable credits, add amounts from lines 6 through 22 and line 26. Enter here and transfer column B to Form 112, line 19 27

Limitation: The total credits entered on line 27 on this Form 112CR may not exceed the tax on line 1. Most unused portion(s) of the credits on this form [the difference between the amounts in Section (A) and Section (B)] for each line may be carried forward to the next income tax year. Please list any credits to be carried forward to tax year 2017 below.

28. Credits to be carried forward to 2017, include the amount on line 25 Section A 28

Name Account Number

Form 112CR (09/21/16) COLORADO DEPARTMENT OF REVENUE

[ 130 ]

Page 24

[ 131 ]

*161778==19999*

For Tax Year (MM/DD/YY) or fiscal year beginning (MM/DD/YY)

Tax Type Individual Income C-Corp Income Partnership Income S-Corp Income LLC Income

LP Income LLP Income LLLP Income Association Income Non-Profit Income

Please print or typeTaxpayer Last Name First Name Middle Initial

Spouse Name (if applicable) First Name Middle Initial

Taxpayer SSN Spouse SSN (if applicable) FEIN

Taxpayer address City State Zip

Mark the box for the documents submitted. For further information visit the Department of Revenue Web site www.TaxColorado.com.

Other state(s) income tax return(s) Colorado Source Capital Gain Subtraction: DR 1316

Enterprise Zone Credit: DR 1366 and any applicable certification forms from the Zone Administrator

Job Growth Incentive Tax Credit: Certification letter from the Colorado Department Commission.

Gross Conservation Easement: DR 1303, DR 1304 and/or DR 1305 and supplemental documentation.

Low-Income Housing Credit: CHFA certification letter

Aircraft Manufacturer New Employee Credit: DR 0085 and/or DR 0086

Non-resident Partner, Shareholder or Members Agreement: DR 0107

Innovative Motor Vehicle Credit: Vehicle registration and the purchase invoice or bill of sale.

Plastic Recycling Credit: Required documentation to substantiate credit (receipts, bills, etc)

Child Care Contribution Credit: DR 1317 School-to-Career Investment Credit: Certification letter.

Claim for refund on behalf of deceased taxpayer: DR 0102, death certificate

Other documentation for credits/subtractions claimed (mark the Other box below and enter details)

Other Explain

Signature of Taxpayer or Preparer Date (MM/DD/YY)

Instructions for DR 1778

DR 1778 (07/23/15)COLORADO DEPARTMENT OF REVENUEwww.TaxColorado.com

e-Filer Attachment Form

The Department strongly recommends that you submit these documents using the e-Filer Attachment option of www.Colorado.gov/RevenueOnline, which eliminates the requirement to mail this form. Failure to timely submit required documentation will result in denial of the related credit. Revenue Online e-Filer Attachment provides you with a confirmation number and will be available to the Department immediately.

Otherwise, complete this form, package it with your documentation and mail to the address below. Using this form can extend return processing time up to 6 weeks. Colorado Department of Revenue Denver, CO 80261-0006You must resubmit your supporting documentation if you file an amended return.

[ 132 ]

Certain credits require supplemental documentation or they might be denied. We strongly suggest that you submit your documentation using the E-Filer Attachment option through Revenue Online. Otherwise, use Form DR 1778, supported e-file

software, or attach to your paper return. FYIs are available in the Education and Legal Research section at www.TaxColorado.com

COLORADO DEPARTMENT OF REVENUEwww.TaxColorado.com

The Old Investment Tax CreditThe old investment tax credit is the sum of the old investment tax credit carry over, the current year old investment tax credit and the old investment tax credit carry back. The current year credit is 10% of the federal current year rehabilitation, energy and reforestation investment credit on assets located in Colorado. The credit is limited to the first $5,000 of tax liability plus 25% of the tax in excess of $5,000. Excess credit may be carried back three years and forward seven. See publication FYI Income 11 if this applies to you.Crop and Livestock Contribution CreditA 25% credit is available for the donation of crops or livestock to a charitable organization. See publication FYI Income 57 if this applies to you.Historic Property Preservation CreditA credit of 20% of the cost of restoring certified historic property in Colorado is available. See publication FYI Income 1 if this applies to you.Child Care Contribution CreditA 75% credit is available for qualifying contributions made to promote child care in Colorado. See publication FYI Income 35 if this applies to you.Child Care Facility Investment CreditA 20% investment credit is available for certain tangible personal property used in the operation of a child care center, a family child care home, or a foster care home. See publication FYI Income 7 if this applies to you.

Employer Child Care Facility Investment CreditA 10% investment credit is available for employer sponsored child care facility investment. See publication FYI Income 7 if this applies to you.

School-to-Career Investment CreditA credit of 10% of the current year investment in a qualified school-to-career program is available. See publication FYI Income 32 if this applies to you.

Colorado Works Program CreditA credit of 20% of an employer’s expenditures to employ recipients of public assistance is available. See publication FYI Income 34 if this applies to you.

Contaminated Land Redevelopment CreditA 20 to 50% credit is available for expenditures made to redevelop contaminated land in Colorado. This credit may only be used as a carry forward from prior years. See publication FYI Income 42 if this applies to you.

Aircraft Manufacturer New Employee CreditA credit is available to qualified aircraft manufacturers located in an aviation development zone. See publication FYI Income 62 if this applies to you.

Job Growth Incentive CreditCredits are approved and certified by the Colorado Economic Development Commission. A credit certificate issued by the Commission must be submitted with any return claiming this credit. See publication FYI Income 66 if this applies to you.


[ 133 ]

2015COLORADO Fiduciary Tax Booklet

(12/04/15)

Fiduciary Income Tax Electronic Filing Instructions

File the return electronically for free using Revenue Online. You can file on paper if you cannot file electronically, but please note that filing on paper

can increase return errors and delay refunds.


Colorado Fiduciary Income Tax Filing Guide - Book 105 - (2015)

[ 134 ]

Automatic Filing ExtensionGeneral InformationColorado income tax returns are due the fifteenth day of the fourth month after the end of your tax year, or by April 18, 2016 for traditional calendar year filers. If you are unable to file by your prescribed due date, you may file under extension. This will allow you an additional 6 months to file your return, or until October 17, 2016 for traditional calendar year filers. However, the extension to file DOES NOT allow you to extend your payment due date.You must pay at least 90% of your tax liability by the original due date of your return (or April 18th) and the remainder by the filing extension due date (or October 17th) to avoid delinquent payment penalties.Penalties and InterestIf the 90% rule is NOT met by the original due date, then delinquent penalty and interest will be assessed when you file your return. If 90% or more of your tax liability is paid by the original due date, and the remaining balance is paid by the extension due date, no penalty will be assessed.

However, you will be billed interest, but only on the amount being paid by the extension due date.If after the original due date, you determine that you underpaid your extension payment you should pay the additional tax as soon as possible to avoid further accumulation of penalty and/or interest.

Go Green with Revenue Onlinewww.Colorado.gov/RevenueOnline allows taxpayers to file taxes, remit payments and monitor their accounts. The DR 0158-F is not required if a Return Payment is remitted through this site. Please be advised that a nominal processing fee may apply to online payments.Pay by Electronic Funds Transfer (EFT)EFT payments can be made safely and for free, and can be scheduled up to 12 months ahead of time to avoid forgetting to make a payment. This requires pre-registration before payments can be made.Visit www.Colorado.gov/revenue/eft for registration information.

DR 0158-F (08/06/15)

For the calendar year 2015 or the fiscal yearFiscal Year Beginning (MM/DD/15) Fiscal Year Ending (MM/DD/YY)

Return this form with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write the estate’s or trust’s Colorado account number or FEIN and “2015 DR 0158-F” on the check or money order. Do not send cash. File only if you are making a payment.Name of Estate or Trust Colorado Account Number

Last Name or Business Name of Fiduciary First Name Middle Initial FEIN

Address

City State Zip

If No Payment Is Due, Do Not File This Form. The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

Amount of Payment

$ .00

DR 0158-F (08/06/15)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0008www.TaxColorado.com

(0039)

*150158-F19999*

2015 Payment for Automatic Colorado Extension for Estates or Trusts

[ 135 ]

Page 3

General InformationThis filing guide will assist you with completing this Colorado Fiduciary Income Tax Return. Once you finish the form, file it with a computer, smartphone, or tablet using our free and secure Revenue Online service at www.Colorado.gov/RevenueOnline Or, you may file using private e-file software or with a tax preparer. By filing your return electronically, you significantly reduce the chance of errors and you will receive your refund much faster. If you cannot file electronically for any reason, mail the enclosed forms as instructed.Please read through this guide before starting your return. All Colorado forms and publications referenced in this guide are available for download at www.TaxColorado.com — the official Colorado Taxation Web site.

Account NumberA Colorado account number (CAN) is not assigned to a fiduciary account until the first tax return has been filed. If the eight-digit account number has been assigned, please enter it on the return. This will speed processing of the return and the issuance of any refund.

Resident Estates and TrustsA resident estate is defined as an estate of a deceased person which is administered in Colorado in any manner other than by an ancillary proceeding. A resident trust is defined as any trust which is administered in Colorado.

Nonresident Estates and TrustsThe Colorado tax of a nonresident estate or trust shall be what the tax would have been were it a resident estate or trust apportioned in the ratio of the Colorado taxable income to the modified federal taxable income. Use Schedule E to make the apportionment.

Requirement for FilingEvery resident estate or trust or every nonresident estate or trust with Colorado source income must file a Colorado income tax return if it is required to file a federal income tax return or if it has a Colorado tax liability.

Information ReturnsAny estate or trust that is required to file a federal information return (such as the 5227 or 1041A) must also file Form 105 with Colorado. Complete the appropriate schedules to provide beneficiary and income information.

Return for DecedentIf an executor or administrator is required to file a federal income tax return for a decedent who was a Colorado resident or a nonresident with Colorado source income,

they are required to file a Colorado income tax return for such decedent.If a final determination of tax liability is requested for the estate or trust of a decedent, the request must be submitted on form DR 0253. Such request must be submitted under separate cover.

Estimated Tax PaymentsEstimated tax payments are not required for a fiduciary return. However, if you want to make estimated payments, you can submit your payment at www.Colorado.gov/RevenueOnline (recommended) or by sending a check with Form 105EP.

Period to be Covered by the ReturnThe return must cover the same tax period as is used for federal tax purposes.

Amending Your ReturnA change or correction on your return may be made through Revenue Online, www.Colorado.gov/RevenueOnline If you are unable to amend online, complete a corrected Form 105. Mark the amended return box at the top of the corrected Form 105. Any adjustment made on a federal amended return must be reported and the Colorado income tax adjusted accordingly. Any adjustments made by the IRS must be reported to Colorado by attaching the revenue agent’s report (RAR) to the amended return. Attachments may be uploaded in Revenue Online. The statute of limitations for assessment will not run on any year for which such adjustments are not reported.

When and Where to FileThe Colorado fiduciary income tax return is due by the fifteenth day of the fourth month following the close of the taxable year. See form DR 0158-F for automatic extension of time for filing. Electronically file at www.Colorado.gov/RevenueOnline or, if you cannot file electronically for any reason, mail Form 105 to: Colorado Department of Revenue, Denver, Colorado 80261-0006.

Additional Information AvailableAdditional information, FYI publications and forms are available on the Taxation Web site at www.TaxColorado.com or you can call 303-238-SERV (7378) for information.

Form 105 Instructions

[ 136 ]

Page 4

Line by Line InstructionsFirst, complete the federal income tax return to be filed with the IRS–form 1041. You will use the information from that form to complete this Colorado income tax return.

Line 1 Federal Taxable IncomeEnter the federal taxable income of the estate or trust.

Line 2 Additions to Taxable IncomeEnter the sum of required additions, including but not limited to, the following:

• Any state income tax claimed as a deduction in computing federal taxable income.

• Any interest income accrued or received during the taxable year on obligations of any state or subdivision thereof other than obligations of the State of Colorado or a subdivision thereof. The amount of interest entered shall be net of any bond premium amortization and any expenses required to be allocated to such interest income under provisions of the Internal Revenue Code.

• Any lump-sum pension or profit sharing distribution made to the estate or trust during the tax year to the extent such distribution was reported as income on federal Form 4972. The amount to be entered shall be net of any estate tax attributable to the distribution to the extent claimed as a deduction on Form 4972.

• Any charitable deduction taken on the federal return for a gross conservation easement that has also been claimed for a Colorado tax credit. Complete form DR 1305 Part D.


Line 4 Other SubtractionsEnter the sum of allowable subtractions, including but not limited to, the following:

• Any refund of state income tax included in federal taxable income.

• To the extent included in federal gross taxable income of

the estate or trust, any United States government interest income not subject to tax by the State of Colorado.

• To the extent included in federal gross taxable income or as added on line 2, but not more than $20,000, the Colorado pension/annuity subtraction. The pension/annuity subtraction is allowed only to the extent the benefits were paid because of the death of the person who earned the pension/annuity income. We recommend that you read publication FYI Income 25 if this applies to you.

• To the extent included in federal taxable income, the amount of capital gain income earned from the sale of real or tangible personal property located in Colorado that was acquired on or after May 9, 1994 and held continuously for at least five years prior to the date of the transaction from which the capital gains arise. You must attach form DR 1316 to the return to provide information explaining how these assets qualify for the subtraction.

• To the extent included in federal gross taxable income payments or contributions made to a qualified state tuition program administered by CollegeInvest.

Line 5 Net ModificationsLine 5 is the difference between lines 2 and 4. If line 4 exceeds line 2, show the amount on line 5 in brackets.

Lines 6 and 7 Allocation of ModificationsEnter the amount of the net modifications allocated to the beneficiaries. These modifications should be allocated to the beneficiaries using the (beneficiary) “subtotal” percentage from Schedule B. Enter the balance of the modifications, if any, on line 7.Where the allocation of the modifications as given in the instructions for line 6 would produce a result that is substantially inequitable, the fiduciary may (with permission from the department) use such other method of allocation of all or a part of such modifications that will produce a fair and equitable result to both the fiduciary and the beneficiaries.

Line 8 Colorado Taxable IncomeEnter the amount by which line 1 exceeds line 7 or the total of lines 1 and 7. This is the modified federal taxable income of the estate or trust subject to tax by Colorado.

Line 9 TaxEnter the Colorado normal tax of the estate or trust, 4.63% of the amount on line 8. Nonresident estates and trusts enter the amount from line 9, Schedule E.

Line 10 Alternative Minimum TaxEnter the Colorado alternative minimum tax, if any, from Schedule F. Ordinarily there will be a Colorado alternative minimum tax if there is a federal alternative minimum tax.

[ 137 ]

Page 5

Line 12 CreditsEnter the credits, if any, from line 5, Schedule G.

Line 13 Total Nonrefundable Enterprise Zone CreditsEnter the credit, if any, from line 87, form DR 1366.

Line 16 Estimated Tax Payments and CreditsEnter any amount paid on behalf of the estate or trust with the extension of time for filing payment. Include amounts paid, if any, as estimated tax payments or as withholding on nonresident real estate sales.

Line 17 Colorado Income Tax WithheldEnter any amount of Colorado income tax withholding on wages reported as taxable income by the estate.

Line 18Enter the amount of any Colorado W-2G lottery/gaming withholding.

Line 19 Gross Conservation Easement CreditEnter line 33 from Form DR 1305G on this line.

Line 20 Refundable Innovative Motor Vehicle CreditEnter the credit, if any, from Form DR 0617.

Line 21 Business Personal Property Credit for Fiduciary Business OwnersThis credit is only available if business personal property tax was paid to a Colorado county in 2015 and the business had business personal property of $15,000 or less. Submit a copy of the assessor’s statement with your return.Table 1 – Match your federal taxable income amount from line 1 of the 105 form.

Amount from Form 105 line 1 Credit rate$0 - $2,500 .8037$2,501 - $5,900 .7037$5,901 - $9,050 .6737$9,051 - $12,300 .6237$12,301 and up .5577



A

Enter the Credit Rate from Table 1 that corresponds with your Federal Taxable Income

B

Multiply line A times line B to calculate the credit allowed, enter on Form 105 line 21

Line 22 Refundable Renewable Energy Tax CreditEnter the amount of refundable renewable energy tax credit from line 88 of Form DR 1366

Line 23Enter the sum of lines 16 through 22.

Line 24 through Line 26Line 26 is the balance of tax due, line 15 minus line 23. Include penalty and/or interest on lines 24 and 25 if paid after the original due date of the return.If 90% or more of the net tax was paid by the original due date of the return (April 15th for calendar year returns) and the balance is paid when the return is filed by the last day of the extension period then only interest will be due. If less than 90% of the net tax was paid by the original due date of the return, penalty and interest will be due.The penalty is 5% of the balance of tax due for the first month or fraction of a month of delinquency plus 1/2% for each additional month or fraction of a month of delinquency, not to exceed 12% in the aggregate.Interest is computed at the rate of 3% on any tax unpaid as of the due date of the return from the due date to the date of payment. (Interest on any tax due more than 30 days after billing will be assessed at 6%.)

Paid Preparer AuthorizationIf the fiduciary wants to allow the Colorado Department of Revenue to discuss the estate’s or trust’s 2015 tax return with the paid preparer who signed it, mark the “Yes” box. This authorization applies only to the individual whose name appears in the “Person or Firm Preparing Return” area of the fiduciary’s return. It does not apply to the firm, if any, shown in that section.If the “Yes” box is marked, the fiduciary is authorizing the Colorado Department of Revenue to call the paid preparer to answer any questions that may arise during the processing of the estate’s or trust’s return. The fiduciary is also authorizing the paid preparer to:

• Give the Colorado Department of Revenue any information that is missing from the estate’s or trust’s return; and/or

• Call the Colorado Department of Revenue for information about the processing of the estate’s or trust’s return or the status of its refund or payment(s); and/or

• Respond to Colorado Department of Revenue notices that the fiduciary has shared with the preparer about math errors, offsets, and return preparation. The notices will not be sent to the preparer.

The fiduciary is not authorizing the paid preparer to receive any refund check, bind the estate or trust

[ 138 ]

Page 6

to anything (including any additional tax liability), or otherwise represent the estate or trust before the Colorado Department of Revenue. If the fiduciary wants to expand the paid preparer authorization, complete form DR 0145 Tax Information Designation and Power of Attorney Representation.The authorization will automatically end no later than the due date (without regard to extensions) for filing the estate’s or trust’s 2015 tax return. If the fiduciary wants to revoke the authorization before it ends, send a written statement of revocation to the Colorado Department of Revenue, Denver, CO 80261-0006. The statement of revocation must indicate that the authorization is revoked, list the tax return, and must be signed and dated by the fiduciary or the paid preparer.

Schedule A Enter the names and addresses of the beneficiaries. Use lines (a) through (e) for resident beneficiaries and lines (f) through (j) for nonresident beneficiaries.

Schedule B Schedule B is used to compute the fiduciary’s percentage share and each beneficiary’s percentage share of the federal distributable net income. These percentages are to be used in the division of the Colorado fiduciary adjustment in Schedule D.

Schedule C Schedule C is used to determine what part of the nonresident beneficiaries’ federal distributable net income is from Colorado sources. This percentage is to be used in allocating the net estate or trust income reportable to Colorado by nonresident beneficiaries in Schedule D.Enter in column 1 the component parts of the federal distributable net income. Enter in column 2 that part of each item from column 1 that is from Colorado sources. Interest and dividend income will not be considered to be from Colorado sources except where they arise from assets that have acquired a business situs in Colorado. Pension and annuity income is not considered to be Colorado source income.Expenses claimed on lines 10 through 15 of federal Form 1041 will be Colorado or non-Colorado expenses depending on the source of the income to which they are assigned by the fiduciary for federal income tax purposes.

Schedule D Schedule D is for the determination of the resident beneficiaries’ share of the Colorado fiduciary adjustment, and the determination of the net estate or trust income reportable to Colorado by nonresident beneficiaries.Enter in column 1 the social security number of each resident beneficiary.Enter in column 2 for each resident beneficiary, the income reported on his/her federal individual income tax return as being from this estate or trust.Enter in column 3 for each resident beneficiary, his/her

percentage of the federal distributable net income as determined in Schedule B.The Colorado fiduciary adjustment is divided among the beneficiaries and the fiduciary in proportion to their share of the federal distributable net income. Enter in column 4 each resident beneficiary’s share of the Colorado fiduciary adjustment computed by applying the percentage in column 3 to the net adjustment as shown on line 6, page 1 of the return. If there is no federal distributable net income, each beneficiary’s share of the Colorado fiduciary adjustment shall be in proportion to his share of the estate or trust income distributed or required to be distributed. Any balance of the Colorado fiduciary adjustment will be allocated to the fiduciary. Advise each beneficiary of his/her share of the Colorado fiduciary adjustment.Enter in column 5 the social security number of each nonresident beneficiary.Enter in column 6 for each nonresident beneficiary his/her share of the federal distributable net income of the estate or trust.Enter in column 7 for each nonresident beneficiary, the percentage of federal distributable net income of the estate or trust determined to be from Colorado sources. This determination is made in Schedule C.Enter in column 8 for each nonresident beneficiary, that part of his/her federal distributable net income from this estate or trust that is from Colorado sources determined by applying the percentage in column 7 to the income in column 6. If any other method is used to determine the beneficiary’s income from Colorado sources, attach a comprehensive explanation.Enter in column 9 for each nonresident beneficiary, 4.63% of his/her Colorado source income as listed in column 8. This is the amount to be withheld from the distribution to the beneficiary and paid to the State of Colorado as estimated tax in the name of the beneficiary on Form 104BEP. Round all amounts to the nearest dollar.

Schedule E Schedule E is used to compute the tax of a part-year or nonresident estate or trust. Fiduciaries of part-year or nonresident estates or trusts shall compute a tentative tax as though the estate or trust were a resident estate or trust. The actual tax shall be the tentative tax apportioned in the ratio of the Colorado taxable income to the modified federal taxable income.First complete lines 1 through 9 of Form 105 in accordance with the instructions given for full-year resident estates and trusts.Then complete lines 1 through 3 of the federal column of Schedule E using the information from the federal Form 1041. Complete the federal column using the modifications from line 7 of Form 105.On line 1 of Schedule E, Colorado column, enter the Colorado source income of the estate or trust. Interest, dividends, gains or losses from the sale of stocks and

[ 139 ]

Page 7

bonds, and pension and annuity income shall not be considered Colorado source income for a nonresident estate or trust.Expenses shall follow the income to which they were assigned for federal income tax purposes by the fiduciary.The distribution deduction and the exemption deduction shall be allowed on line 2 of the Colorado column in the ratio of the federal distributable net income from Colorado sources over the total federal distributable net income.Include the state tax deduction add back modification relating to prior years and the state tax refund subtraction modification in the Colorado column in the ratio that the estate or trust income was Colorado source income for the year to which the deduction or the refund applies.For example, if the fiduciary paid $2,000 state tax during 2015 for 2014, and the 2014 estate or trust income was 40% Colorado source, include 40% or $800 on line 4 of the Colorado column.DO NOT include the state tax deduction add back modification relating to taxes paid for the current year on line 4 of either column.Complete Schedule E in accordance with the instructions given on the form.

Schedule F Schedule F is used to compute the alternative minimum tax. The Colorado alternative minimum tax is the amount by which 3.47% of the Colorado alternative minimum taxable income exceeds the normal tax. The Colorado alternative minimum taxable income is the federal alternative minimum taxable income minus the federal AMT exemption and plus or minus the modifications from line 7 of Form 105. Do not include modifications that duplicate adjustments made in arriving at federal alternative taxable income.Resident estates and trusts complete only lines 1 through 4 of the federal column and lines 7 and 8. Line 1 may be a negative amount.The alternative minimum tax for nonresident estates and trusts is apportioned in the ratio of Colorado-source modified federal alternative minimum taxable income to the total modified federal alternative minimum taxable income. Complete lines 1 through 4 of the federal column as though the estate or trust were a resident estate or trust.In computing the amount to enter on line 1, Colorado column, the Colorado source total income and the Colorado source allowable deductions shall be as reported on lines 1 and 2 of Schedule E, Colorado column. The federal adjustments and tax preference items shall be allocated to Colorado to the extent they relate to a business being carried on in Colorado or to income from Colorado sources. The alternative tax net operating loss deduction shall be allowed to the extent it was from Colorado sources in the year in which it arose.The income distribution deduction, the estate tax deduction and the federal alternative minimum tax exemption deduction are allowed in the ratio of the Colorado source federal distributable net alternative minimum taxable

income to the total federal distributable net alternative minimum taxable income.

Schedule G Schedule G is used to compute any Fiduciary Tax Credits.

Credit for Tax Paid to Another StateA resident estate or trust may claim credit for income tax paid to another state on income from sources in that state (including the District of Columbia and territories or possessions of the United States).Income from intangible assets, such as interest, dividends and gains or losses from the sale or exchange of securities, unless from a business carried on in the other state, is not considered to be from sources in the other state. The credit must be claimed on the accrual basis and is limited to the Colorado tax attributable to such income.If taxes were paid to two or more states, a separate credit must be computed for each state. The total credit for taxes paid to other states may not exceed the Colorado tax attributable to non-Colorado source income.If income and/or losses are received from two or more other states:

1. Complete lines 1(b) through 1(h) for each state to which taxes are paid, and

2. Complete lines 1(b) through 1(h) (enter “Combined” as name of state) combining all tax paid, income, and losses from all other states to determine the maximum credit available.

3. The credit will be the lesser of the total credits computed for each state in step 1, or the credit limitation computed in step 2. Both calculations will be submitted with your return.

Submit a copy of the tax return filed with the other state(s) at www.Colorado.gov/RevenueOnline or submit with form DR 1778. If you file a paper return you must attach the returns to your Colorado return.

Dual-Resident Trust CreditA credit is available to a qualifying trust that is a resident trust in both Colorado and another state. Submit a copy of the tax return filed with the other state at www.Colorado.gov/RevenueOnline or submit with form DR 1778. If you file a paper return you must attach the returns to your return. We recommend that you read publication FYI Income 63 if this applies to you.

Alternative Minimum Tax CreditEstates and trusts are allowed a credit of 12% of the federal alternative minimum tax credit for the same taxable year. Part-year/nonresident estates and trusts must apportion this credit in the ratio that the modified federal

[ 140 ]

Page 8

alternative minimum taxable income that gave rise to the prior year federal alternative minimum tax was considered Colorado alternative minimum taxable income. For example, if a nonresident estate’s 2015 federal alternative minimum taxable income was 30% Colorado source, its credit would be 30% of 12% of the 2015 federal credit allowed for 2014 minimum tax.

Other CreditsEnter on line 4 any other credit being claimed.

Total CreditsLine 5 is the total of all credits claimed on lines 1 through 4. The total amount entered on line 5 may not exceed the total tax liability on line 11, Form 105.

Innovative Motor Vehicle CreditCredits generated after 2010 are refundable (can exceed the net tax) and can be claimed on line 20 of Form 105. Be sure to complete form DR 0617 when applicable and submit a copy of your registration and bill of sale when claiming either credit. We recommend that you read publication FYI Income 67 for details.

[ 141 ]


*150105==19999*Mark box here if this is a:

Final Return Amended Return

Name of estate or trust Colorado Account Number

Name of fiduciary FEIN

Address City State ZIP Date estate or trust created (MM/DD/YY)

With respect to the tax year, did or will the estate or trust distribute more than $1,000 in Colorado source income to nonresident beneficiaries? (mark one) Yes No

Round All Amountsto the Nearest Dollar.

1. Federal taxable income, line 22, federal Form 1041 1 002. Additions to federal taxable income

Explain: 2 00

3. Colorado Marijuana Business Deduction 3 004. Subtractions from federal taxable

income Explain: 4 00

5. Net modifications: line 2 minus lines 3 and 4 5 00

6. Net modifications allocated to beneficiaries 6 00

7. Net modifications allocated to the estate or trust, line 5 minus line 6 7 00

8. Colorado taxable income of the estate or trust, line 1 plus or minus line 7 8 009. Normal Tax, 4.63% of the amount on line 8. Nonresident estates or trusts enter tax from

line 8, Schedule E 9 00

10. Alternative minimum tax from line 8, Schedule F 10 00


12. Credits from line 5, Schedule G 12 00

13. Non-refundable Enterprise Zone credits - as calculated, or from DR 1366 line 87 13 00

14. Total of lines 12 through 13, this total cannot exceed line 11 14 00

15. Net tax, line 11 minus line 14 15 00

16. Estimated tax payments and credits 16 00

17. Colorado income tax withheld from wages 17 00

FORM 0105 (12/04/15) COLORADO DEPARTMENT OF REVENUE Denver CO 80261-0006 www.TaxColorado.com(0033)

2015-or-Fiscal Year Beginning (MM/DD/15) Fiscal Year Ending (MM/DD/YY)

ColoradoFiduciary Income Tax

Form 105

[ 142 ]

18. W-2G withholding from lottery winnings 18 00

19. Gross conservation easement credit from DR 1305G line 33 19 00

20. Innovative Motor Vehicle Credit from Form DR 0617 20 0021. Business Personal Property Credit: Use the worksheet in the DR 105 book instructions to

calculate, submit copy of assessor’s statement 21 00

22. Refundable Renewable Energy Tax Credit from line 88 of Form DR 1366 22 00

23. Sum of lines 16 through 22 23 00

24. Penalty, also include on line 26 if applicable 24 00

25. Interest, also include on line 26 if applicable 25 0026. If amount on line 15 exceeds amount on line 23, enter amount owed. Pay online:

www.Colorado.gov/RevenueOnline (or make checks payable to Colorado Department of Revenue) 26 00

27. If line 23 is larger that line 15, enter overpayment 27 00

28. Overpayment to be credited to 2016 estimated tax 28 00

29. Overpayment to be refunded 29 00

DirectDeposit


Account Number

May the Colorado Department of Revenue discuss this return with the paid preparer shown below (see instructions)?

Yes No

I declare under penalty of perjury in the second degree, that this return is true, correct and complete to the best of my knowledge and belief. Declaration of preparer is based on all information of which the preparer has any knowledge.

Submit to www.Colorado.gov/RevenueOnline or mail to: Colorado Department of Revenue Denver CO 80261-0006

Signature of fiduciary or officer representing fiduciary Date (MM/DD/YY)

Person or firm preparing return Phone Number ( )

Date (MM/DD/YY)


*150105==29999*Name Account Number

FORM 0105 (12/04/15) COLORADO DEPARTMENT OF REVENUE Denver CO 80261-0006 www.TaxColorado.com

[ 143 ]

Schedule A — Names and Addresses of Beneficiaries — Use lines (a) through (e) for resident beneficiaries

(a)

(b)

(c)

(d)

(e)— Use lines (f) through (j) for nonresident beneficiaries

(f)

(g)

(h)

(i)

(j)Schedule B — Computation of the shares of the Colorado fiduciary adjustment. The Colorado fiduciary adjustment is to be allocated among the beneficiaries and the fiduciary in proportion to their share of the federal distributable net income.

Beneficiary as per schedule A

Share of federal distributable net incomeAmount Percent

(a) $ %

(b) %

(c) %

(d) %

(e) %

(f) %

(g) %

(h) %

(i) %

(j) %

Subtotal $ %

Fiduciary %

Total $ 100%

Form 105 ScheduleNote: If any Income Distribution Deduction was

claimed for Federal Tax purposes, this page must be complete.*150105==39999* FORM 0105 Schedule

(12/04/15)

Name Account Number

[ 144 ]

Schedule C — Computation of the percentage of federal distributable net income from Colorado sources for use in Schedule D, columns 7 and 8, in determining the modified federal income reportable to Colorado by nonresident beneficiaries.

1. Per Federal Form 1041 2. From Colorado Sources

1. Dividends $ $ XXXXXXXXXXXXXXXXXXXXXX XX

2. Interest (Include exempt interest) $ XXXXXXXXXXXXXXXXXXXXXX XX

3. Partnership/Fiduciary income

4. Net rents and royalties

5. Net profit (loss) business

6. Other income

7. Total lines 1 through 6 $ $

8. Expenses

9. Federal distributable net income $ $

10. Percent of federal distributable net income from Colorado sources: (Line 9, column 2 divided by line 9, column 1) %

Schedule D—Beneficiaries Social Security Numbers, Income, Modifications and Withholding1. Resident Beneficiary’s Social Security Number 2. Federal Fiduciary Income 3. Schedule B Percentage 4. Fiduciary Adjustment

(a) $ % $

(b) $ % $

(c) $ % $

(d) $ % $

(e) $ % $

5. Nonresident Beneficiary’s Social Security Number

6. Federal Distributable Net

Income

7. Schedule C Percentage

8. Income Reportable to Colorado

9. Colo. Withholding Required 4.63%

of Column 8

(f) $ % $ $ 00

(g) $ % $ $ 00

(h) $ % $ $ 00

(i) $ % $ $ 00

(j) $ % $ $ 00

*150105==49999* Form 105 ScheduleFORM 0105 Schedule (12/04/15)

Name Account Number

[ 145 ]

Schedule E — Part-Year Resident/Nonresident Estate or Trust Apportionment ScheduleFederal Column Colorado Column

1. Income, specify type: 00 00

00 00

00 00

00 00

00 00

00 00

Total Income 1 00 00

2. Deductions, specify: 00 00

00 00

00 00

00 00

00 00

00 00

Total Deductions 2 00 00

3. Taxable income, line 1 minus line 2 3 00 00

4. Modifications from line 7, Form 105 4 00 00

5. Modified taxable income, line 3 plus or minus line 4 5 00 00

6. Amount on line 5, Colorado column divided by amount on line 5, federal column 6 %

7. 4.63% of the amount on line 8, form 105 7 00

8. Amount on line 7 multiplied by percentage on line 6, enter here and on line 9, Form 105 8 00


Name Account Number

[ 146 ]

Schedule F — Fiduciary Alternative Minimum Tax Computation Schedule

Federal Column Colorado Column1. Fiduciary’s share of federal alternative taxable income minus

federal AMT exemption 1 00 00

2. Modifications from line 7, Form 105 2 00 00

3. Line 1 plus or minus line 2 3 00 00

4. 3.47 % of the amount on line 3, federal column 4 005. Part-year/Nonresident estate or trust only, amount on line 3, Colorado column divided

by amount on line 3, federal column 5 %6. Part-year/Nonresident estate or trust only, amount on line 4 multiplied by percentage

on line 5 6 00

7. Enter normal tax from line 9, Form 105 7 008. Resident estate or trust enter amount by which line 4 exceeds line 7.

Nonresident estate or trust enter amount by which line 6 exceeds line 7. Enter here and on line 10, Form 105 8 00


Form 105 ScheduleFORM 0105 Schedule (12/04/15)

[ 147 ]

Schedule G — Fiduciary Credit Schedule1. Credit for Tax Paid to Another State - Submit a copy of the relevant pages of each other state’s tax return when

claiming this credit. Such pages must include the adjusted gross income calculation, any disallowed federal deductions and the tax calculation for each state. Compute a separate credit for each state.

(a) Name of other state 1(a)

(b) Total tax from line 11, page 1, Form 105 1(b) 00

(c) Modified federal taxable income from sources in the other state 1(c) 00

(d) Total modified federal taxable income 1(d) 00

(e) Amount on line 1(c) divided by amount on line 1(d) 1(e) %

(f) Amount on line 1(b) multiplied by percentage on line 1(e) 1(f) 00

(g) Tax liability to other state 1(g) 00

(h) Allowable credit the smaller of lines 1(f) or line 1(g) 1(h) 00

2. Dual Resident Trust Credit for the state of: Attach a copy of the tax return filed with the other state.

(a) Colorado tax on income subject to tax in both states 2(a) 00

(b) Other state’s effective tax rate 2(b) %

(c) Total of both states’ tax rates, line 2(b) plus 4.63% 2(c) %

(d) Percentage of credit, line 2(b) divided by line 2(c) 2(d) %

(e) Total credit, line 2(a) multiplied by percentage on line 2(d) 2(e) 00

3. Credit for prior year alternative minimum tax. See instructions 3 00

4. Other credits, explain: 4 00

5. Total credits. Add lines 1(h), 2(e), 3 and 4. Enter here and on line 12, Form 105 5 00


Form 105 ScheduleFORM 0105 Schedule (12/04/15)

[ 148 ]

Form 105 ScheduleSchedule G — Fiduciary Credit Schedule (continued)Credits to be Carried Forward to 2016:

Limitation: Most credits reported on this Schedule G are nonrefundable. Consequently, the total credits utilized from this schedule may not exceed the total tax reported on line 11 of your income tax return, Form 105. Enter on lines 1(b) through 5 only the amount(s) of the credit(s) to be applied against your 2015 liability. Most unused 2015 credits can be carried forward to tax year 2016. If the total credits available exceed the total tax due for 2015, list the credit type(s) and excess amount(s) above under “Credits to be Carried Forward to 2016.”


Name Account Number

[ 149 ]

FORM 104BEP (08/06/15) (0068)Return form with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write the beneficiary’s Social Security number and “2016 Form 104BEP” on the check or money order. Do not send cash. File only if you are making a payment. Submit a separate check or money order for each document. Payment is due at the time the income is distributed.Beneficiary’s Last Name First Name Middle Initial

Address SSN

City State ZIP

IF NO PAYMENT IS DUE, DO NOT FILE THIS FORM. Amount of PaymentThe State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically. $ .00

2016 Colorado Nonresident BeneficiaryEstimated Income Tax Payment

Withholding For Nonresident BeneficiariesEvery fiduciary of an estate or trust, with a nonresident beneficiary who receives net income from real or tangible personal property within Colorado, shall withhold and pay taxes to the Department of Revenue out of the income to be distributed to such nonresident beneficiary.

The amount to be withheld is 4.63% of the beneficiary’s share of this income, computed without exemption, unless the nonresident beneficiary files a timely return of this total

income from sources within Colorado, in which case the fiduciary shall withhold and pay only the amount of tax disclosed by the beneficiary’s return.

Use Form 104BEP on this page to make the payment. File Form 104BEP using the name, address and social security number of the beneficiary. Photocopy additional copies of Form 104BEP as needed. Payment is due at the time the income is distributed.

FORM 104BEP (08/12/15)COLORADO DEPARTMENT OF REVENUE Denver CO 80261-0008 www.TaxColorado.com

*160104BE19999*

[ 150 ]

Page 18



Forms, Information and e-ServicesFind Information

Review tax publications Learn how to file and pay Download forms View Education and Legal Research resources


File a return Make a payment View letters and bills Send a Secure Message to the department

[ 151 ]

Page 19

[ 152 ]

Example of the computation of Fiduciary Colorado tax, resident beneficiary’s Colorado Fiduciary adjustment, and nonresident beneficiary’s Colorado source income.

Alice Smith’s share of the Colorado fiduciary adjustment is computed as follows:

Share of local bond interest @ 48.76% ...........$1,207Share of U. S. interest @ 48.76% ......................4,242Net modification ............................................. $(3,035)

John Smith, Jr. income reportable to Colorado is determined as follows:

Share of distributable net income ................. $12,000From Colorado sources at 29.67% ................. $3,561

Colorado source income is computed as follows:Rental income (Colorado) $16,832Total income $56,722 = 29.67%

This can be verified as follows:John, Jr. share of income $12,000Distributable net income $49,222 = 24.38%

Share of rental income $16,832 x 24.38% = $4,104Share of fees $7,500 x 24.38% x 29.67%* = 543Net Colorado income $3,561

* Share of fees allocated to rental income

The federal Form 1041 for the John Smith estate showed the following items of income and deduction:

1. Interest income ......................................... $32,6142. Dividends ...................................................... 4,8005. Net rent income (Colo.) ............................... 16,8329. Total income .............................................. $54,24612. Fiduciary Fees .......................................... $6,00014. Accountant’s Fee ........................................ 1,50016. Total .......................................................... $7,50017. Adjusted total income .............................. $46,74618. Income distribution deduction ................. $34,18920. Exemption ...................................................... 60021. Total ........................................................ $34,78922. Taxable income ........................................$11,957

The estate also had $2,476 in non-Colorado municipal bond interest income during the tax year. $24,000 was distributed to Alice Smith, a Colorado resident and $12,000 to John Smith, Jr., a nonresident of Colorado. The estate had $8,700 in U. S. Government interest.The shares of the federal distributable net income are as follows:

Alice Smith $24,000 48.76%John Smith, Jr. 12,000 24.38%John Smith Estate 13,222 26.86%Totals $49,222 100.00%

The Colorado tax of the estate is determined as follows:

1. Federal taxable income .............................$11,9572. Modifications increasing federal income:

Local bond interest ..................................... $2,4763. Colorado marijuana business deduction4. Modifications decreasing federal income:

Federal bond interest.................................. $8,7005. Net modifications ...................................... $(6,224)7. Allocated to the estate @ 26.86% .............$(1,672)8. Taxable income ......................................... $10,2859. Tax ................................................................. $476

COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0006www.TaxColorado.com

[ 153 ]

Fiduciary Form 105

Colorado Fiduciary Income Tax Filing GuideFile the return electronically for free using Revenue Online. You can file on paper if you cannot file electronically, but please note that filing on paper

can increase return errors2016

2016

(11/15/16)




WithA

Payment

WithoutA

Payment




Mail To:

Mail To:


Colorado Fiduciary Income Tax Filing Guide - Book 105 - (2016)

[ 154 ]

*160158-F19999* DR 0158-F (08/23/16)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0008www.TaxColorado.com

(0039)

2016 Payment for Automatic Colorado Extension for Estates or Trusts

Automatic Filing ExtensionGeneral InformationColorado income tax returns are due the fifteenth day of the fourth month after the end of your tax year, or by April 18, 2017 for traditional calendar year filers. If you are unable to file by your prescribed due date, you may file under extension. This will allow you an additional 6 months to file your return, or until October 16, 2017 for traditional calendar year filers. However, the extension to file DOES NOT allow you to extend your payment due date.You must pay at least 90% of your tax liability by the original due date of your return (or April 18th) and the remainder by the filing extension due date (or October 16th) to avoid delinquent payment penalties.Penalties and InterestIf the 90% rule is NOT met by the original due date, then delinquent penalty and interest will be assessed when you file your return. If 90% or more of your tax liability is paid by the original due date, and the remaining balance is paid by the extension due date, no penalty will be assessed.

However, you will be billed interest, but only on the amount being paid by the extension due date.If after the original due date, you determine that you underpaid your extension payment you should pay the additional tax as soon as possible to avoid further accumulation of penalty and/or interest.

Go Green with Revenue Onlinewww.Colorado.gov/RevenueOnline allows taxpayers to file taxes, remit payments and monitor their accounts. The DR 0158-F is not required if a Return Payment is remitted through this site. Please be advised that a nominal processing fee may apply to online payments.Pay by Electronic Funds Transfer (EFT)EFT payments can be made safely and for free, and can be scheduled up to 12 months ahead of time to avoid forgetting to make a payment. This requires pre-registration before payments can be made.Visit www.Colorado.gov/revenue/eft for registration information.

DO NOT CUT – Return Full PageDR 0158-F (05/17/16) For the calendar year 2016 or the fiscal yearFiscal Year Beginning (MM/DD/16) Fiscal Year Ending (MM/DD/YY)

Return this form with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write the estate’s or trust’s Colorado account number or FEIN and “2016 DR 0158-F” on the check or money order. Do not send cash. File only if you are making a payment.FEIN Colorado Account Number

Name of Estate or Trust

Name of Fiduciary

Address

City State ZIP

If No Payment Is Due, Do Not File This Form.The state may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

Amount of Payment

$ . 0 0


[ 155 ]

Page 3

Form 105 InstructionsGeneral InformationThis filing guide will assist you with completing this Colorado Fiduciary Income Tax Return. Once you finish the form, file it with a computer, smartphone, or tablet using our free and secure Revenue Online service at www.Colorado.gov/RevenueOnline Or, you may file using private e-file software or with a tax preparer. If you cannot file electronically for any reason, mail the enclosed forms as instructed.Please read through this guide before starting your return. All Colorado forms and publications referenced in this guide are available for download at www.TaxColorado.com — the official Colorado Taxation web site.

Account NumberA Colorado account number (CAN) is not assigned to a fiduciary account until the first tax return has been filed. If the eight-digit account number has been assigned, please enter it on the return. This will speed processing of the return.

Resident Estates and TrustsA resident estate is defined as an estate of a deceased person which is administered in Colorado in any manner other than by an ancillary proceeding. A resident trust is defined as any trust which is administered in Colorado.

Nonresident Estates and TrustsThe Colorado tax of a nonresident estate or trust shall be what the tax would have been were it a resident estate or trust apportioned in the ratio of the Colorado taxable income to the modified federal taxable income. Use Schedule E to make the apportionment.

Requirement for FilingEvery resident estate and trust or every nonresident estate or trust with Colorado source income must file a Colorado income tax return if it is required to file a federal income tax return or if it has a Colorado tax liability.

Information ReturnsAny estate or trust that is required to file a federal information return (such as the 5227 or 1041A) must also file Form 105 with Colorado. Complete the appropriate schedules to provide beneficiary and income information.

Return for DecedentIf an executor or administrator is required to file a federal income tax return for a decedent who was a Colorado resident or a nonresident with Colorado source income, they are required to file a Colorado income tax return for such decedent.

If a final determination of tax liability is requested for the estate or trust of a decedent, the request must be submitted on form DR 0253. Such request must be submitted under separate cover.

Estimated Tax PaymentsEstimated tax payments are not required for a fiduciary return. However, if you want to make estimated payments, you can submit your payment at www.Colorado.gov/RevenueOnline (recommended) or by sending a check with Form 105EP.

Period to be Covered by the ReturnThe return must cover the same tax period as is used for federal tax purposes.

Amending Your ReturnA change or correction on your return may be made through Revenue Online, www.Colorado.gov/RevenueOnline If you are unable to amend online, complete a corrected Form 105. Mark the Amended Return box at the top of the corrected Form 105. Any adjustment made on a federal amended return must be reported and the Colorado income tax adjusted accordingly. Any adjustments made by the IRS must be reported to Colorado by attaching the revenue agent’s report (RAR) to the amended return. Attachments may be uploaded in Revenue Online. The statute of limitations for assessment will not run on any year for which such adjustments are not reported.

When and Where to FileThe Colorado fiduciary income tax return is due by the fifteenth day of the fourth month following the close of the taxable year. See form DR 0158-F for automatic extension of time for filing. Electronically file at www.Colorado.gov/RevenueOnline or, if you cannot file electronically for any reason, follow the instructions below to mail Form 105.

New for this year:If you are filing this return with a check or payment, please mail the return to: COLORADO DEPARTMENT OF REVENUEDenver, CO 80261-0006

If you are filing this return without a check or payment, please mail the return to:COLORADO DEPARTMENT OF REVENUEDenver, CO 80261-0005

[ 156 ]

Page 4Additional Information AvailableAdditional information, FYI publications and forms are available on the Taxation web site at www.TaxColorado.com or you can call 303-238-SERV (7378) for information.

Line by Line InstructionsFirst, complete the federal income tax return to be filed with the IRS Form 1041. You will use the information from that form to complete this Colorado income tax return.

Line 1 Federal Taxable IncomeEnter the federal taxable income of the estate or trust.

Line 2 Additions to Taxable IncomeEnter the sum of required additions, including but not limited to, the following:

• Any state income tax claimed as a deduction in computing federal taxable income.

• Any interest income accrued or received during the taxable year on obligations of any state or subdivision thereof other than obligations of the State of Colorado or a subdivision thereof. The amount of interest entered shall be net of any bond premium amortization and any expenses required to be allocated to such interest income under provisions of the Internal Revenue Code.

• Any lump-sum pension or profit sharing distribution made to the estate or trust during the tax year to the extent such distribution was reported as income on federal Form 4972. The amount to be entered shall be net of any estate tax attributable to the distribution to the extent claimed as a deduction on federal Form 4972.

• Any charitable deduction taken on the federal return for a gross conservation easement that has also been claimed for a Colorado tax credit. Complete form DR 1305 Part D.


Line 4 Other SubtractionsEnter the sum of allowable subtractions, including but not limited to, the following:

• Any refund of state income tax included in federal taxable income.

• To the extent included in federal gross taxable income of the estate or trust, any United States government interest income not subject to tax by the State of Colorado.

• To the extent included in federal gross taxable income or as added on line 2, but not more than $20,000, the Colorado pension/annuity subtraction. The pension/annuity subtraction is allowed only to the extent the benefits were paid because of the death of the person who earned the pension/annuity income. We recommend that you read publication FYI Income 25 if this applies to you.

• To the extent included in federal taxable income, the amount of capital gain income earned from the sale of real or tangible personal property located in Colorado that was acquired on or after May 9, 1994 and held continuously for at least five years prior to the date of the transaction from which the capital gains arise. You must attach form DR 1316 to the return to provide information explaining how these assets qualify for the subtraction.

• To the extent included in federal gross taxable income payments or contributions made to a qualified state tuition program administered by CollegeInvest.

Line 5 Net ModificationsLine 5 is the difference of lines 1 and 2 minus lines 3 and 4. If line 4 exceeds line 2, show the amount on line 5 in brackets.

Lines 6 and 7 Allocation of ModificationsEnter the amount of the net modifications allocated to the beneficiaries. These modifications should be allocated to the beneficiaries using the (beneficiary) “subtotal” percentage from Schedule B. Enter the balance of the modifications, if any, on line 7.Where the allocation of the modifications as given in the instructions for line 6 would produce a result that is substantially inequitable, the fiduciary may (with permission from the department) use such other method of allocation of all or a part of such modifications that will produce a fair and equitable result to both the fiduciary and the beneficiaries.

Line 8 Colorado Taxable IncomeEnter the amount by which line 1 exceeds line 7 or the total of lines 1 and 7. This is the modified federal taxable income of the estate or trust subject to tax by Colorado.

Line 9 TaxEnter the Colorado normal tax of the estate or trust, 4.63% of the amount on line 8. Nonresident estates and trusts enter the amount from line 8, Schedule E.

[ 157 ]

Page 5Line 10 Alternative Minimum TaxEnter the Colorado alternative minimum tax, if any, from Schedule F. Ordinarily there will be a Colorado alternative minimum tax if there is a federal alternative minimum tax.

Line 12 CreditsEnter the credits, if any, from line 6, Schedule G.

Line 13 Total Nonrefundable Enterprise Zone CreditsEnter the credit, if any, from line 87, form DR 1366.

Line 16 Estimated Tax Payments and CreditsEnter any amount paid on behalf of the estate or trust with the extension of time for filing payment. Include amounts paid, if any, as estimated tax payments or as withholding on nonresident real estate sales.

Line 17 Colorado Income Tax WithheldEnter any amount of Colorado income tax withholding on wages reported as taxable income by the estate.

Line 18Enter the amount of any Colorado W-2G lottery/gaming withholding.

Line 19 Gross Conservation Easement CreditEnter line 33 from Form DR 1305G on this line.

Line 20 Refundable Innovative Motor Vehicle CreditEnter the credit, if any, from Form DR 0617.

Line 21 Business Personal Property Credit for Fiduciary Business OwnersThis credit is only available if business personal property tax was paid to a Colorado county in 2016 and the business had business personal property of $15,000 or less. Submit a copy of the assessor’s statement with your return.Table 1 – Match your federal taxable income amount from line 1 of the 105 form.

Amount from Form 105 line 1 Credit rate$0 - $2,550 .8037$2,551 - $5,950 .7037$5,951 - $9,050 .6737$9,051 - $12,400 .6237$12,401 and up .5577



A

Enter the Credit Rate from Table 1 that corresponds with your Federal Taxable Income

B

Multiply line A times line B to calculate the credit allowed. Enter on Form 105 line 21.

Line 22 Refundable Renewable Energy Tax CreditEnter the amount of refundable renewable energy tax credit from line 88 of form DR 1366.

Line 23Enter the sum of lines 16 through 22.

Line 24 through Line 26Line 26 is the balance of tax due, line 15 minus line 23. Include penalty and/or interest on lines 24 and 25, if paid after the original due date of the return.If 90% or more of the net tax was paid by the original due date of the return (April 18th for calendar year returns) and the balance is paid when the return is filed by the last day of the extension period, then only interest will be due. If less than 90% of the net tax was paid by the original due date of the return, penalty and interest will be due.The penalty is 5% of the balance of tax due for the first month or fraction of a month of delinquency plus 1/2% for each additional month or fraction of a month of delinquency, not to exceed 12% in the aggregate.Interest is computed at the rate of 4% on any tax unpaid as of the due date of the return from the due date to the date of payment. (Interest on any tax due more than 30 days after billing will be assessed at 7%.)

Paid Preparer AuthorizationIf the fiduciary wants to allow the Colorado Department of Revenue to discuss the estate’s or trust’s 2016 tax return with the paid preparer who signed it, mark the “Yes” box. This authorization applies only to the individual whose name appears in the “Person or Firm Preparing Return” area of the fiduciary’s return. It does not apply to the firm, if any, shown in that section.If the “Yes” box is marked, the fiduciary is authorizing the Colorado Department of Revenue to call the paid preparer to answer any questions that may arise during the processing of the estate’s or trust’s return. The fiduciary is also authorizing the paid preparer to:

• Give the Colorado Department of Revenue any information that is missing from the estate’s or trust’s return; and/or

• Call the Colorado Department of Revenue for information about the processing of the estate’s or trust’s return or the status of its refund or payment(s); and/or

• Respond to Colorado Department of Revenue notices that the fiduciary has shared with the preparer about math errors, offsets, and return preparation. The notices will not be sent to the preparer.

The fiduciary is not authorizing the paid preparer to receive any refund check, bind the estate or trust to anything (including any additional tax liability), or otherwise represent the estate or trust before the Colorado Department of Revenue. If the fiduciary wants to expand the paid preparer

[ 158 ]

Page 6authorization, complete form DR 0145 Tax Information Designation and Power of Attorney Representation.The authorization will automatically end no later than the due date (without regard to extensions) for filing the estate’s or trust’s 2016 tax return. If the fiduciary wants to revoke the authorization before it ends, send a written statement of revocation to the Colorado Department of Revenue, Denver, CO 80261-0005. The statement of revocation must indicate that the authorization is revoked, list the tax return, and must be signed and dated by the fiduciary or the paid preparer.

Schedule A Enter the names and addresses of the beneficiaries. Use lines (a) through (e) for resident beneficiaries and lines (f) through “(i)” or add line (j) on the Form 105 Schedule A.

Schedule B Schedule B is used to compute the fiduciary’s percentage share and each beneficiary’s percentage share of the federal distributable net income. These percentages are to be used in the division of the Colorado fiduciary adjustment in Schedule D.

Schedule C Schedule C is used to determine what part of the nonresident beneficiaries’ federal distributable net income is from Colorado sources. This percentage is to be used in allocating the net estate or trust income reportable to Colorado by nonresident beneficiaries in Schedule D.Enter in column 1 the component parts of the federal distributable net income. Enter in column 2 that part of each item from column 1 that is from Colorado sources. Interest and dividend income will not be considered to be from Colorado sources except where they arise from assets that have acquired a business situs in Colorado. Pension and annuity income is not considered to be Colorado source income.Expenses claimed on lines 10 through 15 of federal Form 1041 will be Colorado or non-Colorado expenses depending on the source of the income to which they are assigned by the fiduciary for federal income tax purposes.

Schedule D Schedule D is for the determination of the resident beneficiaries’ share of the Colorado fiduciary adjustment, and the determination of the net estate or trust income reportable to Colorado by nonresident beneficiaries.Enter in column 1 the Social Security number of each resident beneficiary.Enter in column 2 for each resident beneficiary, the income reported on his/her federal individual income tax return as being from this estate or trust.Enter in column 3 for each resident beneficiary, his/her percentage of the federal distributable net income as determined in Schedule B.The Colorado fiduciary adjustment is divided among the beneficiaries and the fiduciary in proportion to their share of the federal distributable net income. Enter in column 4

each resident beneficiary’s share of the Colorado fiduciary adjustment computed by applying the percentage in column 3 to the net adjustment as shown on line 6, page 1 of the return. If there is no federal distributable net income, each beneficiary’s share of the Colorado fiduciary adjustment shall be in proportion to his share of the estate or trust income distributed or required to be distributed. Any balance of the Colorado fiduciary adjustment will be allocated to the fiduciary. Advise each beneficiary of his/her share of the Colorado fiduciary adjustment.Enter in column 5 the Social Security number of each nonresident beneficiary.Enter in column 6 for each nonresident beneficiary his/her share of the federal distributable net income of the estate or trust.Enter in column 7 for each nonresident beneficiary, the percentage of federal distributable net income of the estate or trust determined to be from Colorado sources. This determination is made in Schedule C.Enter in column 8 for each nonresident beneficiary, that part of his/her federal distributable net income from this estate or trust that is from Colorado sources determined by applying the percentage in column 7 to the income in column 6. If any other method is used to determine the beneficiary’s income from Colorado sources, attach a comprehensive explanation.Enter in column 9 for each nonresident beneficiary, 4.63% of his/her Colorado source income as listed in column 8. This is the amount to be withheld from the distribution to the beneficiary and paid to the State of Colorado as estimated tax in the name of the beneficiary on Form 104BEP. Round all amounts to the nearest dollar.

Schedule E Schedule E is used to compute the tax of a part-year or nonresident estate or trust. Fiduciaries of part-year or nonresident estates or trusts shall compute a tentative tax as though the estate or trust were a resident estate or trust. The actual tax shall be the tentative tax apportioned in the ratio of the Colorado taxable income to the modified federal taxable income.First complete lines 1 through 9 of Form 105 in accordance with the instructions given for full-year resident estates and trusts.Then complete lines 1 through 3 of the federal column of Schedule E using the information from the federal Form 1041. Complete the federal column using the modifications from line 7 of Form 105.On line 1 of Schedule E, Colorado column, enter the Colorado source income of the estate or trust. Interest, dividends, gains or losses from the sale of stocks and bonds, and pension and annuity income shall not be considered Colorado source income for a nonresident estate or trust. Expenses shall follow the income to which they were assigned for federal income tax purposes by the fiduciary.

[ 159 ]

Page 7The distribution deduction and the exemption deduction shall be allowed on line 2 of the Colorado column in the ratio of the federal distributable net income from Colorado sources over the total federal distributable net income.Include the state tax deduction addback modification relating to prior years and the state tax refund subtraction modification in the Colorado column in the ratio that the estate or trust income was Colorado source income for the year to which the deduction or the refund applies.For example, if the fiduciary paid $2,000 state tax during 2016 for 2015, and the 2015 estate or trust income was 40% Colorado source, include 40% or $800 on line 4 of the Colorado column.DO NOT include the state tax deduction addback modification relating to taxes paid for the current year on line 4 of either column.Complete Schedule E in accordance with the instructions given on the form.

Schedule F Schedule F is used to compute the alternative minimum tax. The Colorado alternative minimum tax is the amount by which 3.47% of the Colorado alternative minimum taxable income exceeds the normal tax. The Colorado alternative minimum taxable income is the federal alternative minimum taxable income minus the federal AMT exemption and plus or minus the modifications from line 7 of Form 105. Do not include modifications that duplicate adjustments made in arriving at federal alternative taxable income.Resident estates and trusts complete only lines 1 through 4 of the federal column and lines 7 and 8. Line 1 may be a negative amount.The alternative minimum tax for nonresident estates and trusts is apportioned in the ratio of Colorado-source modified federal alternative minimum taxable income to the total modified federal alternative minimum taxable income. Complete lines 1 through 4 of the federal column as though the estate or trust were a resident estate or trust.In computing the amount to enter on line 1, Colorado column, the Colorado source total income and the Colorado source allowable deductions shall be as reported on lines 1 and 2 of Schedule E, Colorado column. The federal adjustments and tax preference items shall be allocated to Colorado to the extent they relate to a business being carried on in Colorado or to income from Colorado sources. The alternative tax net operating loss deduction shall be allowed to the extent it was from Colorado sources in the year in which it arose.The income distribution deduction, the estate tax deduction and the federal alternative minimum tax exemption deduction are allowed in the ratio of the Colorado source federal distributable net alternative minimum taxable income to the total federal distributable net alternative minimum taxable income.

Schedule G Schedule G is used to compute any Fiduciary Tax Credits.

Credit for Tax Paid to Another StateA resident estate or trust may claim credit for income tax paid to another state on income from sources in that state (including the District of Columbia and territories or possessions of the United States).Income from intangible assets, such as interest, dividends and gains or losses from the sale or exchange of securities, unless from a business carried on in the other state, is not considered to be from sources in the other state. The credit must be claimed on the accrual basis and is limited to the Colorado tax attributable to such income.If taxes were paid to two or more states, a separate credit must be computed for each state. The total credit for taxes paid to other states may not exceed the Colorado tax attributable to non-Colorado source income.If income and/or losses are received from two or more other states:

1. Complete lines 1(b) through 1(h) for each state to which taxes are paid, and

2. Complete lines 1(b) through 1(h) (enter “Combined” as name of state) combining all tax paid, income, and losses from all other states to determine the maximum credit available.

3. The credit will be the lesser of the total credits computed for each state in step 1, or the credit limitation computed in step 2. Both calculations will be submitted with your return.

Submit a copy of the tax return filed with the other state(s) at www.Colorado.gov/RevenueOnline or submit with form DR 1778. If you file a paper return you must attach the returns to your Colorado return.

Dual-Resident Trust CreditA credit is available to a qualifying trust that is a resident trust in both Colorado and another state. Submit a copy of the tax return filed with the other state at www.Colorado.gov/RevenueOnline or submit with form DR 1778. If you file a paper return, you must attach the return(s) from another state or states to your Colorado return. We recommend that you read publication FYI Income 63 if this applies to you.

Alternative Minimum Tax CreditEstates and trusts are allowed a credit of 12% of the federal alternative minimum tax credit for the same taxable year. Part-year/nonresident estates and trusts must apportion this credit in the ratio that the modified federal alternative minimum taxable income that gave rise to the prior year federal alternative minimum tax was considered Colorado alternative minimum taxable income. For example, if a nonresident estate’s 2016 federal alternative minimum taxable income was 30% Colorado source, its credit would be 30% of 12% of the 2016 federal credit allowed for 2015 minimum tax.

[ 160 ]

Page 8Other CreditsEnter on line 10 any other credit being claimed.

Total CreditsLine 11 is the total of all credits claimed on lines 1 through 10. The total amount entered on line 11 may not exceed the total tax liability on line 11, Form 105.

Innovative Motor Vehicle CreditCredits generated after 2010 are refundable (can exceed the net tax) and can be claimed on line 20 of Form 105. Be sure to complete form DR 0617 when applicable and submit a copy of your registration and bill of sale when claiming this credit. We recommend that you read publication FYI Income 67 for details.

[ 161 ]

FORM 0105 (09/19/16) COLORADO DEPARTMENT OF REVENUE www.TaxColorado.com

(0033)2016-or-

*160105==19999* Fiscal Year Beginning (MM/DD/16) Fiscal Year Ending (MM/DD/YY)

Mark box here if this is a:Final Return Amended Return

Name of estate or trust Colorado Account Number

Name of fiduciary FEIN

Address Date estate or trust created (MM/DD/YY)

City State ZIP

With respect to the tax year, did or will the estate or trust distribute more than $1,000 in Colorado source income to nonresident beneficiaries? (mark one) Round All Amounts to

the Nearest DollarYes No

1. Federal taxable income, line 22, federal Form 1041 1 0 02. Additions to federal taxable income

Explain: 2 0 0

3. Colorado Marijuana Business Deduction 3 0 04. Subtractions from federal taxable

income Explain: 4 0 0

5. Net modifications: line 2 minus lines 3 and 4 5 0 0

6. Net modifications allocated to beneficiaries 6 0 0

7. Net modifications allocated to the estate or trust, line 5 minus line 6 7 0 0

8. Colorado taxable income of the estate or trust, line 1 plus or minus line 7 8 0 09. Normal Tax, 4.63% of the amount on line 8. Nonresident estates or trusts enter

tax from line 8, Schedule E 9 00

10. Alternative minimum tax from line 8, Schedule F 10 00


12. Credits from line 11, Schedule G 12 00

13. Non-refundable Enterprise Zone credits - as calculated, or from DR 1366 line 87 13 0 0

14. Total of lines 12 through 13, this total cannot exceed line 11 14 0 0


ColoradoFiduciary Income Tax

Form 105

[ 162 ]

*160105==29999* FORM 0105 (09/19/16) COLORADO DEPARTMENT OF REVENUE www.TaxColorado.com

Name Account Number

15. Net tax, line 11 minus line 14 15 0 0

16. Estimated tax payments and credits 16 0 0

17. Colorado income tax withheld from wages 17 0 0

18. W-2G withholding from lottery winnings 18 0 0

19. Gross conservation easement credit from DR 1305G line 33 19 0 0

20. Innovative Motor Vehicle Credit from Form DR 0617 20 0 021. Business Personal Property Credit: Use the worksheet in the DR 105 book

instructions to calculate, submit copy of assessor’s statement 21 0 0

22. Refundable Renewable Energy Tax Credit from line 88 of Form DR 1366 22 0 0

23. Sum of lines 16 through 22 23 0 0

24. Penalty, also include on line 26 if applicable 24 0 0

25. Interest, also include on line 26 if applicable 25 0 026. If amount on line 15 exceeds amount on line 23, enter amount owed. Pay online:

www.Colorado.gov/RevenueOnline (or make checks payable to Colorado Department of Revenue) 26 0 0

27. If line 23 is larger than line 15, enter overpayment 27 0 0

28. Overpayment to be credited to 2017 estimated tax 28 0 0

29. Overpayment to be refunded 29 0 0

May the Colorado Department of Revenue discuss this return with the paid preparer shown below (see instructions)?

Yes No

I declare under penalty of perjury in the second degree, that this return is true, correct and complete to the best of my knowledge and belief. Declaration of preparer is based on all information of which the preparer has any knowledge.Submit to www.Colorado.gov/RevenueOnline or mail to: If you are filing this return with a check or payment, please mail the return to: COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0006. If you are filing this return without a check or payment, please mail the return to: COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0005Signature of fiduciary or officer representing fiduciary Date (MM/DD/YY)

Person or firm preparing return Date (MM/DD/YY)


DirectDeposit


Account Number

[ 163 ]

*160105==39999* FORM 0105 Schedule (09/19/16) Form 105 Schedule

Note: If any Income Distribution Deductionwas claimed for Federal Tax purposes, this page must be complete

Name Account Number

Schedule A — Names and Addresses of Beneficiaries — Use lines (a) through (e) for resident beneficiaries

(a)

(b)

(c)

(d)

(e)— Use lines (f) through (j) for nonresident beneficiaries

(f)

(g)

(h)

(i)

(j)Schedule B — Computation of the shares of the Colorado fiduciary adjustment. The Colorado fiduciary adjustment is to be allocated among the beneficiaries and the fiduciary in proportion to their share of the federal distributable net income.

Beneficiary as per schedule A

Share of federal distributable net incomeAmount Percent

(a) $ %

(b) %

(c) %

(d) %

(e) %

(f) %

(g) %

(h) %

(i) %

(j) %

Subtotal $ %

Fiduciary %

Total $ 100%

[ 164 ]


Name Account Number

Schedule C — Computation of the percentage of federal distributable net income from Colorado sources for use in Schedule D, columns 7 and 8, in determining the modified federal income reportable to Colorado by nonresident beneficiaries.

1. Per Federal Form 1041 2. From Colorado Sources

1. Dividends $ $ XXXXXXXXXXXXXXXXXXXXXX XX

2. Interest (Include exempt interest) $ XXXXXXXXXXXXXXXXXXXXXX XX

3. Partnership/Fiduciary income

4. Net rents and royalties

5. Net profit (loss) business

6. Other income

7. Total lines 1 through 6 $ $

8. Expenses

9. Federal distributable net income $ $

Percent of federal distributable net income from Colorado sources: (Line 9, column 2 divided by line 9, column 1) %Schedule D—Beneficiaries Social Security Numbers, Income, Modifications and Withholding1. Resident Beneficiary’s Social Security Number 2. Federal Fiduciary Income 3. Schedule B Percentage 4. Fiduciary Adjustment

(a) % $$

(b) % $$

(c) % $$

(d) % $$

(e) % $$

5. Nonresident Beneficiary’s Social Security Number

6. Federal Distributable Net Income

7. Schedule C Percentage

8. Income Reportable to Colorado

9. Colo. Withholding Required 4.63%

of Column 8

(a) $ % $ $ 0 0

(b) $ % $ $ 0 0

(c) $ % $ $ 0 0

(d) $ % $ $ 0 0

(e) $ % $ $ 0 0

[ 165 ]


Name Account Number

Schedule E — Part-Year Resident/Nonresident Estate or Trust Apportionment ScheduleFederal Column Colorado Column

1. Income, specify type: 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

Total Income 1 0 0 0 0

2. Deductions, specify: 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

Total Deductions 2 0 0 0 0

3. Taxable income, line 1 minus line 2 3 0 0 0 0

4. Modifications from line 7, Form 105 4 0 0 0 0

5. Modified taxable income, line 3 plus or minus line 4 5 0 0 0 0

6. Amount on line 5, Colorado column divided by amount on line 5, federal column 6 %

7. 4.63% of the amount on line 8, form 105 7 0 08. Amount on line 7 multiplied by percentage on line 6, enter here and on line 9,

Form 105 8 0 0

[ 166 ]


Name Account Number

Schedule F — Fiduciary Alternative Minimum Tax Computation Schedule

Federal Column Colorado Column

1. Fiduciary’s share of federal alternative taxable income minus federal AMT exemption 1 0 0 0 0

2. Modifications from line 7, Form 105 2 0 0 0 0

3. Line 1 plus or minus line 2 3 0 0 0 0

4. 3.47 % of the amount on line 3, federal column 4 0 05. Part-year/Nonresident estate or trust only, amount on line 3, Colorado column

divided by amount on line 3, federal column 5 %6. Part-year/Nonresident estate or trust only, amount on line 4 multiplied by

percentage on line 5 6 0 0

7. Enter normal tax from line 9, Form 105 7 0 08. Resident estate or trust enter amount by which line 4 exceeds line 7.

Nonresident estate or trust enter amount by which line 6 exceeds line 7. Enter here and on line 10, Form 105 8 0 0

[ 167 ]


Name Account Number

Schedule G — Fiduciary Credit Schedule1. Credit for Tax Paid to Another State - Submit a copy of the relevant pages of each other state’s tax return when

claiming this credit. Such pages must include the adjusted gross income calculation, any disallowed federal deductions and the tax calculation for each state. Compute a separate credit for each state.

(a) Name of other state 1(a)

(b) Total tax from line 11, page 1, Form 105 1(b) 0 0

(c) Modified federal taxable income from sources in the other state 1(c) 0 0

(d) Total modified federal taxable income 1(d) 0 0

(e) Amount on line 1(c) divided by amount on line 1(d) 1(e) %

(f) Amount on line 1(b) multiplied by percentage on line 1(e) 1(f) 0 0

(g) Tax liability to other state 1(g) 0 0

(h) Allowable credit the smaller of lines 1(f) or line 1(g) 1(h) 0 0

2. Dual Resident Trust Credit for the state of: Attach a copy of the tax return filed with the other state.

(a) Colorado tax on income subject to tax in both states 2(a) 0 0

(b) Other state’s effective tax rate 2(b) %

(c) Total of both states’ tax rates, line 2(b) plus 4.63% 2(c) %

(d) Percentage of credit, line 2(b) divided by line 2(c) 2(d) %

(e) Total credit, line 2(a) multiplied by percentage on line 2(d) 2(e) 0 0

3. Credit for prior year alternative minimum tax. See instructions 3 0 0

4. Credit for Remediation of Contaminated Land, use DR 0349 4 0 0 5. Preservation of Historic Structures credit available (attach certificate from Office of Economic Development) 5 00

6. Preservation of Historic Structures credit used 6 00 7. Unused current year Preservation of Historic Structures credit, subtract line 6 from line 5 7 00 8. Amount of Preservation of Historic Structures credit transferred (attach written transfer agreement submitted to Office of Economic Development) 8 00 9. Amount of Preservation of Historic Structures credit carried forward, subtract line 8 from line 7 9 00

10. Other credits, explain: 10 0 0 11. Total credits. Add lines 1(h), 2(e), 3, 4, 6 and 10. Enter here and on Form 105, line 12. 11 0 0

[ 168 ]


Name Account Number

Form 105 ScheduleSchedule G — Fiduciary Credit Schedule (continued)Credits to be Carried Forward to 2017:

Limitation: Most credits reported on this Schedule G are nonrefundable. Consequently, the total credits utilized from this schedule may not exceed the total tax reported on line 11 of your income tax return, Form 105. Enter on lines 1(b) through 6 only the amount(s) of the credit(s) to be applied against your 2016 liability. Most unused 2016 credits can be carried forward to tax year 2017. If the total credits available exceed the total tax due for 2016, list the credit type(s) and excess amount(s) above under “Credits to be Carried Forward to 2017.”

New For This Year:


If you are filing this return without a check or payment, Please mail the return to:



[ 169 ]

*170104BE19999* FORM 104BEP (08/16/16)COLORADO DEPARTMENT OF REVENUE Denver CO 80261-0008 www.TaxColorado.com

2017 Colorado Nonresident BeneficiaryEstimated Income Tax Payment

Withholding For Nonresident BeneficiariesEvery fiduciary of an estate or trust, with a nonresident beneficiary who receives net income from real or tangible personal property within Colorado, shall withhold and pay taxes to the Department of Revenue out of the income to be distributed to such nonresident beneficiary.

The amount to be withheld is 4.63% of the beneficiary’s share of this income, computed without exemption,

unless the nonresident beneficiary files a timely return of this total income from sources within Colorado, in which case the fiduciary shall withhold and pay only the amount of tax disclosed by the beneficiary’s return.

Use Form 104BEP on this page to make the payment. File Form 104BEP using the name, address and social security number of the beneficiary. Photocopy additional copies of Form 104BEP as needed. Payment is due at the time the income is distributed


FORM 104BEP (04/26/16) (0068)Return form with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write the beneficiary’s Social Security number and “2017 Form 104BEP” on the check or money order. Do not send cash. File only if you are making a payment. Submit a separate check or money order for each document. Payment is due at the time the income is distributed.SSN

Beneficiary’s Last Name

First Name Middle Initial

Address

City

State ZIP


Amount of Payment

$ .00


[ 170 ]

Page 18

[ 171 ]

Page 19



Forms, Information and e-ServicesFind Information

Review tax publications Learn how to file and pay Download forms View Education and Legal Research resources


File a return Make a payment View letters and bills Send a Secure Message to the department

[ 172 ]

Example of the computation of Fiduciary Colorado tax, resident beneficiary’s Colorado Fiduciary adjustment, and nonresident beneficiary’s Colorado source income.

Alice Smith’s share of the Colorado fiduciary adjustment is computed as follows:

Share of local bond interest @ 48.76% ...........$1,207Share of U. S. interest @ 48.76% ......................4,242Net modification ............................................. $(3,035)

John Smith, Jr. income reportable to Colorado is determined as follows:

Share of distributable net income ................. $12,000From Colorado sources at 29.67% ................. $3,561

Colorado source income is computed as follows:Rental income (Colorado) $16,832Total income $56,722 = 29.67%

This can be verified as follows:John, Jr. share of income $12,000Distributable net income $49,222 = 24.38%

Share of rental income $16,832 x 24.38% = $4,104Share of fees $7,500 x 24.38% x 29.67%* = 543Net Colorado income $3,561

* Share of fees allocated to rental income

The federal Form 1041 for the John Smith estate showed the following items of income and deduction:

1. Interest income ......................................... $32,6142. Dividends ...................................................... 4,8005. Net rent income (Colo.) ............................... 16,8329. Total income .............................................. $54,24612. Fiduciary Fees .......................................... $6,00014. Accountant’s Fee ........................................ 1,50016. Total .......................................................... $7,50017. Adjusted total income .............................. $46,74618. Income distribution deduction ................. $34,18920. Exemption ...................................................... 60021. Total ........................................................ $34,78922. Taxable income ........................................$11,957

The estate also had $2,476 in non-Colorado municipal bond interest income during the tax year. $24,000 was distributed to Alice Smith, a Colorado resident and $12,000 to John Smith, Jr., a nonresident of Colorado. The estate had $8,700 in U. S. Government interest.The shares of the federal distributable net income are as follows:

Alice Smith $24,000 48.76%John Smith, Jr. 12,000 24.38%John Smith Estate 13,222 26.86%Totals $49,222 100.00%

The Colorado tax of the estate is determined as follows:

1. Federal taxable income .............................$11,9572. Modifications increasing federal income:

Local bond interest ..................................... $2,4763. Colorado marijuana business deduction4. Modifications decreasing federal income:

Federal bond interest.................................. $8,7005. Net modifications ...................................... $(6,224)7. Allocated to the estate @ 26.86% .............$(1,672)8. Taxable income ......................................... $10,2859. Tax ................................................................. $476

COLORADO DEPARTMENT OF REVENUEwww.TaxColorado.com

[ 173 ]

(12/04/15)

Income Tax Return for Pass-Through Entities and Composite Filing for Nonresidents

Booklet Includes:Instructions, Form 106 and Related Forms

Use this guide to electronically file your return for free using Revenue Online at www.Colorado.gov/RevenueOnline or using private e-file software. Only mail the paper form if you are not able to electronically file the return for any reason. Please note that filing on paper can increase return errors and delay refunds. All forms in this booklet may be photocopied.Partnerships, S corporations, LLCs, LPs, LLPs, LLLPs, and Associations with nonresident members can opt to file a composite return for those members. Complete lines 11-27 of Form 106 to pay the tax on the Colorado source income.

• No other forms must be completed.• No special election or signature is required by the

member for inclusion.• Members do not have to file a Colorado individual

return.

In lieu of a composite return, there are two other options that pass-through entities can use to meet the nonresident member filing requirements. However, these options require additional forms and cannot be used if the member will not be filing a Colorado individual return.


2015

Colorado Pass-Through Entities and Composite Filing for Nonresidents Income Tax Filing Guide - Book 106 - (2015)

[ 174 ]

DR 0107 (07/31/15)COLORADO DEPARTMENT OF REVENUEDenver, CO 80261-0006www.TaxColorado.com

Taxable Year of Pass-Through Entity Beginning:Day (DD) Month (MM) Year (YYYY)

Ending:Day (DD) Month (MM) Year (YYYY)

Taxable Year of Partner, Shareholder or Member Beginning:Day (DD) Month (MM) Year (YYYY)

Ending:Day (DD) Month (MM) Year (YYYY)

Name and Address of Nonresident partner or Shareholder or Member Name and Address of Pass-Through Entity

Last Name Last Name

First Name Middle Initial First Name Middle Initial

Street or Mailing Address Street or Mailing Address

City State Zip City State Zip

SSN FEIN Colorado Account Number FEIN

I agree to file a Colorado income tax return and make timely payment of all taxes imposed by the state of Colorado with respect to my share of the Colorado income of the pass-through entity named above. I also agree to be subject to personal jurisdiction in the state of Colorado for purposes of the collection of unpaid income tax together with related penalties and interest. I furthermore understand that this agreement is binding for as long as I am a member of the aforementioned partnership.Taxpayer's or authorized agent's signature Date (MM/DD/YY)

Submit this agreement when filing the Colorado Form 106A nonresident partner, shareholder, or member can complete this form DR 0107 to establish that they will report the Colorado source income and pay the Colorado tax on any income derived from a Colorado partnership.This form shall be delivered by the nonresident partner to the partnership, which shall later be submitted by the partner-ship with Form 106. This form need only to be filed with the Department for the year in which the agreement is made.See the instructions for Nonresident Partners/Shareholders/Members in the 106 Booklet and publication FYI Income 54 for more information.

Colorado Nonresident Partner, Shareholder or Member Agreement

*150107==19999*

[ 175 ]

DR 0108 (07/31/15)COLORADO DEPARTMENT OF REVENUE www.TaxColorado.com

2015 Statement of Colorado Tax Remittance for Nonresident Partner, Shareholder or Member

DR 0108 (07/31/15)

Return this form with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Enter on form DR 0108 the name and Social Security number or FEIN of the nonresident partner, shareholder or member who will ultimately claim this payment. Do not send cash. Enclose, but do not staple or attach, your payment with this form.Last name of nonresident partner, shareholder or member First Name Middle Initial Shareholder is (mark one):

SSN FEIN Individual (SSN)

Address Estate or Trust (FEIN)

City State ZIP Do not use this form for a C-Corporation or Partnership / S-Corp / LLC

Name of Pass-Through Entity Colorado Account Number

Address FEIN

City State ZIP


1. Colorado-source income for nonresident partner or shareholder $ .00

2. Colorado tax remitted, 4.63% of amount on line 1 $ .00

*150108==19999*

In general, partnerships should remit withholding for their nonresident partners. However, if a composite return is filed to include such nonresident partner/shareholder the withholding is not required. Nonresident partner withholding is due on the 15th day of the fourth month following the end of the taxable year.See the instructions for Nonresident Partners/Shareholders/Members in the 106 Booklet for more information.

Please note, a MAXIMUM of fifty (50) DR 108 forms may be submitted with a single payment. DO NOT remit one payment via EFT or check and request the Department to allocate funds to more than 50 nonresident partners. Furthermore, the DR 108 totals must exactly match the payments, or the Department WILL NOT transfer the funds on behalf of the partnership.

0018

[ 176 ]

THIS PAGE INTENTIONALLY LEFT BLANK.

[ 177 ]

Page 5

Form 106 InstructionsThis filing guide will assist you with completing this Colorado Income Tax Return. Once you finish the form, file it with a computer, smartphone, or tablet using our free and secure Revenue Online service at www.Colorado.gov/RevenueOnline Or, you may file using private e-file software or with a tax preparer. By filing your return electronically, you significantly reduce the chance of errors and you will receive your refund much faster. If you cannot file electronically for any reason, mail the enclosed forms as instructed. Please read through this guide before starting your return. All Colorado forms and publications referenced in this guide are available for download at www.TaxColorado.com the official Taxation Web site.Any partnership, joint venture, common trust fund, limited association, pool or working agreement, limited liability company or any other combination of persons or interests, that is required to file a federal partnership return of income, must file a Colorado Form 106 if any of the partnership income is from Colorado sources.An S corporation must file Form 106 for any year it is doing business in Colorado. An S corporation will be deemed to be doing business in Colorado if it is engaged in any activities in Colorado which are beyond the protection afforded by Public Law 86-272.An S corporation is a corporation for which a valid election is in effect under section 1363(a) of the Internal Revenue Code. If a corporation is an S corporation for federal income tax purposes it is an S corporation for Colorado income tax purposes. S corporations are not subject to Colorado income tax.A change or correction on your return must be reported on a corrected Form 106 on Revenue Online. If filing on paper, mark the Amended Return box at the top of the corrected Form 106. The corrected form must include all required schedules even if the schedule was submitted with the original return and has not changed.When used in this instruction booklet or on the partnership forms, the term partnership includes limited liability companies filing as partnerships for federal income tax purposes, and the term partner includes members of such limited liability companies.

Due Dates For Filing ReturnThe return is due to be filed the fifteenth day of the fourth month after the close of the tax year, or after the automatic six-month extension if applicable. See the extension payment instructions for further information. Calendar year 2015 returns are due on April 18, 2016.

Nonresident Partners/Shareholders/MembersThe pass-through entity is required to ensure that its nonresident partners, shareholders or members satisfy their Colorado income tax liabilities resulting from the Colorado- source income earned by the pass-through entity. This is accomplished in one of three ways:

• File a composite return on behalf of the nonresident members. The tax due on the composite filing shall be 4.63% of the Colorado-source income of the partners, shareholders or members included in the composite return.

• Provide a completed form DR 0107 for each nonresident partner, shareholder or member establishing that they will file a Colorado income tax return. The partnership or S corporation is responsible for collecting each form DR 0107 and submitting them to the Department.

• Provide a completed form DR 0108 for each nonresident partner, shareholder or member. Withhold 4.63% of each nonresident partner, shareholder or member's Colorado source income and submit the payment with form DR 0108. A separate form DR 0108 must be submitted for each partner, shareholder or member for whom a payment is made.

You must indicate in Column 4 of Part III which of these three filing requirements has been elected by each nonresident partner, shareholder or member. Refer to publication FYI Income 54 for additional information on composite filing, the agreement to file form DR 0107, and the withholding form DR 0108.Information, FYI Publications and forms are available at www.TaxColorado.com

[ 178 ]

Page 6

Declaration of Estimated TaxEstimated payments are required if the tax attributable to any partner, shareholder or member included in a composite return is expected to exceed $1,000. Such estimated payments should be remitted with Form 106EP.

DistributionsColorado modifications and credits from Form 106CR, if any, may be distributed to shareholders on their stock ownership percentage and to partners on their distributive share percentage. Advise each Colorado resident partner, shareholder or member of their share of the pass-through entity modifications and credits. Advise each resident shareholder of their share of any income tax paid to other states by the corporation so they can compute the credit for tax paid other states.

Apportionment of IncomeA pass-through entity doing business in more than one state must apportion its Colorado source income to any states in which the entity is doing business. This ensures income is reported to the state in which the income is earned and taxable. See publication FYI Income 59 for details regarding the following apportionment methods.

PartnershipsIncome is generally apportioned in one of two ways:

• Single-sales factor• Colorado–source income of nonresident individuals

method

S CorporationsIncome is generally apportioned using the single sales method.

Not Apportioning Income — A pass-through entity doing business only in Colorado will source 100% of its income to Colorado. Single Sales Factor — All business income must be apportioned using the single-sales factor. Nonbusiness income may either be directly allocated to the appropriate state or treated as business income, subject to the single sales factor apportionment. Complete and attach Part IV to your return if you are apportioning income using the single sales factor apportionment method.

Colorado Source Income of Nonresident — Colorado source income apportioned under §39-22-109, C.R.S., is computed by including income that is determined to be from Colorado sources. Attach a schedule to Form 106 explaining how Colorado source income was determined. Modifications may be sourced to Colorado only to the extent that the income to which they relate is sourced to Colorado.

Completing Form 106

IncomeLine 1 Enter the ordinary income or (loss) from line 1 of federal Schedule K.Line 2 Enter the total of all other income listed on federal Schedule K. For partnerships, this would be the total of the amounts entered on lines 2, 3, 4, 5, 6a, 7, 8, 9a, 10 and 11 of federal Schedule K. For S corporations, this would be the total of the amounts entered on lines 2, 3, 4, 5a, 6, 7, 8a, 9 and 10 of federal Schedule K. Also include any gain from the sale of assets subject to section 179 that is not reported on Schedule K.

Modifications and DeductionsLine 3 Enter the Colorado modifications that increase federal income.Enter any interest income (net of premium amortization) from state or municipal obligations subject to tax by Colorado. Do not include interest from obligations issued by the State of Colorado or a subdivision thereof.Line 5 Enter the allowable deductions from federal Schedule K. For partnerships, this would be the total of lines 12, 13c(2), and 13d of federal Schedule K; and for S corporations, this would be the total of lines 11, 12c(2), and 12d of federal Schedule K. Do not include amounts provided for informational pass-through purposes only (for example: domestic production activities deduction amounts).Charitable contributions (line 13a, Schedule K, Form 1065, or line 12a, Schedule K, Form 1120S) and investment interest expense (line 13b, Schedule K, Form 1065, or line 12b, Schedule K, Form 1120-S) may be included on line 5 of Form 106, but only if a composite return is being filed for the 4.63% tax of the nonresident partners or shareholders. Report deductions that are directly related to business operations. Deductions that are not directly related to business operations (e.g., charitable deductions) may not be deducted as part of the composite return. Partners that wish to calculate and claim the benefit of these deductions must do so by filing individual Colorado income tax returns and may not be included in the composite return.Line 6 Colorado Marijuana Business DeductionFor Colorado-licensed marijuana businesses, list any expenditure that is eligible to be claimed as a federal income tax deduction but is disallowed by section 280E of the Internal Revenue Code because marijuana is a controlled substance under federal law.To calculate this deduction, you must create pro forma federal schedule(s) for Business Profit or Loss as if the federal government would have allowed the expenditures from the marijuana business. The Colorado deduction shall be the difference between the profit/loss as calculated on the ACTUAL schedule(s) filed with the federal return and the

[ 179 ]

Page 7

pro forma schedule(s) described above. You must attach both the pro forma schedule(s) and the actual schedule(s) to your Colorado return to receive this deduction.Line 7 To the extent of that which was included in the federal taxable income on line 4 enter the sum of the following:

• Any interest income earned on obligations of the United States government and any interest income earned on obligations of any authority, commission, or instrumentality of the United States to the extent such obligations are exempt from state tax under federal law.

• The modification for foreign source income of an export taxpayer. If a partnership qualifies as an export taxpayer, it may exclude for Colorado income tax purposes any income or gain which constitutes foreign source income for federal income tax purposes. For purposes of this modification, an "export taxpayer" means any partnership which sells 50% or more of its products which are produced in Colorado in states other than Colorado or in foreign countries, or if the gross receipts of such partnership are derived from the performance of services, such services are performed in Colorado by a partner or employee of the partnership and fifty percent or more of such services provided by the partnership are sold or provided to persons outside of Colorado.

• To the extent included in federal taxable income, the excludable Colorado capital gain income for property acquired on or after May 9, 1994 and held for five or more years. See publication FYI Income 15 for information on what capital gains qualify for this subtraction.

Neither the C corporation foreign income exclusion or the partnership export taxpayer foreign source income modification may be claimed by an S corporation or passed through to its shareholders.

Colorado Source IncomeLine 10 Enter the Colorado-source income. If part of the income is not Colorado-source income, see the instructions for Apportionment of Income. The Colorado income tax statute provides that in determining the source of a nonresident partner's income, no effect shall be given to a provision in the partnership agreement which characterizes payments to the partner as being for services or for the use of capital. Thus payments to partners, whether salaries or interest, shall be construed to be from Colorado sources and taxable by Colorado in the same ratio as is the ordinary income of the partnership.The partnership will not normally determine income from Colorado sources for any corporate partner as the corporation will include its share of the partnership's income and factors in its own income and factors subject to allocation and apportionment.

Composite ReturnComplete lines 11 through 31 of Form 106 only if a composite return is being filed for nonresident partners/shareholders/members.Line 11 Enter the Colorado-source income of the nonresident partners/shareholders/members who are included in the composite return.Line 12 Enter 4.63% of the Colorado-source income reported on line 11. Line 13 Enter the tax credits from Form 106CR that are allocated to the nonresident partners/shareholders/members included in the composite return. Do not include any gross conservation easement credit (line 20), refundable or non-refundable Enterprise Zone credits (line 22 or line 14, respectively), certified auction group license fee credit (line 15), business personal property tax credit (line 23) or refundable innovative motor vehicle credit (line 21), which must be reported separately. Line 14 Enter non-refundable Enterprise Zone Credits from line 87 from the DR 1366.Line 15 Enter 20% of the portion of the purchase price that license plate auction group has certified as exceeding the fair market value of the registration number.Line 18 Carefully review payment records before completing this line. Use Revenue Online (www.colorado.gov/revenueonline) to verify estimated taxes paid on the account. Doing so will reduce processing delays. Allow ample time to sign up for Revenue Access and to receive the Authentication Code for first time use. Enter the amount of credit for prepayments. Include the sum of the following on line 18:

• estimated tax payments for 2015• any overpayment from 2014 that was carried forward

to 2015• extension payment(s)• payments remitted with Form DR 1079 to satisfy

withholding requirements for the sale of Colorado real estate

Line 19 Enter the amount of withholdings reported on form W-2G made on lottery or gambling winnings. This is rare and will not apply to most taxpayers.Line 20 Enter the gross conservation easement credit available to the nonresident partners/shareholders included in the composite return from form DR 1305-G Line 33.Line 21 Enter the innovative motor vehicle credit generated in 2015, from line 20, Form 106CR that was allocated to the non-resident partners/shareholders included in the composite return. This credit is refundable when generated in 2015 (can exceed the net tax on line 17). This credit is not refundable for credits carried forward from 2009 and earlier. If the pass-through entity is carrying forward any alternative fuel vehicle or innovative motor vehicle credits enter the amount on line 18 of the 106CR. We suggest that you read publication FYI Income 67. Line 22 Enter the amount of refundable renewable energy tax credit as calculated, or from Form DR 1366 line 88.

[ 180 ]

Page 8

Line 23 Business Personal Property Credit for composite return business owners.This credit is only available if business personal property tax was paid to a Colorado county in 2015 and the business had business personal property of $15,000 or less. Submit a copy of the assessor’s statement with your return.Table 1 – Match your taxable income amount from line 9 of the 106 form.

Amount from Form 106 line 9 Credit rate$0 - $9,225 .8537$9,226 - $37,450 .8037$37,451 - $90,750 .7037$90,751 - $189,300 .6737$189,301 - $411,500 .6237$411,501 - $413,200 .6037$413,201 and up .5577


Enter the amount of business personal property tax paid in 2015 (Enter only the pro rata amount of tax paid by the com-posite members)

A

Enter the Credit Rate from Table 1 that cor-responds with your Federal Taxable Income

B

Multiply line A times line B to calculate the credit allowed, enter on Form 106 line 23

Line 25 If 90% of the tax is not paid by the due date, you must add a delinquent payment penalty. The penalty is 5% of the additional tax due for the first month of delinquency and ½% for each additional month up to a maximum of 12%.Line 26 Interest is due on any unpaid tax balance paid after the due date. The interest rate is 3%, or 6% if we bill you and you do not pay within 30 days.Line 27 The estimated tax penalty is computed for each partner or shareholder on form DR 0204. This penalty applies only when the tax due for an individual included in the composite filing is more than $1,000. If this penalty is due, submit form DR 0204 for each individual who owes the penalty and enter the total penalty on line 28.Line 28 Enter the balance due, including any penalty or interest due from lines 25, 26, and 27.Line 29 If the credits on line 24 exceed the tax due on line 17, enter the amount of the overpayment on line 29.Line 30 Enter the amount from line 29 you want to credit to next year's estimated tax.Line 31 Enter the amount from line 29 you wish to have refunded at this time.Direct Deposit – you have the option of authorizing a transaction by the Department to directly deposit these funds to your bank account. Otherwise, a refund check will be mailed to the address you have designated on this return. If you use Direct Deposit, you will receive your refund 1 to 2 weeks faster than if you wait for a paper check.

Enter the routing and account numbers and account type. The routing number is 9 digits. Account numbers can be up to 17 characters (numbers and/or letters). Include hyphens, but do NOT enter spaces or special symbols. We recommend that you contact your financial institution to ensure you are using the correct information and that they will honor a direct deposit.

Intercepted Refunds – the Department will intercept your refund if you owe back taxes or if you owe a balance to another Colorado government agency or the IRS.

Paid Preparer AuthorizationDesignate whether the paid preparer can discuss this return with the Department. By completing this area of the return, you are granting the designee the ability to:





This designation does not allow the third party to receive your refund check, bind you to anything (including any additional tax liability), or otherwise represent you before the Colorado Department of Revenue. If you would like to expand the designee’s authorization, complete Form DR 0145, Power of Attorney for Department Administered Tax Matters.The authorization will automatically end no later than the due date (without regard to extensions) for filing the pass-through entity's 2015 tax return.

[ 181 ]

Automatic Filing ExtensionGeneral InformationColorado income tax returns are due the fifteenth day of the fourth month after the end of your tax year, or by April 18, 2016 for traditional calendar year filers. If you are unable to file by your prescribed due date, you may file under extension. This will allow you an additional 6 months to file your return, or until October 17, 2016 for traditional calendar year filers. However, the extension to file DOES NOT allow you to extend your payment due date. You must pay at least 90% of your tax liability by the original due date of your return (or April 18th) and the remainder by the filing extension due date (or October 17th) to avoid delinquent payment penalties.Penalties and InterestIf the 90% rule is NOT met by the original due date, then delinquent penalty and interest will be assessed when you file your return. If 90% or more of your tax liability is paid by the original due date, and the remaining balance is paid by the extension due date, no penalty will be assessed. However, you will be billed interest, but only on the amount being paid by the extension due date.

If after the original due date, you determine that you underpaid your extension payment you should pay the additional tax as soon as possible to avoid further accumulation of penalty and/or interest.Pay OnlineVisit www.Colorado.gov/RevenueOnline to pay online. Online payments reduce errors and provide instant payment confirmation. Revenue Online also allows users to submit various forms and to monitor their tax account. A DR 0158-N is not required if an online payment is made. Please be advised that a nominal processing fee may apply to online payments.Pay by Electronic Funds Transfer (EFT)EFT Debit and EFT Credit options are free services offered by the department. EFT services require pre-registration before payments can be made. Visit www.Colorado.gov/revenue/eft for more information.Pass Through Entities Use this form only if the entity intends to file a composite return and claim the extension payment against the tax reported on the composite return.

DR 0158-N (07/31/15)

Return this form with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write your Colorado Account Number or Federal Employer Identification Number and “2015 DR 158-N” on your check or money order. Do not send cash. Enclose, but do not staple or attach, your payment with this form.

For the calendar year 2015 or the fiscal yearFiscal Year Start Date: (MM/DD/15) Fiscal Year End Date: (MM/DD/YY)

Name Colorado Account Number

Address FEIN

City State ZIP


Amount of Payment

$ .00

www.Colorado.gov/RevenueOnline

DR 0158-N (07/31/15)COLORADO DEPARTMENT OF REVENUEDenver, CO 80261-0008

(0049)*150158-N19999*

[ 182 ]


[ 183 ]

Fiscal Year Beginning (MM/DD/15): Ending (MM/DD/YY): Mark for Amended Return

Name of Organization Colorado Account Number

Doing Business As Federal Employer ID Number

Address City State ZIP

If you are attaching a statement disclosing a listed or reportable transaction, mark this box

A. This return is being filed for (mark one):

Partnership S Corporation LLC LP LLP LLLP Association Non-Profit

B. Beginning depreciable assets from federal return C. Ending depreciable assets from federal return

D. Business or profession E. Date of organization or incorporation (MM/DD/YY)

F. If this is a final return, mark this box G. If the IRS has made any adjustments to your federal return or have you filed amended federal returns during the last four years, mark this box

Explain:H. Number of partners or shareholders as of year end

Part I: Computation of Colorado Income Round to the nearest dollar

1. Ordinary income from line 1 federal Schedule K 1 00

2. Total of all other income 2 00

3. Modifications increasing federal income 3 00

4. Total of lines 1, 2 and 3 4 00

5. Allowable deductions from federal Schedule K 5 00


7. Other modifications decreasing federal income 7 00


9. Line 4 minus line 8 9 0010. Colorado Source Income from (mark one):

Part IV Other (attach explanation) Income is all Colorado Income 10 00

File at: www.Colorado.gov/RevenueOnline – or – Mail to and make checks payable to: Colorado Department of RevenueDenver, CO 80261-0006


*150106==19999*


(0043)

2015-or-

ColoradoPass-Through Entity

and Composite Nonresident Income Tax Form 106

[ 184 ]

Name Account Number

Part II: Composite Nonresident Income Tax ReturnDo not complete lines 11–31 unless you are filing a composite nonresident return.11. Colorado–source Income of nonresident partners/shareholders electing to be

included in this composite filing 11 00

12. Tax; 4.63% of the amount on line 11 12 0013. 106CR credits allocated to these partners/shareholders/members

(exclude lines 19 through 22, and lines 25 through 26, Form 106CR) 13 00

14. Non-refundable Enterprise Zone credits – as calculated, or from DR 1366 line 87 14 0015. Certified auction group license fee credit allocated to these

partners/shareholders/members 15 00



18. Estimated tax credits and extension payments 18 00

19. Withholding from lottery or gambling winnings 19 0020. Gross conservation easement credit allocated to these

partners/shareholders/members, from DR 1305G Line 33 20 0021. Innovative Motor Vehicle Credit from line DR 0617 allocated to these

partners/shareholders/members 21 00

22. Refundable Renewable Energy Tax Credit from line 88 of form DR 1366 22 0023. Business Personal Property Credit: Use the worksheet in the DR 106 Book

instructions to calculate, submit copy of assessor's statement 23 00

24. Subtotal; add lines 18 to 23 24 00

25. Penalty (include on Line 28) 25 00

26. Interest (include on Line 28) 26 00

27. Estimated tax penalty (include on Line 28) 27 00

28. If line 17 is greater than line 24, enter amount owed 28 00



31. Overpayment to be refunded 31 00I declare this return to be true, correct and complete under penalty of perjury in the second degree. Declaration of preparer is based on all information of which preparer has any knowledge.

Form 106 Part II*150106==29999* Form 106 (12/04/15)


[ 185 ]

Name Account Number

*150106==39999*

DirectDeposit


Account Number

May the Colorado Department of Revenue discuss this return with the paid preparer shown below (see instructions)? Yes No

Signature of partner or signature and title of officer Date (MM/DD/YY) Person or firm preparing return (name and phone number) Date (MM/DD/YY)



Form 106 Part II

[ 186 ]

Name Account Number

Part III: Identification of Partners, Shareholders or MembersPart III must be completed for each partner/shareholder/member. DO NOT submit federal K-1 schedules.Name of Partner, Shareholder or Member SSN or Colorado Account Number

Address of Partner, Shareholder or Member

Composite 0107 Attached 0108 Filed

Profit/Loss or Stock Ownership Percentage

Name of Partner, Shareholder or Member SSN or Colorado Account Number


Composite 0107 Attached 0108 FiledProfit/Loss or Stock Ownership Percentage
















Photocopy this page for additional partners as needed.

Form 106 Part IIIDo not submit federal K-1 schedules

Form 106 (12/04/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0006*150106==49999*

[ 187 ]

Name Account Number

Part IV — Business Income Apportioned to Colorado by use of the Sales FactorDo not send federal return forms or schedules with this return

1. Total modified federal taxable income from line 9, Part I, page 1, Form 106 1 00Business Income Apportioned to Colorado by use of the Sales Factor Do Not Include Foreign Source Revenues Modified from Line 7, Part I, Page 1, Form 106

Colorado Total2. Gross sales of tangible

personal property 2 00 00

3. Gross revenue from services 3 00 004. Gross rents and royalties

from real property 4 00 005. Gross proceeds from sales

of real property 5 00 006. Taxable interest and dividend

income 6 00 007. Gain from the sale of intangible

personal property 7 00 00

8. Patent and copyright royalties 8 00 009. Revenue from the performance

of purely personal services 9 00 0010. Total revenue (total of lines 2

through 9 in each column) 10 00 00

11. Line 10 (Colorado) divided by line 10 (Total) 11 %Complete Lines 12 and 15 only if nonbusiness income is being directly allocated.If all income is being treated as business income, enter 0 (zero) on Lines 12 and 15.

12. Less income directly allocable (Nonbusiness Income Only):

(a) Net rents and royalties from real or tangible property 00

(b) Capital gains and losses 00

(c) Interest and dividends 00

(d) Patents and copyright royalties 00

(e) Other nonbusiness income 00

(f) Total income directly allocable [add lines (a) through (e)] 12 00

13. Modified federal taxable income subject to apportionment by formula, line 1 less line 12 13 00

14. Income apportioned to Colorado by formula, line 11 multiplied by line 13 14 00

*150106==59999* Form 106 (12/04/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0006

Form 106 Part IV

[ 188 ]

Name Account Number

15. Add income directly allocable to Colorado (Nonbusiness Income Only):(a) Net rents and royalties from

real or tangible property 00





(f) Total income directly allocable [add lines (a) through (e)] 15 0016. Total income apportioned to Colorado, line 14 plus line 15. Enter on line 10,

Part I, page 1, Form 106 16 00

17. Pursuant to §39-22-303.5(6) C.R.S., taxpayer elects to treat nonbusiness income as business income for the tax year ending: 17

Date (MM/DD/YY)

*150106==69999* Form 106 (12/04/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0006

Form 106 Part IV

[ 189 ]

Page 17

Instructions For Form 106CRIn general, Colorado credits may be passed through from partnerships, and S corporations to the partners, or shareholders. Normally the potential credit is passed through and it is up to the partner or shareholder to determine his or her own limitations.

Some credits may be claimed only by individuals, estates or trusts where others may be claimed only by C corporations. Other credits may be available to all taxpayers. Credits allocated to some partners or shareholders cannot be redistributed to other partners or shareholders. For example, if a partnership consisted of a C corporation and an individual, the individual partner’s share of the partnership’s new investment tax credit could not be claimed by the corporation even though the individual partner is not allowed to use it.

Credit For Tax Paid Other States Colorado resident S corporation shareholders may claim credit for their share of any net income tax paid to another state by the corporation when the other state does not recognize the S corporation election. Complete a separate Form 106CR for each state to which tax was paid. Advise each Colorado resident shareholder of his or her share of the corporate income from sources in the other state and his or her share of the tax paid.

The Old Investment Tax Credit is 10% of the tentative current year federal internal revenue code section 46 credit on assets located in Colorado and may be claimed only by C corporations (this would apply in the case of a partnership with a C corporation partner). See publication FYI Income 12.

The New Investment Tax Credit is basically 1% of the qualified investment in tangible personal property used in a trade or business in Colorado. This credit may be claimed only by C corporations. A credit is available for certain interstate trucks purchased on or after July 1, 2013. See publication FYI Income 12.

All Other Credits entered on lines 7 through 26 are available to all taxpayers. See the following FYI publications, which are available online at www.TaxColorado.com for additional information:

Historic property preservation Income 1

Child care contribution Income 35

Child care center family care home investment Income 7

Employer child care investment Income 7

School-to-career investment Income 32

Enterprise zone creditsIncome 10, 12, 22, 23, 24, 31 and 36

Colorado works program Income 34

Remediation of Contaminated Land Income 42

Low-income housing Income 46

Aircraft manufacturer new employee Income 62

Job growth incentive Income 66Colorado Advanced Industries - contact the Colorado Economic Development Commission. A credit certificate issued by the Commission must be submitted with any return claiming this credit.Alternative fuel refueling facility Income 9

Nonrefundable alternative fuel vehicle Income 9

Gross conservation easement Income 39

Refundable innovative motor vehicle Income 67

Business Personal Property Credit for Composite Return Business OwnersThis credit is only available if business personal property tax was paid to a Colorado county in 2015 and the business had business personal property of $15,000 or less.

Submit a copy of the assessor’s statement with your return.

Table 1 – Match your taxable income amount from line 9 of the 106 form.


Business personal property credit calculation worksheet:Enter the amount of business personal property tax paid in 2015 (the total amount of business personal property tax paid by the partnership)

A

Enter the Credit Rate from Table 1 that cor-responds with your Federal Taxable Income

B

Multiply line A times line B to calculate the credit allowed, enter on Form 106CR line 26

[ 190 ]

Organization Name Colorado Account Number

Credit for Tax Paid to Another State by an S-Corporation Amounts to be Distributed

1. Name of State

2. Income from sources in the other state $

3. Tax liability to other state 3 0 0The New Investment Credit

4. Qualifying current year investment $

5. 1% of the amount on line 4 5 0 0Other Credits

6. Old investment tax credit 6 0 0

7. Historic property preservation credit 7 0 0

8. Child care contribution credit 8 0 0

9. Child care center family care home investment credit 9 0 0

10. Employer child care investment credit 10 0 0

11. School-to-career investment credit 11 0 0

12. Colorado works program credit 12 0 0

13. Remediation of contaminated land credit (Submit authorization from CDPHE) 13 0 0

14. Aircraft manufacturer new employee credit 14 0 0

15. Colorado job growth incentive credit 15 0 0

16. Credit for advanced industries 16 0 0

17. Alternative fuel refueling facility credit 17 0 0

18. Nonrefundable alternative fuel vehicle credit carryforward 18 0 0

19. Gross Conservation Easement Credit from DR 1305 Line 16 19 0 0


21. Certified auction group license fee credit 21 0 0

22. Non-refundable Enterprise Zone credits – as calculated, or from DR 1366 line 87 22 0 0

23. Low-income housing credit, submit CHFA certification 23 0 024. Credit for food contributed to hunger-relief charitable organizations,

submit Form(s) DR 0346 24 0 025. Refundable Enterprise Zone Credits - as calculated, or from

DR 1366 line 88 25 0 026. Business Personal Property Credit: Use the worksheet in the DR 106

Book instructions to calculate, submit copy of assessor's statement 26 0 0

*150106CR19999* Form 106CRColorado Pass-Through

Entity Credit Form

Form 106CR (10/06/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0006

2015

[ 191 ]


[ 192 ]

COLORADO DEPARTMENTOF REVENUEDenver CO 80261-0006www.TaxColorado.com

FYIs are available at www.TaxColorado.com



Forms, Information and e-Services Find Information Review tax publications Learn how to file and pay Download forms View Education and Legal Research

resources


File a return

Make a payment



[ 193 ]

(11/15/16)

Pass-Through Entities and Composite Filing for Nonresidents Form 106

2016

2016




Colorado Pass-Through Entities and Composite Filing for Nonresidents Income Tax Filing Guide

File your return for free using Revenue Online at www.Colorado.gov/RevenueOnline or using private e-file software. Only mail the paper form if you are not able to electronically file the return for any reason. Please note that filing on paper can increase return errors. All forms in this booklet may be photocopied.

Partnerships, S corporations, LLCs, LPs, LLPs, LLLPs, and Associations with nonresident members can opt to file a composite return for those members. Complete lines 11-31 of Form 106 to pay the tax on the Colorado source income.

• No other forms must be completed.

• No special election or signature is required by the member for inclusion.

• Members do not have to file a Colorado individual return.

In lieu of a composite return, there are two other options that pass-through entities can use to meet the nonresident member filing requirements. However, these options require additional forms and cannot be used if the member will not be filing a Colorado individual return.


WithA

Payment

WithoutA

Payment




Mail To:

Mail To:

Colorado Pass-Through Entities and Composite Filing for Nonresidents Income Tax Filing Guide - Book 106 - (2016)

[ 194 ]

*160107==19999* DR 0107 (06/18/16)COLORADO DEPARTMENT OF REVENUEDenver, CO 80261-0008www.TaxColorado.com

Colorado Nonresident Partner, Shareholder or Member Agreement

Taxable Year of Pass-Through EntityDay (DD) Month (MM) Year (YYYY) Day (DD) Month (MM) Year (YYYY)

Beginning: Ending:

Taxable Year of Partner, Shareholder or MemberDay (DD) Month (MM) Year (YYYY) Day (DD) Month (MM) Year (YYYY)

Beginning: Ending:

Name and Address of Nonresident Partner Name and Address of Pass-Through Entityor Shareholder or MemberSSN FEIN SSN FEIN

Last Name Last Name

First Name Middle Initial First Name Middle Initial

Street or Mailing Address Street or Mailing Address

City City

State ZIP State ZIP

I agree to file a Colorado income tax return and make timely payment of all taxes imposed by the state of Colorado with respect to my share of the Colorado income of the pass-through entity named above. I also agree to be subject to personal jurisdiction in the state of Colorado for purposes of the collection of unpaid income tax together with related penalties and interest. I furthermore understand that this agreement is binding for as long as I am a member of the aforementioned partnership.

Taxpayer's or Authorized Agent's Signature Date (MM/DD/YY)

Submit this agreement when filing the Colorado Form 106

A nonresident partner, shareholder, or member can complete this form DR 0107 to establish that they will report the Colorado source income and pay the Colorado tax on any income derived from a Colorado partnership.This form shall be delivered by the nonresident partner to the partnership, which shall later be submitted by the partnership with Form 106. This form need only to be filed with the Department for the year in which the agreement is made.See the instructions for Nonresident Partners/Shareholders/Members in the 106 Booklet and publication FYI Income 54 for more information.

[ 195 ]

DR 0108 (08/18/16)COLORADO DEPARTMENT OF REVENUEDenver, CO 80261-0008 www.TaxColorado.com

2016 Statement of Colorado Tax Remittance for Nonresident Partner, Shareholder or Member

DR 0108 (07/27/15)

Return this form with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Enter on form DR 0108 the name and Social Security number or FEIN of the nonresident partner, shareholder or member who will ultimately claim this payment. Do not send cash. Enclose, but do not staple or attach, your payment with this form.Last name of nonresident partner, shareholder or member First Name Middle Initial Shareholder is (mark one):

SSN FEIN Individual (SSN)

Address Estate or Trust (FEIN)

City State ZIP Do not use this form for a C-Corporation or Partnership / S-Corp / LLC

Name of Pass-Through Entity Colorado Account Number

Address FEIN

City State ZIP


1. Colorado-source income for nonresident partner or shareholder $ .00

2. Colorado tax remitted, 4.63% of amount on line 1 $ .00

In general, partnerships should remit withholding for their nonresident partners. However, if a composite return is filed to include such nonresident partner/shareholder the withholding is not required. Nonresident partner withholding is due on the 15th day of the fourth month following the end of the taxable year.See the instructions for Nonresident Partners/Shareholders/Members in the 106 Booklet for more information.

Please note, a MAXIMUM of fifty (50) DR 108 forms may be submitted with a single payment. DO NOT remit one payment via EFT or check and request the Department to allocate funds to more than 50 nonresident partners. Furthermore, the DR 108 totals must exactly match the payments, or the Department WILL NOT transfer the funds on behalf of the partnership.

0018

DO NOT CUT - Return full page

DO NOT CUT - Return full page

*160108==19999*

[ 196 ]

[ 197 ]

Page 5

Form 106 InstructionsThis filing guide will assist you with completing this Colorado Income Tax Return. Once you finish the form, file it with a computer, smartphone or tablet at www.Colorado.gov/RevenueOnline, our free and secure Revenue Online service. Or, you may file using private e-file software or with a tax preparer. If you cannot file electronically for any reason, mail the enclosed forms as instructed. Please read through this guide before starting your return. All Colorado forms and publications referenced in this guide are available for download at www.TaxColorado.com, the official Taxation Web site.Any partnership, joint venture, common trust fund, limited association, pool or working agreement, limited liability company or any other combination of persons or interests that is required to file a federal partnership return of income must file a Colorado Form 106 if any of the partnership income is from Colorado sources.An S corporation must file Form 106 for any year it is doing business in Colorado. An S corporation will be deemed to be doing business in Colorado if it is engaged in any activities in Colorado which are beyond the protection afforded by Public Law 86-272.An S corporation is a corporation for which a valid election is in effect under section 1363(a) of the Internal Revenue Code. If a corporation is an S corporation for federal income tax purposes, it is an S corporation for Colorado income tax purposes. S corporations are not subject to Colorado income tax.A change or correction on your return must be reported on a corrected Form 106 on Revenue Online. If filing on paper, mark the Amended Return box at the top of the corrected Form 106. The corrected form must include all required schedules even if the schedule was submitted with the original return and has not changed.When used in this instruction booklet or on the partnership forms, the term "partnership" includes limited liability companies filing as partnerships for federal income tax purposes, and the term "partner" includes members of such limited liability companies.

Due Dates For Filing ReturnThe return is due to be filed the fifteenth day of the fourth month after the close of the tax year, or after the automatic six-month extension if applicable. See the extension payment instructions for further information. Calendar year 2016 returns are due on April 18, 2017.

Nonresident Partners/Shareholders/MembersThe pass-through entity is required to ensure that its nonresident partners, shareholders or members satisfy their Colorado income tax liabilities resulting from the Colorado-source income earned by the pass-through entity. This is accomplished in one of three ways:

• File a composite return on behalf of the nonresident members. The tax due on the composite filing shall be 4.63% of the Colorado-source income of the partners, shareholders or members included in the composite return.

• Provide a completed Form DR 0107 for each nonresident partner, shareholder or member establishing that they will file a Colorado income tax return. The partnership or S corporation is responsible for collecting each Form DR 0107 and submitting them to the Department.

• Provide a completed Form DR 0108 for each nonresident partner, shareholder or member. Withhold 4.63% of each nonresident partner, shareholder or member's Colorado source income and submit the payment with Form DR 0108. A separate Form DR 0108 must be submitted for each partner, shareholder or member for whom a payment is made.

You must indicate in Column 4 of Part III which of these three filing requirements has been elected by each nonresident partner, shareholder or member. Refer to publication FYI Income 54 for additional information on composite filing, the agreement to file Form DR 0107, and the withholding Form DR 0108.Information, FYI Publications and forms are available at www.TaxColorado.com.

Declaration of Estimated TaxEstimated payments are required if the tax attributable to any partner, shareholder or member included in a composite return is expected to exceed $1,000. Such estimated payments should be remitted with Form 106EP.

DistributionsColorado modifications and credits from Form 106CR, if any, may be distributed to shareholders on their stock ownership percentage and to partners on their distributive share percentage. Advise each Colorado resident partner, shareholder or member of their share of the pass-through entity modifications and credits. Advise each resident shareholder of their share of any income tax paid to other states by the corporation so they can compute the credit for tax paid other states.

Apportionment of IncomeA pass-through entity doing business in more than one state must apportion its Colorado source income to any states in which the entity is doing business. This ensures income is reported to the state in which the income is earned and taxable. See publication FYI Income 59 for details regarding the following apportionment methods.

PartnershipsIncome is generally apportioned in one of two ways:

• Single–sales factor• Colorado–source income of nonresident individuals

method

[ 198 ]

Page 6

S CorporationsIncome is generally apportioned using the single–sales method.

Not Apportioning Income — A pass-through entity doing business only in Colorado will source 100% of its income to Colorado. Single–Sales Factor — All business income must be apportioned using the single-sales factor. Nonbusiness income may either be directly allocated to the appropriate state or treated as business income, subject to the single–sales factor apportionment. Complete and attach Part IV to your return if you are apportioning income using the single–sales factor apportionment method.

Colorado–Source Income of Nonresident — Colorado– source income apportioned under §39-22-109, C.R.S., is computed by including income that is determined to be from Colorado sources. Attach a schedule to Form 106 explaining how Colorado–source income was determined. Modifications may be sourced to Colorado only to the extent that the income to which they relate is sourced to Colorado.

Completing Form 106IncomeLine 1 Enter the ordinary income or (loss) from line 1 of federal Schedule K.Line 2 Enter the total of all other income listed on federal Schedule K. For partnerships, this would be the total of the amounts entered on lines 2, 3, 4, 5, 6a, 7, 8, 9a, 10 and 11 of federal Schedule K. For S corporations, this would be the total of the amounts entered on lines 2, 3, 4, 5a, 6, 7, 8a, 9 and 10 of federal Schedule K. Also include any gain from the sale of assets subject to section 179 that is not reported on Schedule K.

Modifications and DeductionsLine 3 Enter the Colorado modifications that increase federal income.Enter any interest income (net of premium amortization) from state or municipal obligations subject to tax by Colorado. Do not include interest from obligations issued by the State of Colorado or a subdivision thereof.Line 5 Enter the allowable deductions from federal Schedule K. For partnerships, this would be the total of lines 12, 13c(2), and 13d of federal Schedule K; and for S corporations, this would be the total of lines 11, 12c(2), and 12d of federal Schedule K. Do not include amounts provided for informational pass-through purposes only (for example: domestic production activities deduction amounts).Charitable contributions (line 13a, Schedule K, Form 1065, or line 12a, Schedule K, Form 1120S) and investment interest expense (line 13b, Schedule K, Form 1065, or line 12b, Schedule K, Form 1120-S) may be included on line 5

of Form 106, but only if a composite return is being filed for the 4.63% tax of the nonresident partners or shareholders. Report deductions that are directly related to business operations. Deductions that are not directly related to business operations (e.g., charitable deductions) may not be deducted as part of the composite return. Partners that wish to calculate and claim the benefit of these deductions must do so by filing individual Colorado income tax returns and may not be included in the composite return.Line 6 Colorado Marijuana Business DeductionFor Colorado-licensed marijuana businesses, list any expenditure that is eligible to be claimed as a federal income tax deduction but is disallowed by section 280E of the Internal Revenue Code because marijuana is a controlled substance under federal law.

To calculate this deduction, you must create pro forma federal schedule(s) for Business Profit or Loss as if the federal government would have allowed the expenditures from the marijuana business. The Colorado deduction shall be the difference between the profit/loss as calculated on the ACTUAL schedule(s) filed with the federal return and the pro forma schedule(s) described above. You must attach both the pro forma schedule(s) and the actual schedule(s) to your Colorado return to receive this deduction.

Line 7 To the extent of that which was included in the federal taxable income on line 4 of Form DR 106, enter the sum of the following:

• Any interest income earned on obligations of the United States government and any interest income earned on obligations of any authority, commission, or instrumentality of the United States to the extent such obligations are exempt from state tax under federal law.

• The modification for foreign source income of an export taxpayer. For purposes of this modification, an "export taxpayer" means any partnership which sells 50% or more of its products which are produced in Colorado in states other than Colorado, or in foreign countries, or if the gross receipts of such partnership are derived from the performance of services, such services are performed in Colorado by a partner or employee of the partnership and 50% or more of such services provided by the partnership are sold or provided to persons outside of Colorado. If a partnership qualifies as an export taxpayer, it may exclude for Colorado income tax purposes any income or gain which constitutes foreign source income for federal income tax purposes.

• To the extent included in federal taxable income, the excludable Colorado capital gain income for property acquired on or after May 9, 1994 and held for five or more years. See publication FYI Income 15 for information on which capital gains qualify for this subtraction.

Neither the C corporation foreign income exclusion or the partnership export taxpayer foreign source income modification may be claimed by an S corporation or passed through to its shareholders.

[ 199 ]

Page 7

Colorado–Source IncomeLine 10 Enter the Colorado-source income. If part of the income is not Colorado-source income, see the instructions for Apportionment of Income. The Colorado income tax statute provides that in determining the source of a nonresident partner's income, no effect shall be given to a provision in the partnership agreement which characterizes payments to the partner as being for services or for the use of capital. Thus payments to partners, whether salaries or interest, shall be construed to be from Colorado sources and taxable by Colorado in the same ratio as is the ordinary income of the partnership.The partnership will not normally determine income from Colorado sources for any corporate partner as the corporation will include its share of the partnership's income and factors in its own income and factors subject to allocation and apportionment.

Composite ReturnComplete lines 11 through 31 of Form 106 only if a composite return is being filed for nonresident partners/shareholders/members.Line 11 Enter the Colorado-source income of the nonresident partners/shareholders/members who are included in the composite return.Line 12 Enter 4.63% of the Colorado-source income reported on line 11. Line 13 Enter the tax credits from Form 106CR that are allocated to the nonresident partners/shareholders/members included in the composite return. Do not include any gross conservation easement credit (line 19), refundable or non-refundable Enterprise Zone credits (line 22 or line 30, respectively), certified auction group license fee credit (line 21), business personal property tax credit (line 31) or refundable innovative motor vehicle credit (line 30), which must be reported separately. Line 14 Enter non-refundable Enterprise Zone Credits from line 87 from the Form DR 1366.Line 15 Enter 20% of the portion of the purchase price that the license plate auction group has certified as exceeding the fair market value of the registration number.Line 18 Carefully review payment records before completing this line. Use Revenue Online (www.Colorado.gov/RevenueOnline) to verify estimated taxes paid on the account. Enter the amount of credit for prepayments. Include the sum of the following on line 18:

• estimated tax payments for 2016; and• any overpayment from 2015 that was carried forward

to 2016; and• extension payment(s); and• payments remitted with Form DR 1079 to satisfy

withholding requirements for the sale of Colorado real estate.

Line 19 Enter the amount of withholdings reported on Form W-2G made on lottery or gambling winnings. This is rare and will not apply to most taxpayers.

Line 20 Enter the gross conservation easement credit available to the nonresident partners/shareholders included in the composite return from form DR 1305G line 33.Line 21 Enter the innovative motor vehicle credit generated in 2016 from line 20 Form 106CR that was allocated to the nonresident partners/shareholders included in the composite return. This credit is refundable when generated in 2016 (can exceed the net tax on line 17). This credit is not refundable for credits carried forward from 2009 and earlier. If the pass-through entity is carrying forward any alternative fuel vehicle or innovative motor vehicle credits, enter the amount on line 18 of the Form 106CR. We suggest that you read publication FYI Income 67. Line 22 Enter the amount of refundable renewable energy tax credit as calculated or from Form DR 1366 line 88.Line 23 Business Personal Property Credit for composite return business owners.This credit is only available if business personal property tax was paid to a Colorado county in 2016 and the business had business personal property of $15,000 or less. Submit a copy of the assessor’s statement with your return.Table 1 – Match your taxable income amount from line 9 of the Form DR 106.



Enter the amount of business personal property tax paid in 2016. (Enter only the pro rata amount of tax paid by the composite members).

A

Enter the Credit Rate from Table 1 that corresponds with your Federal Taxable Income.

B


Line 25 If 90% of the tax is not paid by the due date, you must add a delinquent payment penalty. The penalty is 5% of the additional tax due for the first month of delinquency and ½% for each additional month up to a maximum of 12%.Line 26 Interest is due on any unpaid tax balance paid after the due date. The interest rate is 4%, but increases to 7% for any amount unpaid after 30 days.Line 27 The estimated tax penalty is computed for each partner or shareholder on Form DR 0204. This penalty applies only when the tax due for an individual included in the composite filing is more than $1,000. If this penalty is

[ 200 ]

Page 8

due, submit Form DR 0204 for each individual who owes the penalty and enter the total penalty on line 28.Line 28 Enter the balance due, including any penalty or interest due from lines 25, 26, and 27.Line 29 If the credits on line 24 exceed the tax due on line 17, enter the amount of the overpayment on line 29.Line 30 Enter the amount from line 29 you want to credit to next year's estimated tax.Line 31 Enter the amount from line 29 you wish to have refunded at this time.Direct Deposit – You have the option of authorizing a transaction by the Department to directly deposit these funds into your bank account. Otherwise, a refund check will be mailed to the address you have designated on this return. Enter the routing and account numbers and account type. The routing number is 9 digits. Account numbers can be up to 17 characters (numbers and/or letters). Include hyphens, but do NOT enter spaces or special symbols. We recommend that you contact your financial institution to ensure you are using the correct information and that they will honor a direct deposit.

Intercepted Refunds – The Department will intercept your refund if you owe back taxes or if you owe a balance to another Colorado government agency or the IRS.

Paid Preparer AuthorizationDesignate whether the paid preparer can discuss this return with the Department. By completing this area of the return, you are granting the designee the ability to:





This designation does not allow the third party to receive your refund check, bind you to anything (including any additional tax liability), or otherwise represent you before the Colorado Department of Revenue. If you would like to expand the designee’s authorization, complete Form DR 0145, Power of Attorney for Department Administered Tax Matters.The authorization will automatically end no later than the due date (without regard to extensions) for filing the pass-through entity's 2016 tax return.

[ 201 ]

*160158-N19999* DR 0158-N (07/15/16)COLORADO DEPARTMENT OF REVENUEDenver, CO 80261-0008www.TaxColorado.com

(0049)

Automatic Filing ExtensionGeneral InformationColorado income tax returns are due the fifteenth day of the fourth month after the end of your tax year, or by April 18, 2017 for traditional calendar year filers. If you are unable to file by your prescribed due date, you may file under extension. This will allow you an additional 6 months to file your return, or until October 16, 2017 for traditional calendar year filers. However, the extension to file DOES NOT allow you to extend your payment due date. You must pay at least 90% of your tax liability by the original due date of your return (or April 18th) and the remainder by the filing extension due date (or October 16th) to avoid delinquent payment penalties.Penalties and InterestIf the 90% rule is NOT met by the original due date, then delinquent penalty and interest will be assessed when you file your return. If 90% or more of your tax liability is paid by the original due date, and the remaining balance is paid by the extension due date, no penalty will be assessed. However, you will be billed interest, but only on the amount being paid by the extension due date. If after the original due date, you determine that you underpaid your extension payment you should pay the additional tax as soon as possible to avoid further accumulation of penalty and/or interest.

Pay OnlineVisit www.Colorado.gov/RevenueOnline to pay online. Online payments reduce errors and provide instant payment confirmation. Revenue Online also allows users to submit various forms and to monitor their tax account. A DR 0158-N is not required if an online payment is made. Please be advised that a nominal processing fee may apply to online payments.Pay by Electronic Funds Transfer (EFT)EFT Debit and EFT Credit options are free services offered by the department. EFT services require pre-registration before payments can be made. Visit www.Colorado.gov/revenue/eft for more information.Pass Through Entities Use this form only if the entity intends to file a composite return and claim the extension payment against the tax reported on the composite return.

DR 0158-N (06/16/16)

For the calendar year 2016 or the fiscal yearFiscal Year Beginning (MM/DD/16) Fiscal Year Ending (MM/DD/YY)

Return this form with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write your Colorado Account Number or Federal Employer Identification Number and “2016 DR 158-N” on your check or money order. Do not send cash. Enclose, but do not staple or attach, your payment with this form.FEIN Colorado Account Number

Business Name

Address

City State ZIP


Amount of Payment

$ .0 0

[ 202 ]

[ 203 ]


(0043) Colorado Pass-Through Entity and Composite Nonresident

Income Tax Form 1062016

*160106==19999* -or-Fiscal Year Beginning (MM/DD/16): Ending (MM/DD/YY)

Mark for Amended Return

Name of Organization Colorado Account Number

Doing Business As Federal Employer ID Number

Address City State ZIP

If you are attaching a statement disclosing a listed or reportable transaction, mark this box

A. This return is being filed for (mark one):

Partnership S Corporation LLC LP LLP LLLP Association Non-Profit

B. Beginning depreciable assets from federal return C. Ending depreciable assets from federal return

D. Business or profession E. Date of organization or incorporation (MM/DD/YY)

G. If the IRS has made any adjustments to your federal return or have you filed amended federal returns during the last four years, mark this box:F. If this is a final return, mark this box

H. Number of partners or shareholders as of year end Explain:

Part I: Computation of Colorado Income Round to the nearest dollar

1. Ordinary income from line 1 federal Schedule K 1 00

2. Total of all other income 2 00

3. Modifications increasing federal income 3 00


5. Allowable deductions from federal Schedule K 5 00


7. Other modifications decreasing federal income 7 00



[ 204 ]

*160106==29999* Form 106 (09/21/16) COLORADO DEPARTMENT OF REVENUE Form 106

Part IIName Account Number

9. Line 4 minus line 8 9 0010. Colorado Source Income from (mark one):

Part IV Other (attach explanation) Income is all Colorado Income 10 00

File at: www.Colorado.gov/RevenueOnline – or – Mail to and make checks payable to: Colorado Department of RevenueDenver, CO 80261-0006

Part II: Composite Nonresident Income Tax ReturnDo not complete lines 11–31 unless you are filing a composite nonresident return.

11. Colorado–source Income of nonresident partners/shareholders electing to be included in this composite filing 11 00

12. Tax; 4.63% of the amount on line 11 12 00

13. 106CR credits allocated to these partners/shareholders/members (exclude lines 19 through 22, and lines 30 through 32, Form 106CR) 13 0014. Non-refundable Enterprise Zone credits – as calculated, or from DR 1366 line 87 14 0015. Certified auction group license fee credit allocated to these partners/shareholders/members 15 00



18. Estimated tax credits and extension payments 18 00

19. Withholding from lottery or gambling winnings 19 0020. Gross conservation easement credit allocated to these partners/shareholders/members, from DR 1305G Line 33 20 0021. Innovative Motor Vehicle Credit from line DR 0617 allocated to these partners/shareholders/members 21 00

22. Refundable Renewable Energy Tax Credit from line 88 of form DR 1366 22 0023. Business Personal Property Credit: Use the worksheet in the DR 106 Book instructions to calculate, submit copy of assessor's statement 23 00

24. Subtotal; add lines 18 to 23 24 00

25. Penalty (include on Line 28) 25 00

26. Interest (include on Line 28) 26 00

27. Estimated tax penalty (include on Line 28) 27 00

28. If line 17 is greater than line 24, enter amount owed 28 00



31. Overpayment to be refunded 31 00

[ 205 ]


Part IIName Account Number

I declare this return to be true, correct and complete under penalty of perjury in the second degree. Declaration of preparer is based on all information of which preparer has any knowledge.

DirectDeposit


Account Number

May the Colorado Department of Revenue discuss this return with the paid preparer shown below (see instructions)? Yes No

Signature of partner or signature and title of officer Date (MM/DD/YY)

Person or firm preparing return (name and phone number) Date (MM/DD/YY)




If you are filing this return without a check or payment, please mail the return to:


New For This Year:

[ 206 ]

Form 106 (09/21/16) COLORADO DEPARTMENT OF REVENUE Form 106

Part IIIDo not submit federal K-1 schedules

Name Account Number

Part III: Identification of Partners, Shareholders or MembersPart III must be completed for each partner/shareholder/member. DO NOT submit federal K-1 schedules.Name of Partner, Shareholder or Member SSN or Colorado Account Number

Address of Partner, Shareholder or Member City State ZIP

Profit/Loss or Stock Ownership PercentageComposite 0107 Attached 0108 Filed













*160106==49999*

[ 207 ]

Form 106 (09/21/16) COLORADO DEPARTMENT OF REVENUE Form 106

Part IVName Account Number

Part IV — Business Income Apportioned to Colorado by use of the Sales FactorDo not send federal return forms or schedules with this return

1. Total modified federal taxable income from line 9, Part I, page 1, Form 106 1 00 Business Income Apportioned to Colorado by use of the Sales Factor Do Not Include Foreign Source Revenues Modified from Line 7, Part I, Page 1, Form 106

Colorado Total 2. Gross sales of tangible personal property 2 00 00

3. Gross revenue from services 3 00 00 4. Gross rents and royalties from real property 4 00 00 5. Gross proceeds from sales of real property 5 00 00 6. Taxable interest and dividend income 6 00 00 7. Gain from the sale of intangible personal property 7 00 00

8. Patent and copyright royalties 8 00 00 9. Revenue from the performance of purely personal services 9 00 0010. Total revenue (total of lines 2 through 9 in each column) 10 00 00

11. Line 10 (Colorado) divided by line 10 (Total) 11 %Complete Lines 12 and 15 only if nonbusiness income is being directly allocated.If all income is being treated as business income, enter 0 (zero) on Lines 12 and 15.

12. Less income directly allocable (Nonbusiness Income Only):






(f) Total income directly allocable [add lines (a) through (e)] 12 00

13. Modified federal taxable income subject to apportionment by formula, line 1 less line 12 13 00

14. Income apportioned to Colorado by formula, line 11 multiplied by line 13 14 00

*160106==59999*

[ 208 ]


Part IVName Account Number

15. Add income directly allocable to Colorado (Nonbusiness Income Only):






(f) Total income directly allocable [add lines (a) through (e)] 15 0016. Total income apportioned to Colorado, line 14 plus line 15. Enter on line 10, Part I, page 1, Form 106 16 00 17. Pursuant to §39-22-303.5(6) C.R.S., taxpayer elects to treat nonbusiness income as business income for the tax year ending: 17

Date (MM/DD/YY)

[ 209 ]

Page 17

Instructions For Form 106CRIn general, Colorado credits may be passed through from partnerships, and S corporations to the partners, or shareholders. Normally the potential credit is passed through and it is up to the partner or shareholder to determine his or her own limitations.

Some credits may be claimed only by individuals, estates or trusts where others may be claimed only by C corporations. Other credits may be available to all taxpayers. Credits allocated to some partners or shareholders cannot be redistributed to other partners or shareholders. For example, if a partnership consisted of a C corporation and an individual, the individual partner’s share of the partnership’s new investment tax credit could not be claimed by the corporation even though the individual partner is not allowed to use it.

Credit For Tax Paid to Other States Colorado resident S corporation shareholders may claim credit for their share of any net income tax paid to another state by the corporation when the other state does not recognize the S corporation election. Complete a separate Form 106CR for each state to which tax was paid. Advise each Colorado resident shareholder of his or her share of the corporate income from sources in the other state and his or her share of the tax paid.

The Old Investment Tax Credit is 10% of the tentative current year federal internal revenue code section 46 credit on assets located in Colorado and may be claimed only by C corporations. (This would apply in the case of a partnership with a C corporation partner.) See publication FYI Income 12.

The New Investment Tax Credit is basically 1% of the qualified investment in tangible personal property used in a trade or business in Colorado. This credit may be claimed only by C corporations. A credit is available for certain interstate trucks purchased on or after July 1, 2013. See publication FYI Income 12.

All Other Credits entered on lines 7 through 26 are available to all taxpayers. See the following FYI publications, which are available in the Education and Legal Research section at www.TaxColorado.com for additional information:

Historic Property Preservation Income 1

Child Care Contribution Income 35

Child Care Center Family Care Home Investment Income 7

Employer Child Care Investment Income 7

School-to-Career Investment Income 32

Enterprise Zone CreditsIncome 10, 12, 22, 23, 24, 31 and 36

Colorado Works Program Income 34

Remediation of Contaminated Land Income 42

Low-income Housing Income 46

Aircraft Manufacturer New Employee Income 62

Job Growth Incentive Income 66Colorado Advanced Industries (Contact the Colorado Economic Development Commission. A credit certificate issued by the Commission must be submitted with any return claiming this credit.)Alternative Fuel Refueling Facility Income 9

Nonrefundable Alternative Fuel Vehicle Income 9

Gross Conservation Easement Income 39

Refundable Innovative Motor Vehicle Income 67

Business Personal Property Credit for Composite Return Business OwnersThis credit is only available if business personal property tax was paid to a Colorado county in 2016 and the business had business personal property of $15,000 or less.

Submit a copy of the assessor’s statement with your return.

Table 1 – Match your taxable income amount from line 9 of the 106 form.



Enter the amount of business personal property tax paid in 2016. (Enter only the pro rata amount of tax paid by the composite members).

A

Enter the Credit Rate from Table 1 that corresponds with your Federal Taxable Income.

B


[ 210 ]

Organization Name Colorado Account Number

Credit for Tax Paid to Another State by an S-Corporation Amounts to be Distributed

1. Name of State

2. Income from sources in the other state $

3. Tax liability to other state 3 00The New Investment Credit

4. Qualifying current year investment $

5. 1% of the amount on line 4 5 00Other Credits

6. Old investment tax credit 6 00

7. Historic property preservation credit 7 00

8. Child care contribution credit 8 00

9. Child care center family care home investment credit 9 00

10. Employer child care investment credit 10 00

11. School-to-career investment credit 11 00

12. Colorado works program credit 12 0013. Remediation of contaminated land credit (Submit authorization from CDPHE) 13 00

14. Aircraft manufacturer new employee credit 14 00

15. Colorado job growth incentive credit 15 00

16. Credit for advanced industries 16 00

17. Alternative fuel refueling facility credit 17 00

18. Nonrefundable alternative fuel vehicle credit carryforward 18 00

19. Gross Conservation Easement Credit from DR 1305 Line 16 19 00

20. Innovative Motor Vehicle Credit from form DR 0617 20 00

21. Certified auction group license fee credit 21 0022. Non-refundable Enterprise Zone credits – as calculated, or from DR 1366 line 87 22 00


2016Form 106CR

Colorado Pass-Through Entity Credit Form

[ 211 ]


2016NAME Account Number

23. Low-income housing credit, submit CHFA certification 23 0024. Credit for food contributed to hunger-relief charitable organizations, submit Form(s) DR 0346 24 0025. Preservation of Historic Structures credit available (attach certificate from Office of Economic Development) 25 00

26. Preservation of Historic Structures credit used 26 0027. Unused current year Preservation of Historic Structures credit, subtract line 26 from line 25 27 0028. Amount of Preservation of Historic Structures credit transferred (attach written transfer agreement submitted to Office of Economic Development). 28 0029. Amount of Preservation of Historic Structures credit carried forward, subtract line 28 from line 27. 29 0030. Rural Jump Start Zone credit (attach certificate from Office of Economic Development) 30 0031. Refundable Enterprise Zone Credits - as calculated, or from DR 1366 line 88 31 0032. Business Personal Property Credit: Use the worksheet in the DR 106 Book instructions to calculate, submit copy of assessor's statement 32 00

[ 212 ]

COLORADO DEPARTMENTOF REVENUEDenver CO 80261-0006www.TaxColorado.com

FYIs are available in the Education and Legal Research section at www.TaxColorado.com.



Forms, Information and e-Services Find Information Review tax publications Learn how to file and pay Download forms View Education and Legal Research

resources


File a return

Make a payment



[ 213 ]

General InstructionsUse this form to calculate enterprise zone credits earned in the current tax year and to report any carryforward amounts from previous years (or any applicable carry back amounts). Total non-refundable credit claimed cannot exceed the statutory limit or current year tax liability Any taxpayer who claims an enterprise zone credit is statutorily required to file their returns electronically (§39-30-111, C.R.S.) and most software products and tax preparers have the ability to meet this requirement. Revenue Online can also be used to file your return and attachments electronically. If you are unable to file electronically, attach this DR 1366 schedule and any supporting documentation to your paper return.

Be certain to submit copies of certification forms or emails generated from the EZ Tax Credit online system with your tax return. Read FYI publications Income 10, 11, 22, 23, 24, 31 and 36 to learn specific information about the enterprise zone program and the limitations imposed upon the credits. Additional information is available at www.AdvanceColorado.com/EZ

Follow the instructions and use the example below to report unused enterprise zone credit(s) from a previous year or to list an applicable carryback. List only the carryforward or carryback amount, not the full credit amount generated for that year. If more than 5 years of carryforward/carryback credits are being utilized, attach a supplemental spreadsheet. Complete the year 20YY and the dollar amount of the carryforward/carryback for each year.

Follow the instructions to calculate the credit amount(s) that will be used to offset your tax liability. Only use current year credit generated once all carryforward credit has been exhausted.

Example of Carryforward Credit Reporting:

Composite filings: Complete form DR 1366 to reflect the aggregate credits for the composite members.

Pass-through entities: Form DR 1366 must be completed for the pass-through entity to calculate the credits available for pass-through. Use form DR 0078A to report any enterprise zone credits that are being distributed to investors/owners. Furthermore, each recipient of pass-through credits shall complete form DR 1366 to claim their portion of the credit that is identified in form DR 0078A. If you are using a credit received from a pass-through entity, complete row d.) in the carryforward table and list the FEIN or account number of the pass-through entity for each credit you are claiming.

Important information regarding the refundable investment tax credit for renewable energy investments: The $750,000 cap is applicable at the partnership or pass-through entity level. The combination of credits claimed and used by investors/owners and any composite members cannot exceed $750,000 for a tax year.

Example: Reporting carryforward creditIn 2010 you generated $1,000 of investment tax credit but you were unable to use $500 and are carrying that forward. In 2011 you generated $1,000 and in 2014 you generated $3,500. You have a $4,000 tax liability this year to apply your carryforward credits against. Enter the amount you are carrying forward for each year in row a) for each credit. Enter the amount of credit you are using against your current tax liability in row b), beginning with the oldest credits first. Finally, enter the difference between the amount you have to carry forward and the amount you use in row c). This will be the amount you have remaining to carry forward next year. For the Investment Tax Credit, carryback credit may be reported the same way. Enter the year the credit was generated, how much is being used for current liability, and the difference which can be carried to another tax year.

DR 1366 (10/12/16) COLORADO DEPARTMENT OF REVENUE

2016 Enterprise Zone Credit and Carryforward Schedule(See form which starts on the next page)

The Investment Tax Credit carryforward is available for 12 years (3 year carryback)

Year Credit Generated 2010 2011 2014 20 20 Totala). Amount of Carryforward

Available $500 $1,000 $3,500 $ $ $5,000b). Amount of Credit Received

from a Pass-Through Entity $ $ $ $ $ $c). Amount of Credit Used

Against Line 12 $500 $1,000 $2,500 $ $ $4,000d). The sum of rows a. and b.,

minus row c. (carryforward to the next year) $0 $0 $1,000 $ $ $1,000

Pass Through Entity FEINPass Through Entity Account Number

*DO=NOT=SEND*Enterprise Zone Credit and Carryforward Schedule - DR 1366 - (2016)

[ 214 ]

*161366==19999* DR 1366 (10/12/16) COLORADO DEPARTMENT OF REVENUE

2016 Enterprise Zone Credit and Carryforward ScheduleLast Name or Business Name First Name Middle Initial Account Number

Check this box if you are submitting supplemental spreadsheets to report carry-forward amounts or pass-through entity information:

Pass-Through Entity Name Ownership % Entity Account Number

PART I: Investment Tax Credit, Renewable Energy Investment Tax Credit, and Commercial Vehicle Investment Tax Credit

Section A - Refundable credit for renewable energy investment (for new investments on or after January 1, 2016)(Attach a spreadsheet detailing information for lines 1 and 2 if more than one investment is claimed.)

1. Renewable energy investment amount 1 0 0

2. Year of renewable energy investment 2

3. 3% of the amount on line 1 3 0 04. 80% of the amount on line 3: This is the refundable credit amount for a renewable

energy investment. 4 0 05. Is the amount on line 4 greater than $750,000? If yes, enter $750,000 on line 5.

If no, enter the amount from line 4 on line 5. 5 0 06. If line 4 is greater than $750,000, subtract $750,000 from line 4 and enter the difference on

this line 6. This is the amount to be refunded for the partnership for future years. 6 0 0Section B - Limitation for allowable Investment Tax Credit, Renewable Energy Investment Tax Credit, and

Commercial Vehicle Investment Tax Credit

7. Current year tax liability 7 0 0

8. Statutory limitation 8 $5,000 0 0

9. Line 7 minus line 8. If line 7 is less than line 8 enter 0 9 0 0

10. 50% of line 9 10 0 0

11. Line 8 plus line 10 11 0 012. Enter the smaller of lines 7 or 11. This is the current year limit for allowable credit.

12 0 0

[ 215 ]


Name Account Number

Section C - Credit Carried Forward and Used for Investment Tax Credit, Renewable Energy Investment Tax Credit, and Commercial Vehicle Investment Tax Credit

Use of these credits is limited by the amount of your current year tax liability. Only use carryforward and pass-through credit that does not exceed the limitation calculated on line 12 in section B above.The Investment Tax Credit carryforward is available for 12 years (3 year carryback).


Available $ $ $ $ $ $b). Amount of Credit Received

from a Pass-Through Entity $ $ $ $ $ $c). Amount of Credit Used Against

Line 12 $ $ $ $ $ $d). The sum of rows a. and b., minus row c. (carryforward to the next year) $ $ $ $ $ $

Pass Through Entity Account NumberPass Through Entity FEIN

The Commercial Vehicle Investment Tax Credit carryforward is available for 12 years.




Line 12 $ $ $ $ $ $d). The sum of rows a. and b.,

minus row c. (carryforward to the next year) $ $ $ $ $ $


The Renewable Energy Investment Tax Credit carryforward is available for 22 years.




Line 12 $ $ $ $ $ $d). The sum of rows a. and b.,

minus row c. (carryforward to the next year) $ $ $ $ $ $


13. Enter the Grand Total of carryforward and pass-through entity credit used (all c rows in this section). Carry this total to line 14.

Grand Total $

[ 216 ]


Name Account Number

Section D - Current Year Credit Generated and Used for Investment Tax Credit, Renewable Energy Investment Tax Credit, and Commercial Vehicle Investment Tax Credit

Column A Credit Available

Column B Credit Used

14. Enter the amount from line 13 from Section C above, carryforward and pass-through credit used to offset current tax liability 14 00

15. Current year Investment Tax Credit investment amount generated 15 0 0

16. Enter 3% of line 15 in Column A. Is the amount in line 14 less than the amount on line 12? If yes, enter the amount of credit used in Column B to offset current liability. The combination of line 14, line 16 Column B, line 19 Column B, and line 22 Column B cannot exceed the limit calculated on line 12.. 16 0 0 00

17. Subtract line 16 Column B from line 16 Column A and enter the result on line 17. This is the amount of carryforward available next year. 17 0 0

18. Current year Commercial Vehicle Investment Tax Credit investment amount generated 18 0 0

19. Enter 1.5% of line 18 in Column A. Is the amount in line 14 less than the amount on line 12? If yes, enter the amount of credit used in Column B to offset current liability. The combination of line 14, line 16 Column B, line 19 Column B, and line 22 Column B cannot exceed the limit calculated on line 12. 19 0 0 00


21. Current year Renewable Energy Investment Tax Credit investment amount generated (do not include investment amounts refunded under section A of this form). 21 0 0

22. Enter 3% of line 21 in Column A. Is the amount in line 14 less than the amount on line 12? If yes, enter the amount of credit used in Column B to offset current liability. The combination of line 14, line 16 Column B, line 19 Column B, and line 22 Column B cannot exceed the limit calculated on line 12. 22 0 0 00


24. Credit Used: Enter the sum of line 14 Column B, line 16 Column B, line 19 Column B, and line 22 Column B. The total of this line 24 cannot exceed the current year limitation calculated on line 12. 24 00

[ 217 ]


Name Account Number

PART II: The New Employee CreditSection A - Credit Carried Forward and Used for New Business Facility Employee Credit, Enhanced Rural New

Business Facility Employee Credit, Agricultural Processing Employee Credit, Enhanced Rural Agricultural Processing Employee Credit, and Employee Health Insurance Credit

The New Business Facility Employee carryforward is available for 5 years.



from a Pass-Through Entity $ $ $ $ $ $

c). Amount of Credit Used $ $ $ $ $ $

d). The sum of rows a. and b., minus row c. (carryforward to the next year) $ $ $ $ $ $


The Enhanced Rural New Business Facility Employee carryforward is available for 7 years.







The Agricultural Processing Employee carryforward is available for 5 Years.







[ 218 ]


Name Account Number

Section A - Credit Carried Forward and Used for New Business Facility Employee Credit, Enhanced Rural New Business Facility Employee Credit, Agricultural Processing Employee Credit, Enhanced Rural Agricultural Processing Employee Credit, and Employee Health Insurance Credit (continued)

The Enhanced Rural Agricultural Processing Employee carryforward is available for 7 years.







The Employee Health Insurance carryforward is available for 5 Years.








Grand Total $

Section B - Current Year Credit Generated and Used for New Business Facility Employee Credit, Enhanced Rural New Business Facility Employee Credit, Agricultural Processing Employee Credit, Enhanced Rural AgriculturalProcessing Employee Credit, and Employee Health Insurance Credit



26. Enter the amount from line 25 from Section A above, carryforward and pass-through credit used to offset current tax liability 26 00

27. Monthly average of qualified new employees for the current tax year 27

28. Number of claimed qualified employees in the previous year 28

29. Increase in qualified employees, line 27 minus line 28 2930. Enter line 29 multiplied by $1,100 in Column A, enter the amount

of credit used in Column B 30 0 0 0031. Subtract line 30 Column B from line 30 Column A and enter the result

on line 31. This is the amount of carryforward available next year. 31 0 032. Number of qualified employees from line 29 that are located in

an enhanced rural enterprise zone 32

[ 219 ]


Name Account Number

Section B - Current Year Credit Generated and Used for New Business Facility Employee Credit, Enhanced Rural New Business Facility Employee Credit, Agricultural Processing Employee Credit, Enhanced Rural AgriculturalProcessing Employee Credit, and Employee Health Insurance Credit (continued)



33. Enter line 32 multiplied by $2,000 in Column A, enter the amount of credit used in Column B 33 0 0 00


35. Number of qualified employees from line 29 that are agricultural processing employees 35

36. Enter line 35 multiplied by $500 in Column A, enter the amount of credit used in Column B 36 0 0 00


38. Number of qualified employees from line 29 that are agricultural processing employees that are located in an enhanced rural enterprise zone 38

39. Enter line 38 multiplied by $500 in Column A, enter the amount of credit used in Column B 39 0 0 00


41. Number of health insurance qualified employees 4142. Enter line 41 multiplied by $1,000 in Column A, enter the

amount of credit used in Column B 42 0 0 0043. Subtract line 42 Column B from line 42 Column A and enter the result

on line 43. This is the amount of carryforward available next year. 43 0 044. Credit Used: Enter the sum of line 26 Column B, line 30 Column B, line 33 Column B,

line 36 Column B, line 39 Column B, and line 42 Column B. 44 00PART III : Contribution to an Enterprise Zone Administrator CreditSection A - Credit Carried Forward and Used for Contribution to Enterprise Zone AdministratorContribution to An Enterprise Zone Administrator carryforward is available for 5 years.








Grand Total $

[ 220 ]


Name Account Number

Section B - Current Year Credit Generated and Used for Contribution to Enterprise Zone Administrator



46. Enter the amount from line 45 from Section A above, carryforward and pass-through credit used to offset current tax liability 46 0 0

47. Current year cash contributions 47 0 0

48. Value of current year in-kind contributions 48 0 0

49. Total of lines 47 and 48 49 0 0

50. Enter the smaller of $100,000 or 25% of line 49 50 0 0

51. Statutory limitation for in-kind contributions: 50% of line 50 51 0 0

52. Allowable in-kind contribution: the smaller of line 48 or 51 52 0 053. Statutory limitation for cash contribution: line 50 minus

line 52 53 0 0

54. Allowable cash contribution: the smaller of line 47 or 53 54 0 055. Enter the total of lines 52 and 54 in Column A, enter the amount

of credit used in Column B 55 0 0 0056. Subtract line 55 Column B from line 55 Column A and enter the result

on line 56. This is the amount of carryforward available next year. 56 0 0

57. Credit Used: Enter the sum of line 46 and line 55 Column B 57 00PART IV : Vacant Commercial Building Rehabilitation CreditSection A - Credit Carried Forward and Used for Vacant Commercial Building RehabilitationThe Vacant Commercial Building Rehabilitation carryforward is available for 5 years.








Grand Total $

[ 221 ]


Name Account Number

Section B - Current Year Credit Generated and Used for Vacant Commercial Building Rehabilitation




60. Current year qualified expenditures, if you are claiming credit for more than one commercial structure, submit multiple copies of this page. 60 0 0

61. Enter the smaller of $50,000 or 25% of line 60 in Column A, enter the amount of credit used in Column B 61 0 0 00


63. Credit Used: Enter the sum of line 59 and line 61 Column B 63 00PART V: Research and Experimental Activities CreditSection A - Credit Carried Forward and Used for Research and Experimental ActivitiesResearch and Experimental Activities carryforward is available until the full credit amount is exhausted.








Grand Total $

Section B - Current Year Credit Generated and Used for Research and Experimental Activities




66. Current year qualified expenditures 66 0 0

67. First preceding year expenditures 67 0 0

68. Second preceding year expenditures 68 0 0

69. Enter the sum of lines 67 and 68 69 0 0

70. Enter 50% of line 69 70 0 0

71. Enter line 66 minus line 70 71 0 0

72. Allowable amount: 3% of line 71 72 0 073. Enter 25% of the amount on line 72 in Column A, enter the

amount of credit used in Column B 73 0 0 00

[ 222 ]


Name Account Number

Section B - Current Year Credit Generated and Used for Research and Experimental Activities (continued)




75. Enter 25% of the allowable amount from the applicable 2013 credit schedule in Column A, enter the amount of credit used in Column B 75 0 0 00


77. Enter 25% of the allowable amount from the applicable 2014 credit schedule in Column A, enter the amount of credit used in Column B 77 0 0 0 0


79. Enter 25% of the allowable amount from the applicable 2015 credit schedule in Column A, enter the amount of credit used in Column B 79 0 0 00


81. Credit Used: Enter the sum of line 65, line 73 Column B, line 75 Column B, line 77 Column B, and line 79 Column B. 81 00

PART VI : Job Training Program CreditSection A - Credit Carried Forward and Used for Job Training ProgramJob Training Program carryforward is available for 12 years.








Grand Total $

[ 223 ]


Name Account Number

Section B - Current Year Credit Generated and Used for Job Training Credit




84. Current year investment in a qualified job training program 84 0 085. Enter 12% of line 84 in Column A, enter the amount of credit

used in Column B 85 0 0 00

86. Credit Used: Enter the sum of line 83 and line 85 Column B 86 00PART VII : Transfer to Income Tax forms87. Non-refundable credits - Enter the sum of lines 24, 44, 57, 63, 81, and 86 here AND on

the line of the applicable form as follows: 87 00Form Form Title Line Form Form Title Line104 Individual Income Tax Return 12 106CR Pass-through Entity Credit Form 22105 Fiduciary Tax 13 112 Corporate Income Tax Return 20106 Composite Return for Nonresidents Only 14

88. Refundable Credits - Enter the amount from line 5 here AND on the line of the applicable form as follows: 88 00

Form Form Title Line Form Form Title Line104CR Individual Income Tax Return 7 106CR Pass-through Entity Credit Form 31

105 Fiduciary Tax 22 112 Corporate Income Tax Return 29106 Composite Return for Nonresidents Only 22

[ 224 ]

Use this form to determine if you can claim the Colorado Child Care Expenses tax credit. You may be able to claim the credit if you pay someone to care for your dependent who is under age 13. For information about any federal form or publication listed below, please visit www.IRS.gov

EligibilityTo be able to claim the Colorado credit for child care expenses, you must file federal form 1040 or 1040A. You cannot claim this credit if you filed federal form 1040EZ, 1040NR or 1040NR-EZ. If you did not file a federal income tax return, you may still be eligible for the Low Income Child Care Expenses credit. To claim the low income credit, you must complete and submit with your Colorado return, federal form 1040 and 2441. You must also meet all of the following tests:1. The care must be for one or more qualifying persons

who are identified on federal form 2441.2. You (and your spouse if filing jointly) must have earned

income during the year.3. You must pay child care expenses so you (and your

spouse if filing jointly) can work or look for work. Qualifying expenses are defined under Section 21 of the Internal Revenue Code.

4. You must make payments for child care expenses to someone you (and your spouse) cannot claim as a dependent. If you make payments to your child, he or she cannot be your dependent and must be age 19 or older by the end of the year. You cannot make payments to:a. Your spouse, orb. The parent of your qualifying person if your qualifying

person is your child and under the age of 13.5. You cannot claim this credit if your federal filing status

is Married Filing Separate.6. You must identify the care provider on this form.It is recommended that you fully review IRS Publication 503 for eligibility tests and the definition of qualifying income and children. All of the information in this form is required and your credit may be denied if it is incomplete.

Part I - Person or Organization Who Provided the CareUse this section to list the name, address and Social Security or Federal Employer ID number of the child care provider(s) you used. If you are unable to provide the Social Security or Federal Employer ID number of the child care provider, you must show that you attempted to obtain the required information by attaching such proof to this form.List the total amount paid for the full year of child care, paid to each provider. If you have more than two care providers

or if the provider is non-profit, include the statement required to accompany your federal form 2441.

Part II- Qualifying Child InformationFor lines 2a – 2d, list each qualifying child, their year of birth and their Social Security number. You must also list the amount of child care expenses for each specific child. Complete lines 2e through 4 as instructed on the form. If the amount on line 4 is greater than $60,000 do not continue because you do not qualify for this credit.If line 4 is $60,000 or less, enter the amount from line 9 of the IRS form 2441, Child and Dependent Care Expenses, on line 5 of this form DR 0347.For line 6 enter your tax from your federal income tax return. See IRS form 1040 line 47 or 1040A line 28. If the amount of line 6 is greater than $0, continue to Part III. Otherwise, if line 6 is $0 or if you did not file a federal income tax return and your adjusted gross income is $25,000 or less, skip to Part IV.If you have more than four qualifying children, include the statement required to accompany your federal form 2441.

Part III- Child Care Expenses CreditIf you had federal tax on line 6 above, use line 4 to determine the decimal amount from Table A. Enter the appropriate amount on line 7.For line 8 enter the amount from line 11 of IRS form 2441, Child and Dependent Care Expenses.For line 9 multiply line 8 by the decimal on line 7.Full–year residents should enter amount from this form on line 9 to form 104CR line 1. If you completed Part III and you were a part-year resident, continue to Part V.

Part IV- Low-Income Child Care ExpensesIf you have no federal tax on line 6 and the amount of line 4 is $25,000 or less, use Table B to calculate the credit. Otherwise, go back to Part III to calculate your credit.For line 11 multiply line 3 by the decimal on line 10. For line 12 enter the smaller amount of line 11 or the appropriate amount from Table B.Full–year residents should enter amount from this form on line 12 to form 104CR line 1. If you completed Part III and you were a part-year resident, continue to Part V.

Part V- Part Year Resident LimitationComplete this part only if you were a part-year resident of Colorado in 2014. Enter the percentage from form 104PN line 34 on line 13 of this DR 0347.For line 14 multiple the amount from line 9 or line 12 by the percentage from line 13. Enter this amount on line 1 of form 104CR.

Child Care Expenses Tax CreditInstructions


*DO=NOT=SEND*Child Care Expenses Tax Credit - DR 0347 - (2015)

[ 225 ]

DR 0347 (09/10/15)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0005 www.TaxColorado.com

Child Care Expenses Tax Credit

Submit this form with your complete Colorado Individual Income Tax Return, including forms 104 and 104CR.You must also submit a copy of IRS form 2441 with your Colorado return.Thoroughly read the instructions to be certain you are eligible for this credit.Be sure to complete all required information. Failure to do so may result in a denied credit or delayed refund.Taxpayer Name SSN

Part I – Persons or Organizations Who Provided the Care - You must complete this part If you have more than two care providers or if the provider is non-profit, see the instructions.1. (a) Care Provider’s First Name Last Name Middle Initial (b) SSN or FEIN

(c) Address City State Zip (d) Amount Paid$

(a) Care Provider’s First Name Last Name Middle Initial (b) SSN or FEIN

(c) Address City State Zip (d) Amount Paid$

Part II – Qualifying Child Information - You must complete this part If you have more than four qualifying children, see the instructions.2(a). Child’s First Name Last Name Middle Initial Year of Birth

SSNQualified expenses you incurred and paid in 2015 for the person listed in 2(a) $

2(b). Child’s First Name Last Name Middle Initial Year of Birth

SSNQualified expenses you incurred and paid in 2015 for the person listed in 2(b) $

2(c). Child’s First Name Last Name Middle Initial Year of Birth

SSNQualified expenses you incurred and paid in 2015 for the person listed in 2(c) $

2(d). Child’s First Name Last Name Middle Initial Year of Birth

SSNQualified expenses you incurred and paid in 2015 for the person listed in 2(d) $

2(e). Enter the sum of all qualified child care expenses $

2(f). Enter your earned income $

2(g). If filing a joint return, enter the earned income of the other person $

3. Enter the smallest of line 2(e), 2(f) [or 2(g) only if filing a joint return] 3 $4. Enter your adjusted gross income from your federal income tax return.

See IRS form 1040 line 37 or 1040A line 21 4 $If the amount of line 4 is greater than $60,000 STOP - you do not qualify for this credit.

*150347==19999*

[ 226 ]

Taxpayer Name Account Number

5. Enter the amount from line 9 of IRS form 2441, child and dependent care expenses 5 $6. Enter your tax from your federal income tax return.

See IRS form 1040 line 47 or 1040A line 30 6 $Complete Part III if line 6 is greater than $0. Otherwise, skip to Part IV (but only if AGI is less than $25,000)

Part III – Child Care Expenses CreditDetermine your Colorado decimal amount from the amount on line 4 above:

Table A

More than: But not more than:

Enter this on line 7 below:

$0 $25,000 .50$25,000 $35,000 .30$35,000 $60,000 .10

7. Enter the decimal amount from Table A above 7 X.

8. Enter the amount from line 11 of IRS form 2441, child and dependent care expenses 8

9. Multiply line 8 by the decimal on line 7 9Full-year residents should enter the amount from line 9 on Form 104CR line 1.

If you completed Part III and you were a part-year resident, proceed to Part V below.

Part IV – Low-Income Child Care Expenses Credit10. Low-income calculation only. DO NOT complete this Part IV if line 4 is greater than

$25,000 and if line 6 is greater than $0 10 X .25

11. Multiply line 3 by the decimal on line 10 11

Table BOne qualifying child $500Two or more qualifying children $1,000

12. Enter the smaller of line 11 or the appropriate amount from Table B 12Full-year residents should enter the appropriate amount from line 12 on Form 104CR line 1

Part-year residents skip to Part V below

Part V – Part-Year Resident Limitation

13. Part-year residents ONLY - enter the percentage from Form 104PN line 34 13 %14. Multiply the amount from line 9 or line 12 by the percentage from line 13.

Enter the result on line 1 of Form 104CR 14 $

*150347==29999*

[ 227 ]

Use this form to determine if you can claim the Colorado Child Care Expenses tax credit. You may be able to claim the credit if you pay someone to care for your dependent who is under age 13. For information about any federal form or publication listed below, please visit www.IRS.gov

EligibilityTo be able to claim the Colorado credit for child care expenses, you must file federal form 1040 or 1040A. You cannot claim this credit if you filed federal form 1040EZ, 1040NR or 1040NR-EZ. If you did not file a federal income tax return, you may still be eligible for the Low Income Child Care Expenses credit. To claim the low income credit, you must complete and submit with your Colorado return, federal form 1040 and 2441. You must also meet all of the following tests:1. The care must be for one or more qualifying persons

who are identified on federal form 2441.2. You (and your spouse if filing jointly) must have earned

income during the year.3. You must pay child care expenses so you (and your

spouse if filing jointly) can work or look for work. Qualifying expenses are defined under Section 21 of the Internal Revenue Code.

4. You must make payments for child care expenses to someone you (and your spouse) cannot claim as a dependent. If you make payments to your child, he or she cannot be your dependent and must be age 19 or older by the end of the year. You cannot make payments to:a. Your spouse, orb. The parent of your qualifying person if your qualifying

person is your child and under the age of 13.5. You cannot claim this credit if your federal filing status

is Married Filing Separate.6. You must identify the care provider on this form.It is recommended that you fully review IRS Publication 503 for eligibility tests and the definition of qualifying income and children. All of the information in this form is required and your credit may be denied if it is incomplete.

Part I - Person or Organization Who Provided the CareUse this section to list the name, address and Social Security or Federal Employer ID number of the child care provider(s) you used. If you are unable to provide the Social Security or Federal Employer ID number of the child care provider, you must show that you attempted to obtain the required information by attaching such proof to this form.List the total amount paid for the full year of child care, paid to each provider. If you have more than two care providers

or if the provider is non-profit, include the statement required to accompany your federal form 2441.

Part II- Qualifying Child InformationFor lines 2a – 2d, list each qualifying child, their year of birth and their Social Security number. You must also list the amount of child care expenses for each specific child. Complete lines 2e through 4 as instructed on the form. If the amount on line 4 is greater than $60,000 do not continue because you do not qualify for this credit.If line 4 is $60,000 or less, enter the amount from line 9 of the IRS form 2441, Child and Dependent Care Expenses, on line 5 of this form DR 0347.For line 6 enter your tax from your federal income tax return. See IRS form 1040 line 47 or 1040A line 28. If the amount of line 6 is greater than $0, continue to Part III. Otherwise, if line 6 is $0 or if you did not file a federal income tax return and your adjusted gross income is $25,000 or less, skip to Part IV.If you have more than four qualifying children, include the statement required to accompany your federal form 2441.

Part III- Child Care Expenses CreditIf you had federal tax on line 6 above, use line 4 to determine the decimal amount from Table A. Enter the appropriate amount on line 7.For line 8 enter the amount from line 11 of IRS form 2441, Child and Dependent Care Expenses.For line 9 multiply line 8 by the decimal on line 7.Full–year residents should enter amount from this form on line 9 to form 104CR line 1. If you completed Part III and you were a part-year resident, continue to Part V.

Part IV- Low-Income Child Care ExpensesIf you have no federal tax on line 6 and the amount of line 4 is $25,000 or less, use Table B to calculate the credit. Otherwise, go back to Part III to calculate your credit.For line 11 multiply line 3 by the decimal on line 10. For line 12 enter the smaller amount of line 11 or the appropriate amount from Table B.Full–year residents should enter amount from this form on line 12 to form 104CR line 1. If you completed Part III and you were a part-year resident, continue to Part V.

Part V- Part Year Resident LimitationComplete this part only if you were a part-year resident of Colorado in 2016. Enter the percentage from form 104PN line 34 on line 13 of this DR 0347.For line 14 multiple the amount from line 9 or line 12 by the percentage from line 13. Enter this amount on line 1 of form 104CR.

Child Care Expenses Tax CreditInstructions


*DO=NOT=SEND*Child Care Expenses Tax Credit - DR 0347 - (2016)

[ 228 ]


Child Care Expenses Tax CreditSubmit this form with your complete Colorado Individual Income Tax Return, including forms 104 and 104CR.You must also submit a copy of IRS form 2441 with your Colorado return.Thoroughly read the instructions to be certain you are eligible for this credit.Be sure to complete all required information. Failure to do so may result in a denied credit or delayed refund.Taxpayer Name SSN

Part I – Persons or Organizations Who Provided the Care - You must complete this part If you have more than two care providers or if the provider is non-profit, see the instructions.1. (a) Care Provider’s First Name Last Name Middle Initial (b) SSN or FEIN

(c) Address City State Zip (d) Amount Paid

$(a) Care Provider’s First Name Last Name Middle Initial (b) SSN or FEIN

(c) Address City State Zip (d) Amount Paid

$Part II – Qualifying Child Information - You must complete this part If you have more than four qualifying children, see the instructions.2(a). Child’s First Name Last Name Middle Initial Year of Birth

SSN

Qualified expenses you incurred and paid in 2016 for the person listed in 2(a) $2(b). Child’s First Name Last Name Middle Initial Year of Birth

SSN

Qualified expenses you incurred and paid in 2016 for the person listed in 2(b) $2(c). Child’s First Name Last Name Middle Initial Year of Birth

SSN

Qualified expenses you incurred and paid in 2016 for the person listed in 2(c) $

*160347==19999*


[ 229 ]


2(d). Child’s First Name Last Name Middle Initial Year of Birth

SSN

Qualified expenses you incurred and paid in 2016 for the person listed in 2(d) $

2(e). Enter the sum of all qualified child care expenses $

2(f). Enter your earned income $

2(g). If filing a joint return, enter the earned income of the other person $

3. Enter the smallest of line 2(e), 2(f) [or 2(g) only if filing a joint return] 3 $4. Enter your adjusted gross income from your federal income tax return.

See IRS form 1040 line 37 or 1040A line 21 4 $If the amount of line 4 is greater than $60,000 STOP - you do not qualify for this credit.

5. Enter the amount from line 9 of IRS form 2441, child and dependent care expenses 5 $6. Enter your tax from your federal income tax return.

See IRS form 1040 line 47 or 1040A line 30 6 $Complete Part III if line 6 is greater than $0. Otherwise, skip to Part IV (but only if AGI is less than $25,000)

Part III – Child Care Expenses CreditDetermine your Colorado decimal amount from the amount on line 4 above:

Table A

More than: But not more than:

Enter this on line 7 below:

$0 $25,000 .50$25,000 $35,000 .30$35,000 $60,000 .10

7. Enter the decimal amount from Table A above 7 X.

8. Enter the amount from line 11 of IRS form 2441, child and dependent care expenses 8

9. Multiply line 8 by the decimal on line 7 9Full-year residents should enter the amount from line 9 on Form 104CR line 1.

If you completed Part III and you were a part-year resident, proceed to Part V below.

Part IV – Low-Income Child Care Expenses Credit10. Low-income calculation only. DO NOT complete this Part IV if line 4 is greater than

$25,000 and if line 6 is greater than $0 10 X .25

11. Multiply line 3 by the decimal on line 10 11

Table BOne qualifying child $500Two or more qualifying children $1,000

*160347==29999*

[ 230 ]


12. Enter the smaller of line 11 or the appropriate amount from Table B 12Full-year residents should enter the appropriate amount from line 12 on Form 104CR line 1

Part-year residents skip to Part V below

Part V – Part-Year Resident Limitation

13. Part-year residents ONLY - enter the percentage from Form 104PN line 34 13 %14. Multiply the amount from line 9 or line 12 by the percentage from line 13.

Enter the result on line 1 of Form 104CR 14 $

*160347==39999*

[ 231 ]

Chapter 5Sales and Use Tax Forms


Chapter 5 — Sales and Use Tax Forms

[ 232 ]

Colorado Retail Sales Tax Return

with Deductions & Exemptions Schedules

DR 0100 (12/13/16) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0013 www.TaxColorado.com

General Information

*DO*NOT*SEND*

These instructions are provided to assist you with completing your Colorado sales tax return.You must file a sales tax return every period, even if no tax has been collected or no tax is due. Failure to file will result in estimated billings. If you do not file the required returns, the department will close your account and your sales tax license will no longer be valid. Zero returns can be filed online.SSN and FEINVerify you are using a correct Federal Employer Identification Number (FEIN) or Social Security number (SSN). If your account does not have a valid FEIN or SSN, your return could be delayed and you will receive a notice to provide valid proof of the FEIN or SSN. Note: This will also prevent you from obtaining an EFT number for payments and prevent you from filing by spreadsheet or XML. Colorado Account NumberEnter your eight-digit account number and four-digit site/location number. For example: XXXXXXXX-XXXX. Each sales tax return must have a site/location number entered on the return in order to be processed. This helps the department identify and properly allocate local jurisdiction taxes that are paid with the return. PeriodEnter the filing period as MM/YY-MM/YY. If filing for the first quarter (Jan. through March) of 2016, the dates for this period on a paper form should be 01/16-03/16. When filing in Revenue Online, the system will only require the end date of each period. (e.g., first quarter: 03312016)Location Jurisdiction CodeEnter the six-digit location jurisdiction code for your site/location. These codes can be found in the Location/Jurisdiction Codes for Sales Tax Filing, DR 0800.Due DateReturns must be filed online or postmarked on or before the 20th day of the month following the reporting period.Monthly Returns: due the 20th day of the month following the reporting month.

Quarterly Returns:January – March due April 20April – June due July 20July – September due October 20October – December due January 20

Annual Returns: due January 20Note: If the 20th is a weekend or holiday, the return is due the next business day. For more information, see FYI General 15: Colorado Department of Revenue Tax Due Dates.Filing an Amended Return? If you are filing an amended return, check the amended return box. A separate amended return must be filed for each period and/or each site. The amended return must show all lines as corrected, not merely the difference(s). The amended return replaces the original in its entirety.Recommended Forms, Publications and ResourcesResources available on the Colorado Taxation web site www.TaxColorado.com

• Sales and Use Tax General Information and Reference Guide, DR 0099

• FYI Sales 1: How to Document Sales to Retailers, Tax-Exempt Organizations and Direct Pay Permit Holders

• FYI Sales 4: Taxable and Tax Exempt Sales of Food and Related Items

• Colorado Department of Revenue Electronic Funds Transferred (EFT) Program For Tax Payments, DR 5782

• Authorization for Electronic Funds Transfer (EFT) For Tax Payments, DR 5785

• Sales Tax Web pages• The Colorado Business Resource Book,

www.coloradoSBDC.org

Colorado Retail Sales Tax Return - DR 0100 - (2017)

[ 233 ]

*DO*NOT*SEND*Tax EducationFree public tax classes are offered in our Taxpayer Service Center locations. Please visit the Education page of the Taxation web site www.TaxColorado.com to view current schedules and to register.Colorado Sales TaxesState Sales Tax The state sales tax rate is 2.9% and is reported in the state column of this return.RTD and CD Taxes Regional Transportation District (RTD) and the Scientific and Cultural Facilities District (CD) taxes are administered in the same manner as state sales tax. The RTD sales tax rate is 1% and the CD sales tax rate is .1%. These taxes are reported in the RTD/CD column.Special District Taxes Special district taxes which are reported in the Special District column include the Regional Transportation Authority (RTA), Multi-Jurisdictional Housing Authority (MHA), Public Safety Improvements (PSI), Health Services District (HSD) and the Metropolitan District Tax (MDT). Special district taxes which are not reported in the special district column include the Mass Transportation System Tax (MTS) and the Local Improvement District Tax (LID). MTS is reported in the County/MTS column and LID taxes are reported in the City/LID column. The Baptist Road RTA (BRRTA) and the Football District Tax (FD) have both expired and any tax collected on periodic lease or credit payments must be remitted on the Colorado Special District Sales Tax Return Supplement, DR 0200. County and City Taxes County and city sales taxes collected by the state are administered in the same manner as state sales tax. If the sale is subject to state sales tax, it is also subject to state-collected local sales tax. Exceptions to this guideline as well as local sales tax rates are listed in the Colorado Sales/Use Tax Rates, DR 1002. Local sales taxes are reported in the County/MTS and City/LID columns.For more information on guidelines for local sales tax, refer to FYI Sales 62: Guidelines for Determining When to Collect State-Collected Local Sales Tax.Self-Collected Home-Rule Cities Home-rule cities that collect their own local sales tax may have different guidelines and must be contacted directly. These cities are listed in the DR 1002 along with their contact information. Electronic Filing This return can be filed electronically through Revenue Online, see Revenue Online Filing Information. Sales tax filers with two or more sites (locations) may file by XML (Extensible Markup Language) or Excel spreadsheet. A list of XML approved software vendors is available on the web site www.TaxColorado.com under Software Developers-Sales Tax XML. Use of the department's pre-approved XML software does not require individual approval. For the Excel spreadsheet, there is a template and handbook on the website. Use of the Excel

spreadsheet requires individual approval by the department before it can be used. For more information on spreadsheet filing, refer to the Spreadsheet Upload Handbook available at the Taxation website under the Alpha Index letter "S" for spreadsheet filing.

REVENUE ONLINE FILING INFORMATION

You Can Easily File Your Return Online!To save time and reduce filing errors, file this return through Revenue Online. Use www.Colorado.gov/RevenueOnline to register, file, pay and manage your sales tax account. If you cannot file through Revenue Online, refer to the Paper Filing Instructions below and complete this return in its entirety.

PAPER FILING INSTRUCTIONSLine 1. Gross Sales and ServicesEnter total gross sales and services for this site/location only. Include all taxable and nontaxable sales and collection of bad debts previously deducted. You will enter non-taxable deductions and exemptions on the Deductions and Exemptions Schedules. Line 2a. Sales to licensed dealers Enter sales made to other licensed dealers (retailers) for resale. Line 2b. DeductionsEnter allowed deductions listed on the deductions schedule from Page 2; Part A. Deductions taken on the "Other" line must include an explanation. If you are claiming deductions on this line, the deductions schedule is required and must accompany this return. Line 3. Net Sales Subtract total deductions (line 2c) from gross sales and services (line 1) $______________ this is your net sales. Enter this amount in each applicable column. The net sales must be the same across all applicable columns. Do not enter different amounts in the State, RTD/CD, Special District, County/MTS and the City/LID columns. Line 3a. Sales out of taxing area Enter the amount of sales delivered out of your taxing area for this site/location only. Note: This is applicable to physical site/locations only. Line 3b. ExemptionsEnter the amount of state and applicable local exemptions listed on the exemptions schedule from Page 3; Part B. Exemptions taken on the "Other" line must include an explanation. Exemptions may be specific to state, county, city and special districts. Refer to DR 1002 . If you are claiming exemptions on this line, the exemptions schedule is required and must accompany this return. Line 3c. Overpayment from previous returnIf you overpaid sales tax on a previous return, you may deduct the overpayment amount on line 3c only if there is not an existing credit on the account due to the overpayment. To calculate the dollar amount on line 3c, you will divide the tax overpayment by the same tax rate you used to calculate the tax due on the original return. The calculation must be done for each applicable tax for each site. Do not reduce the tax liability below zero. Note: If a credit is carried forward for city taxes, the credit can only be

DR 0100 (12/13/16) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0013 www.TaxColorado.com

[ 234 ]

deducted in the city column. Tax Rate: Tax rates are listed in the Colorado Sales/Use Tax Rates, DR 1002 and in Revenue Online under "Additional Services" then "View Sales Rates and Taxes". Line 6. Excess tax collectedEnter the amount of excess tax collected. For example: The tax rate decreased but tax was collected at the old rate on payments made after the effective date of the new tax rate. Excess tax has been collected and should be reported on this line. Line 8a. Service Fee RateService fee rates are published in the Colorado Sales/Use Tax Rates, DR 1002. Line 8b. Service Fee (Discount)A "discount" is given to vendors who timely file and pay their sales taxes. If your return and payment are postmarked and received timely, you can subtract the applicable service fee from your sales tax due. Note: not all jurisdictions allow a service fee. Refer to the DR 1002 for more information. Line 10: Tax on inventory usageIf your business takes out of its inventory goods that were purchased tax-free for resale and uses the goods for personal or business purposes, you must pay sales tax on those items when they are taken out of inventory and used. The cost of the items must be entered on line 10 of this form. Tax is due for state, RTD, CD, special districts, county or state-collected city tax. Do not use this line to file/pay consumer use. Consumer Use Tax is reported on the DR 0252 and DR 0251. Lines 12 and 13. Penalty and InterestIf this return and remittance is postmarked or electronically made after the due date, a penalty of 10% plus .5% per month (not to exceed 18%) is due. Interest is due at the prime rate, effective July 1 of the previous year. Penalty and interest rates can be found in FYI General 11: Colorado Civil Tax Penalties and Interest.Line 15. Total Amount OwedEnter the total from all columns. Check for mathematical and transposition errors. Both the amount on the return and the amount of the payment must match.To avoid processing delays, complete all applicable and required lines. Lines on the return can be left blank if the value is zero, except for lines 1, 3, 4, 5, 9, 10, and 11. Multi-Location Filers: A separate DR 0100 must be filed for each physical site or for each non-physical site that is collecting sales tax. All physical sites must file a return even if there were no sales. Verify your sites/locations in Revenue Online under "Additional Services". For additional information, refer to FYI Sales 58: Requirements for Sales Tax Remittance for Multiple Location Companies.

Deductions and Exemptions Schedules (Page 2, Part A and Page 3, Part B)If deductions and exemptions are being claimed on lines 2b and 3b, the Deductions and Exemptions Schedules are required and must be attached to the sales tax return. If these schedules are missing, incomplete or incorrect, all deductions and exemptions will be disallowed. A separate schedule must be completed and submitted for each site/location. For more information on allowed deductions and exemptions, refer to DR 1002. Additional information is available at the Taxation website under the Alpha Index letter "S" for Sales Tax.

PAYMENT INFORMATIONOnline PaymentsEFT Payment (No Fee)Pay by electronic fund transfer (EFT) via ACH Debit or Credit. EFT registration is required prior to making your payment. Payments cannot be made until 24-48 hours after you register.Credit Card/E-Check Pay by using a credit card or electronic check. There is an additional service fee for making a payment using these methods. Paper CheckOnline Filing with Payment CouponYou can print a payment coupon from Revenue Online after you have filed your return electronically. Select ‚"Payment Coupon"‚ in the Payment Option. You can print a coupon for each period.Paper Filing with PaymentIf you are filing and paying by mail, include the account number, filing period and write ‚"sales tax", on your check to ensure proper credit is applied to your account. One check can be remitted for the total for all returns. Sign and date the return and mail with your payment to:Colorado Department of Revenue Denver, CO 80261-0013Retain copies of all returns for your records. If you need further assistance, please call our Customer Service Center at 303-238-7378.

*DO*NOT*SEND* DR 0100 (12/13/16) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0013 www.TaxColorado.com

[ 235 ]

[ 236 ]

Colorado Retail Sales Tax Return

with Deductions & Exemptions SchedulesSignature (Signed under penalty of perjury in the second degree). Date (MM/DD/YY)

SSN 1 SSN 2 FEIN

Last Name or Business Name First Name

Address City State Zip Phone

( )


Colorado Account Number (XXXXXXXX-XXXX) Period (MM/YY-MM/YY) Location Juris Code (Refer to form DR 0800) Due Date (MM/DD/YY)

–

1. Gross Sales and Services for this site/location only.

(1-1)

00Mark here if this is an Amended Return 0021-102

Subtractions

2a. Sales to licensed dealers.

(2a-1)

002b. Deductions-

Page 2, Part A.

(2b-1)

002c. Total Deductions (add

lines 2a & 2b.) 003. Net sales: Subtract line 2c from line 1:$ _____________________Enter amount from above in each applicable column

State RTD/CD Special District County/MTS City/LID(3-1)

00

(3-2)

00

(3-3)

00

(3-4)

00

(3-5)

00

3a. Sales out of taxing area

(3a-1)

00

(3a-2)

00

(3a-3)

00

(3a-4)

00

(3a-5)

00

3b. Exemptions- Page 3, Part B.

(3b-1)

00

(3b-2)

00

(3b-3)

00

(3b-4)

00

(3b-5)

00

3c. Overpayment from previous return

(3c-1)

00

(3c-2)

00

(3c-3)

00

(3c-4)

00

(3c-5)

004. Net taxable sales (line 3 minus lines 3a, 3b and 3c) 00 00 00 00 00

Tax Rate5. Amount of sales tax (multiply tax rate by line 4) 00 00 00 00 00

6. Add: Excess tax collected

(6-1)

00

(6-2)

00

(6-3)

00

(6-4)

00

(6-5)

00

7. Total (add lines 5 & 6) 00 00 00 00 00

8. a. Service fee rate

b. Service fee (discount) (multiply line 7 by line 8a).

(8-1)

00

(8-2)

00

(8-3)

00

(8-4)

00

(8-5)

009. Sales tax due (line 7 minus line 8b) 00 00 00 00 00


*160100==19999*

[ 237 ]


Additions10. Tax on inventory usage $

(10-1)

00

(10-2)

00

(10-3)

00

(10-4)

00

(10-5)

00

11. Total tax due (add lines 9 & 10)

(11-1)

00

(11-2)

00

(11-3)

00

(11-4)

00

(11-5)

00

12. Penalty

(12-1)

00

(12-2)

00

(12-3)

00

(12-4)

00

(12-5)

00

13. Interest

(13-1)

00

(13-2)

00

(13-3)

00

(13-4)

00

(13-5)

0014. Total each tax (add lines 11, 12, & 13) 00 00 00 00 00The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

15. Total Amount Owed (add all columns on line 14)

Paid by EFT (355) $ .00

Deductions Schedule- Part A This schedule is required for deductions claimed on line 2b, page 1.

1. Service sales

(A1-1)

00

2. Sales to governmental agencies, religious or charitable organizations

(A2-1)

00

3. Sales of gasoline

(A3-1)

00

4. Sales of drugs by prescription and prosthetic devices

(A4-1)

00

5. Trade-ins for taxable resale

(A5-1)

00

6. Bad debts charged-off, returned goods, trade discounts and allowances where tax was paid (cash discounts are not allowed)

(A6-1)

00

7. Cost of utilities, excluding tax. Restaurants must complete and attach form, DR 1465.

(A7-1)

00

8. Sales of agricultural compounds and pesticides

(A8-1)

00

9. Other Deductions, explanation required

(A9-1)

00Explain

Total add lines 1 through 9. Enter total deductions on line 2b, page 1. Total 00

Colorado Account Number (XXXXXXXX-XXXX) Period (MM/YY-MM/YY) Name

–

*160100==29999*

[ 238 ]


Colorado Account Number (XXXXXXXX-XXXX) Period (MM/YY-MM/YY) Name

–Exemptions Schedule- Part B (Exemptions vary, refer to Colorado Sales/Use Tax Rates, DR 1002).This schedule is required for exemptions claimed on line 3b, page 1.

1. Food, including food sold through vending machines

State RTD/CD Special District County/MTS City/LID(B1-1)

00

(B1-2)

00

(B1-3)

00

(B1-4)

00

(B1-5)

00

2. Machinery

(B2-1)

00

(B2-2)

00

(B2-3)

00

(B2-4)

00

(B2-5)

00

3. Electricity

(B3-1)

00

(B3-2)

00

(B3-3)

00

(B3-4)

00

(B3-5)

00

4. Farm Equipment

(B4-1)

00

(B4-2)

00

(B4-3)

00

(B4-4)

00

(B4-5)

00

5. Sales of low-emitting vehicles, etc.

(B5-1)

00

(B5-2)

00

(B5-3)

00

(B5-4)

00

(B5-5)

00

6. School related sales

(B6-1)

00

(B6-2)

00

(B6-3)

00

(B6-4)

00

(B6-5)

00

7. Cigarettes

(B7-1)

00

(B7-2)

00

(B7-3)

00

(B7-4)

00

(B7-5)

00N/A N/A

8. Renewable energy components

(B8-1)

00

(B8-2)

00

(B8-3)

00

(B8-4)

00

(B8-5)

00

9. Space Flight Exemption

(B9-1)

00

(B9-2)

00

(B9-3)

00

(B9-4)

00

(B9-5)

00

10. Other Exemptions, explanation required

(B0-1)

00

(B0-2)

00

(B0-3)

00

(B0-4)

00

(B0-5)

00Explain

11. Total: add lines 1 through 10 of each column, enter total exemptions on line 3b, page 1. 00 00 00 00 00

*160100==39999*

[ 239 ]

[ 240 ]

DR 0137B (11/28/16) COLORADO DEPARTMENT OF REVENUEBusiness Tax Accounting Room 208P.O. Box 17087Denver, CO 80217-0087(303) 238-SERV (7378)

This claim for refund form is to be used only for sales or retailer’s use taxes collected in error by a store or vendor. Do not use this application for income tax or severance refunds. For a refund of fees, wage withholding, sales, consumer use or other taxes remitted by you or your business organization directly to the Colorado Department of Revenue please use the Claim for Refund Form (DR0137).Before submitting a claim for refund to the department, you must first request a refund from the store or vendor from which you purchased the product.You must file a separate claim for each store or vendor and submit claims by exemption type.Use this form to request a refund as soon as possible after you realize that you are due a refund and are unable to obtain a refund from the store or vendor.If you are submitting this claim for a third party, please include a Colorado Power of Attorney form (DR0145)available at www.TaxColorado.com

InstructionsComplete all lines on the Claim for Refund form. Type of Exemption: Claims should be submitted by exemption type, if there are multiple purchases that are being submitted for different exemptions. For example, Taxpayer ABC has paid tax in error to vendor 1 for non-taxable services and tax in error to vendor 2 for exempt machinery. Two claims should be submitted. One claim for non-taxable services and one for exempt machinery.

Total Sales or Use Tax paid during the Period CoveredEnter the TOTAL amount of sales or use tax paid to ALL vendors during the period covered. The period covered includes the calendar month(s) of when the purchases were made. For example, if you are requesting a refund for purchases made on July 1, July 21, August 9, and September 1, the period covered is the calendar months of July, August and September. You would add the total sales or use tax paid on ALL purchases between July 1 and September 30.Reason: A brief description of why the refund is being requested is required even if you are attaching a letter explaining the refund request in detail.

SpreadsheetNote: To reduce errors and for faster processing, electronic spreadsheets are preferred (CD or USB).

You must complete the attached or similar spreadsheet that includes all applicable columns as listed with your claim. Include store or vendor’s name, address including street, city, and state (on second page of form), Federal Employer Identification Number (FEIN), Vendor’s Sales Tax License or Account Number date of invoice or purchase, invoice number, amount of sale before taxes, amount of refund being claimed by tax type (State, Special District [RTD/CD, FD or RTA], City, and County). It should also include 3 separate columns for the purchase.

1) A brief description of the item or service2) Explanation how the item or service is used3) How item or service qualifies for the exemption claimed. (A general reference to a statute, vendor, case, or reference to the exemption type are not sufficient)

InterestIf this refund qualifies for interest please provide the interest calculation in the claim and an explanation of how the refund qualifies for interest. See FYI Sales 90 for more information.

Submitting your ClaimFailure to complete this form and submit all supporting documentation, may cause the amount of the refund to be reduced or denied.Prior to submission verify:

All applicable boxes are completed on form. Spreadsheet is included (electronic preferred) Invoices, receipts, purchase agreements are attached Enterprise Zone Administrator’s confirmation or

certificate (for verification of location within enterprise zone) is attached (if applicable)

Supporting exemption form or certificate: DR 1191’s, DR 1192, DR 1369, DR 1666,

DR 0563, tax exempt license or certificate etc. is attached (if applicable)

Proof of payment (if applicable) Other- Any other supporting documentation to

support the claim.Mail your completed application and supporting documentation to:Colorado Department of RevenueBusiness Tax Accounting Room 208P.O. Box 17087Denver, CO 80217-0087

Instructions for Claim for Refund of Tax Paid to Vendors DR 0137B(Do not use for income tax refund)

Please Note: Failure to complete this form and submit all supporting documentation may cause the amount of the refund to be reduced or denied.

Claim for Refund of Tax Paid to Vendors - DR 0137B

[ 241 ]

Refund to be made payable to, and mailed to:Taxpayer's Last Name or Business Name First Name Middle Initial SSN

Taxpayer (DBA) FEIN

Mailing Address City State Zip

Claim Information:Store or Vendor Name Vendor’s FEIN Type of Tax Date(s) of purchase(s) (mm/dd/yy)

Original Amount of Tax Paid Correct Amount Refund Requested

Type of Exemption Total Sales or Use Tax Paid during the Period Covered (See instructions)

Reason (Explain below and on a separate sheet of paper if needed). All supporting documentation must be attached.

I declare under penalty of perjury in the second degree that this claim including all attachments is to the best of my knowledge true and correct. I further understand that the claim and documentation may be subject to the same verification process used by the Department of Revenue in auditing other taxes for three years from the date of payment of the claim. § [13-80-101(1)(m) C.R.S.]Taxpayer Signature (this line must be signed by an individual, officer, partner, or owner of the firm claiming the refund) Phone Number

( )Print name of signor above Title Date

Signature of Preparer (if other than taxpayer) Date

Name of Firm Phone Number( )

For Departmental Use Only. Do not write in this section.

Claim for Refund of Tax Paid to Vendors(Do not use for income tax refund)

DR 0137B (11/28/16) COLORADO DEPARTMENT OF REVENUEBusiness Tax Accounting Room 208P.O. Box 17087Denver, CO 80217-0087(303) 238-SERV (7378)

[ 242 ]

DR

013

7B (1

1/28

/16)

C

OLO

RA

DO

DEP

AR

TMEN

T O

F R

EVE

NU

EB

usin

ess

Tax

Acc

ount

ing

Roo

m 2

08P.

O. B

ox 1

7087

Den

ver,

CO

802

17-0

087

(303

) 238

-SE

RV

(737

8)

Taxp

ayer

’s N

ame

Acc

ount

Num

ber/F

EIN

/SS

N

Sto

re N

ame

(Onl

y on

e ve

ndor

per

she

et)

Sto

re's

Add

ress

C

ityS

tate

ZIP

Sto

re N

umbe

r (if

avai

labl

e) W

here

Pro

duct

Was

Pur

chas

ed

Vend

or's

Sal

es T

ax L

icen

se o

r Acc

ount

Num

ber

Vend

or’s

FE

IN (i

f kno

wn)

Type

of T

axTy

pe o

f Exe

mpt

ion

Dat

e of

P

urch

ase

Invo

ice

N

umbe

r

Am

ount

of

Sal

e P

reta

x

Stat

e Sa

les/

Use

Ta

x

Cou

nty

Sal

es/

Use

Ta

x

City

S

ales

/U

se

Tax

Spe

cial

D

istri

ct

Sal

es/

Use

Ta

x

Des

crip

tion

of it

em o

r ser

vice

Expl

anat

ion

how

item

or

serv

ice is

use

dH

ow it

em o

r ser

vice

qual

ifies

fo

r the

exe

mpt

ion

claim

ed.

Tota

lTa

x$

$$

$$

DR

013

7B C

laim

for R

efun

d of

Sal

es o

r Use

Tax

O

verp

aym

ent S

prea

dshe

et

[ 243 ]

Retailer’s Use Tax ReturnInstructions

DR 0173 (06/22/16)COLORADO DEPARTMENT OF REVENUEDenver Colorado 80261-0013(303) 238-SERV (7378)www.TaxColorado.com

*DO*NOT*SEND*

General InstructionsRetailer’s Use Tax should be collected on all sales to Colorado purchasers by out-of-state vendors who do not maintain a Colorado business location.

State Use TaxThe state use tax rate is 2.9% and is reported in the state column of this return.Local Use TaxCity and county use taxes are paid directly to those jurisdic-tions if applicable. Contact the cities and counties directly for more information on local use taxes and refer to the Colorado Sales/Use Tax Rates, form DR 1002.Special District TaxesThe Regional Transportation District tax (RTD) is reported in the RTD column. The Scientific and Cultural Facilities District tax (CD) is reported in the CD column. The Football District tax (FD) expired on December 31, 2011. The only football district tax that should be collected is for late tax filings for periods prior to January 1, 2012. FD tax is reported in the FD column. The Regional Transportation Authority taxes (RTA) are calculated separately on each RTA schedule; then reported on separate use tax returns. For all special district boundaries and rates, refer to the DR 1002.When to FileReturns must be filed online or postmarked on or before the 20th day of the month following the reporting period.

· Monthly Returns: due the 20th day of the month following the reporting month.

· Quarterly Returns: January – March due April 20 April – June due July 20 July – September due October 20 October – December due January 20

· Annual Returns: due January 20

Late FilingIf this return and remittance are postmarked or electroni-cally made after the due date, a penalty of 10% plus ½% per month (not to exceed 18%) is due. Interest is due at the prime rate, effective July 1 of the previous year. Interest rates can be found in FYI General 11.No Taxes Due?You must file a use tax return every period, even if no tax has been collected or no tax is due. Zero returns can be filed online.Filing an Amended Return?If you are filing an amended return, a separate amended return must be filed for each period and/or each site. The amended return must show all lines as corrected, not merely the difference(s). The amended return replaces the original in its entirety.Recommended Forms, Publications and ResourcesResources available on the Colorado Taxation Web site www.TaxColorado.com

· Colorado Sales/Use Tax Rates, DR 1002· Sales and Use Tax General Information and

Reference Guide, DR 0099· Location/Jurisdiction Codes for Sales Tax Filing,

DR 0800· FYI Sales 5: Sales Tax Information for Out-of-State

Businesses· FYI Sales 62: Guidelines for Determining When to

Collect State-Collected Local Sales Tax· History of Local Sales/Use Taxes, DR 1250· Colorado Department of Revenue Electronic Funds

Transferred (EFT) Program For Tax Payments, DR 5782

· Authorization for Electronic Funds Transfer (EFT) For Tax Payments, DR 5785

· Use Tax Web pages at www.TaxColorado.com

Retailer’s Use Tax Return - DR 0173 - (2017)

[ 244 ]

Online Filing InstructionsTo save time and reduce filing errors, file this return through Revenue Online. To file through Revenue Online you must first get access. Use www.Colorado.gov/RevenueOnline and sign up to get access, file, pay and manage your use tax account.Get AccessTo get first time access, go to Revenue Online, click on Create a Login ID under Sign Up and follow the step-by-step instructions. You will need the Letter ID referenced on your retailer’s use tax license. If you do not have that Letter ID, you will need to request one through Revenue Online under Additional Services.FileTo file your return, log in to Revenue Online and access your use tax account by clicking on the Account ID. Click File Now to file your use tax return. Select your filing method and follow the step-by-step instructions.PayTo pay your use taxes after you have submitted your return, click Pay to make a payment. You can pay electroni-cally by EFT, E-Check or Credit Card. Select your payment option and follow the step-by-step instructions.If you cannot file through Revenue Online, refer to the “For Paper Filing” section below and complete the return in its entirety.

For Paper FilingDeductions and Exemptions Schedule: The Itemized Deductions and Exemptions Schedule is required and must be attached to the use tax return. If this schedule is missing, incomplete or incorrect, all deductions and exemptions will be disallowed. A separate schedule must be completed and submitted for each site/location. For more information on allowed deductions and exemptions, refer to DR 1002. Additional information is available at www.TaxColorado.com under the alpha index letter “S” for Sales Tax.DeductionsFor line 2a, enter the amount of sales to other licensed dealers (retailers) for this site/location only. For line 2b, allowed deductions are listed on the deductions and exemptions schedule. Deductions taken on the “Other” line must include an explanation.ExemptionsFor line 3b, enter the amount of state exemptions and applicable local exemptions. Exemptions must be itemized on the deductions and exemptions schedule. Exemptions taken on the “Other” line must include an explanation. Exemptions are specific to state and special districts.Service FeeIf your return and payment are postmarked and received timely, you can deduct the applicable service fee from your use tax due. For service fee rates, see DR 1002.

Total tax dueTo avoid processing delays, line 9 for total tax due must be completed for each applicable column.RTA SchedulesComplete the RTA schedules for your records only. A separate Retailer’s Use Tax Return, form DR 0173 must be attached for each RTA use tax that is reported. Do not enter the total RTA amount on the same return you report the RTD, CD and State use taxes. For example, if you owe State, RTD, CD and RTA tax, you will complete one DR 0173 for the State, RTD and CD taxes, leaving the RTA column blank and one separate DR 0173 to report the RTA tax, leaving the State, RTD and CD columns blank. For the Roaring Fork RTA, complete each column on the schedule and enter the total Roaring Fork RTA tax due on a separate DR 0173. You do not need a separate DR 0173 for each Roaring Fork RTA that is due. Do not complete these schedules if no RTA use tax is due. Note: Be sure to write the name of the RTA district on the DR 0173 for which you are reporting and include the account number and site number on every DR 0173 submitted.Common Paper Filing ErrorsSubmitting a return with negative numbers Negative numbers should never be used anywhere on the return. Credits for one location cannot be offset against another location. If any column amount falls below zero, the credit can be carried forward to a future return. A credit can only be subtracted within the same column, up to the amount of what is reported for that jurisdiction for that current period. The return should be completed in numerical line order; this will eliminate a negative calculation. Do not calculate the return from line 13 upward.Missing Site (Location) Number Each use tax return should have a site number entered on the paper return in the Colorado Account Number box in order to be processed (for example, 01234567-0001).This helps the department identify and properly allocate local jurisdiction taxes that are paid with the return. The best solution to avoiding this error is to file each jurisdiction through Revenue Online. Location/Jurisdiction codes are listed in DR 0800.Payment InformationIf paying by mail, include the account number and filing period on your check to ensure proper credit. One check can be remitted for the total for all returns. Sign and date the return and mail with your payment to:Colorado Department of RevenueDenver, CO 80261-0013

Retain copies of all returns for your records.

*DO*NOT*SEND* DR 0173 (06/22/16)COLORADO DEPARTMENT OF REVENUEDenver Colorado 80261-0013(303) 238-SERV (7378)www.TaxColorado.com

[ 245 ]

DR 0173 (06/22/16)COLORADO DEPARTMENT OF REVENUEDENVER COLORADO 80261-0013(303) 238-SERV (7378)www.TaxColorado.com

Retailer’s Use Tax Return 0260-102Mark here if this is an Amended Return

Colorado Account Number Period (MM/YY-MM/YY) Due Date (MM/DD/YY) Location/Juris Code

Last Name or Business Name First Name Middle Initial


SSN 1 SSN 2 FEIN

Phone Signed under penalty of

perjury in the second degree.

Signature Date

( )

1. Gross Sales and Services (include bad debts, previously deducted for this site/location only)

(1-6)

0 0

2. Deductions (nontaxed sales): A. Sales to other licensed dealers, for resale

(2-6)

0 0

B. Other deductions (from deductions schedule) 0 0

C. Total (add lines 2A & 2B) 0 0

RTA: FD Prior to 2012 CD RTD STATE

3. Net Sales (line 1 minus line 2C) 0 0 0 0 0 0 0 0 0 0

A. Sales out of taxing area 0 0 0 0 0 0 0 0 0 0

B. Exemptions (list on Exemptions Schedule) 0 0 0 0 0 0 0 0 0 0

4. Net taxable sales (line 3 minus A & B)

(4-1) (4-3) (4-4) (4-5) (4-6)

0 0 0 0 0 0 0 0 0 0

Tax Rate .0010

5. Amount of sales tax 0 0 0 0 0 0 0 0 0 0

6. Excess tax collected

(6-1) (6-3) (6-4) (6-5) (6-6)

0 0 0 0 0 0 0 0 0 07. Total

(add lines 5 & 6) 0 0 0 0 0 0 0 0 0 0

8A. Service fee rate--N/A--

*160173**19999*

[ 246 ]

DR 0173 (06/22/16)COLORADO DEPARTMENT OF REVENUEDENVER COLORADO 80261-0013

Name Account Number

RTA FD Prior to 2012 CD RTD STATE8B. Service fee allowed

vendor (only if paid on or before due date)

(8-1) (8-3) (8-4) (8-5) (8-6)

0 0 0 0 0 0 0 0 0 09. Sales Tax Due

(line 7 minus line 8B)

(9-1) (9-3) (9-4) (9-5) (9-6)

0 0 0 0 0 0 0 0 0 0

10. Penalty

(10-1) (10-3) (10-4) (10-5) (10-6)

0 0 0 0 0 0 0 0 0 011. Monthly prime

interest rate times line 9

(11-1) (11-3) (11-4) (11-5) (11-6)

0 0 0 0 0 0 0 0 0 012. Total each tax

(add lines 9, 10 & 11) 0 0 0 0 0 0 0 0 0 0

13. Total Amount Owed (add all columns on line 12. See return check policy below)

Paid by EFT (355)$ . 0 0


Itemized Deductions and Exemptions Schedules2B. Other Deductions must be itemized on the schedule below. Enter total Deductions on line 2B on front of this form.

1. Service Sales $

2. Sales to governmental agencies, religious or charitable organizations $

3. Sale of gasoline $

4. Sales of drugs by prescription and prosthetic devices $

5. Trade-ins for taxable resale $6. Bad debts charged-off, returned goods, trade discounts and allowances where tax

was paid (cash discounts are not allowed) $

7. Sales of agricultural compounds and pesticides $

8. Other (explain) $

Total (enter on line 2B on page 1 of the form) $

3B. Enter total State Exemptions and applicable Local exemptions.Net sales must be

itemized below FD Prior to 2012 CD RTD State1. Food (including food sold

through vending machines) $

2. Machinery $

3. Electricity $

*160173**29999*

[ 247 ]


Name Account Number

Net sales must be itemized below FD Prior to 2012 CD RTD State

4. Farm Equipment $5. Sales of low-emitting

vehicles etc. $

6. School-Related Sales $

7. Cigarettes $-N/A- -N/A- -N/A-

8. Energy Components $

9. Space Flight Exemption $

(B9-1) (B9-2) (B9-3) (B9-4)

10. Other (explain) $11. Total All Exemptions (enter on line 3B on page 1 of the form) $

RTA SchedulesEnter total applicable RTA exemptions and applicable local exemptions.Net sales must be itemized below RTA Eagle

RTA Basalt RTA Carbondale

RTA Glen. Springs

RTA Pitkin (except Basalt)

Total Roaring

Fork RTAPikes Peak

RTABaptist Road

RTASouth Platte Valley RTARTA New Castle

1. Food $

2. Machinery $

3. Electricity $4. Farm

Equipment $5. Low-emit

vehicles, etc. $6. School-Related

Sales $

7. Cigarettes $8. Energy

Components $9. Space Flight

Property $10. Other

(explain) $11. Total (enter on

line 3 below)(Keep documentation for verification of these sales for Roaring Fork RTA only)

*160173**39999*

[ 248 ]


Name Account Number

Roaring Fork RTAComplete each applicable column of this schedule. The total for each district should be totaled into the Total Roaring Form RTA column. Transfer the total figures to the Retailer’s Use Tax Return. Write “Roaring Fork” in the RTA box.

RTA Eagle

RTA Basalt RTA New Castle

RTA Carbondale

RTA Glen. Springs

RTA Pitkin (except Basalt)

Total Roaring Fork RTA

3. Net Sales (line 1–line 2C) 0 0 0 0 0 0 0 0 0 0 0 0

A. Sales out of taxing area 0 0 0 0 0 0 0 0 0 0 0 0

B. Exemptions (list) 0 0 0 0 0 0 0 0 0 0 0 04. Net taxable sales

(line 3 minus A & B) 0 0 0 0 0 0 0 0 0 0 0 0Tax Rate .0060 .0080 .0100 .0100 .0040

5. Amount of sales tax 0 0 0 0 0 0 0 0 0 0 0 06. Excess tax

collected 0 0 0 0 0 0 0 0 0 0 0 07. Total

(add lines 5 & 6) 0 0 0 0 0 0 0 0 0 0 0 0

8A. Service fee rate-N/A- -N/A- -N/A- -N/A- -N/A- -N/A-

8B. Service fee allowed vendor (only if paid on or before due date)

-N/A- -N/A- -N/A- -N/A- -N/A- -N/A-

9. Amount of sales tax 0 0 0 0 0 0 0 0 0 0 0 0

10. Penalty 0 0 0 0 0 0 0 0 0 0 0 011. Monthly prime int

x line 9 0 0 0 0 0 0 0 0 0 0 0 012. Total each tax (lines 9–11) 0 0 0 0 0 0 0 0 0 0 0 0Pikes Peak RTAComplete this schedule and transfer the figures to the Retailer’s Use Tax Return. Write “Pikes Peak” in the RTA box.

Pikes Peak RTA Pikes Peak RTA

3. Net Sales (line 1–line 2C) 8. A. Service fee rate-N/A-

0 0

A. Sales out of taxing area B. Service fee allowed vendor-N/A-

0 0

B. Exemptions (list) 9. Amount of sales tax0 0 0 04. Net taxable sales

(line 3 minus A & B) 10. Penalty0 0 0 0Tax Rate .0100

11. Monthly prime int x line 95. Amount of sales tax

0 00 0

12. Total each tax (lines 9–11)6. Excess tax collected

0 00 0

7. Total (add lines 5 & 6) 0 0

*160173**49999*

[ 249 ]


Name Account Number

South Platte Valley RTAComplete this schedule and transfer the figures to the Retailer’s Use Tax Return. Write “South Platte Valley” in the RTA box.

South Platte Valley RTA South Platte Valley RTA

3. Net Sales (line 1–line 2C) 8. A. Service fee rate-N/A-

0 0

A. Sales out of taxing area B. Service fee allowed vendor-N/A-

0 0

B. Exemptions (list) 9. Amount of sales tax0 0 0 04. Net taxable sales

(line 3 minus A & B) 10. Penalty0 0 0 0Tax Rate .0010

11. Monthly prime int x line 95. Amount of sales tax

0 00 0

12. Total each tax (lines 9–11)6. Excess tax collected

0 00 0

7. Total (add lines 5 & 6) 0 0

*160173**59999*

[ 250 ]

[ 251 ]

Chapter 6Severance Tax Expenditures Tax Forms


Chapter 6 - Severance Tax Expenditures Tax Forms

[ 252 ]

The DR 0021PD is an informational schedule required by the Department of Revenue to document the gross income and deductions from properties where the taxpayer is the producer and/or operator; and any take-in-kind income. This form details the transportation, processing and manufacturing costs deducted from gross income.

Column(A) Source of Income. Enter in column (A) the well,

tract, lease or field name that identifies the revenue source. All well operators must list income on a well-by-well basis. If you are filing from information on withholding DR 0021W, enter the name of the payor. When claiming a stripper well exemption for production from a particular well, you must record each well on one line, or provide detail on a well basis with the return. In other cases the well, tract, lease or field identifier may be used as you desire. If gross income includes any take-in-kind income, please list separately on a well-by-well basis.

(B) API Number. Enter in column (B) the American Petroleum Institute (API) well number of the income source.

(C) Type of Ownership. Indicate in column (C) whether your ownership is a royalty interest (RI), working interest (WI), or any take-in-kind (TIK).

(D) Percentage of Ownership. Enter in column (D) your percentage of ownership.

Production. If you are a producer or own a working interest, or claim stripper well exemptions, enter:

(E) Barrels of Oil Gross. Enter in column (E) your share of gross barrels of oil produced. Include both taxable and exempt production.

(F) Barrels of Oil Stripper Oil Exemption. Enter in column (F) that part of the gross barrels of oil that is from a qualified Colorado stripper oil well. The oil production from any well that produces 15 barrels or less of crude oil per day for the average of all producing days in your tax year is exempt from severance tax. (Records to prove the production on a single stripper well basis are necessary to establish your right to this exemption.)

(G) MCF Gas Gross. Enter in column (G) your share of gross natural gas, coalbed methane, and carbon dioxide produced in thousand cubic feet.

(H) MCF Gas Stripper Gas Production. Enter in column (H) that part of the gross MCF gas that is from a qualified Colorado stripper gas well. The gas production from any well that produces 90,000 cubic feet or less of gas per day for the average of all producing days in your tax year is exempt from severance tax. (Records to prove the production on a single stripper-well basis are necessary to establish your right to this exemption.)

(I) Transportation. Enter in column (I) the amount of transportation costs the taxpayer is claiming as a deduction from gross income.

(J) Processing and Manufacturing. Enter in column (J) the amount of processing and manufacturing costs the taxpayer is claiming as a deduction from gross income.

(K) Ad Valorem Tax. Round all amounts to whole dollars. Based on your accounting method (cash or accrual basis), enter in column (K) your share of ad valorem tax paid or accrued to Colorado local governments in the taxable year on oil and gas production. Do not include ad valorem tax on buildings, improvements, or equipment. Also, do not include ad valorem tax related to exempt stripper-well production. A percentage of ad valorem tax is allowed as a reduction to the severance tax.

(L) Gross Income. Round all amounts to whole dollars. Based on your accounting method of cash or accrual basis, enter in column (L) your share of the gross income received or accrued on oil or gas production. Do not include gross income from exempt production from stripper wells. Report the gross amount of oil shale royalties before any deductions.

DR 0021PD (07/28/15)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0006 www.TaxColorado.com

Instructions For Preparing Severance Tax Schedule Form DR 0021PD

*DO=NOT=SEND*Detail Information for Producers (Oil and Gas Severance Schedule) - DR 0021PD - (2015, 2016)

[ 253 ]

DR

002

1PD

Inst

ruct

ions

: If a

taxp

ayer

ele

cts

to e

nter

info

rmat

ion

for a

uni

t or c

omm

uniz

atio

n ag

reem

ent o

n th

e D

R 0

021P

D in

stea

d of

wel

l inf

orm

atio

n, th

ey

mus

t inc

lude

a s

uppl

emen

tal s

ched

ule

deta

iling

the

indi

vidu

al w

ell i

nfor

mat

ion

incl

udin

g w

ell n

ame,

AP

I wel

l num

ber,

prod

uctio

n vo

lum

es, e

xem

pt p

rodu

ctio

n vo

l-um

es, r

oyal

ty o

r wor

king

ow

ners

hip

inte

rest

, ow

ners

hip

perc

enta

ge g

ross

val

ue, a

d va

lore

m ta

x an

d gr

oss

inco

me.

If

mor

e sp

ace

is re

quire

d, u

se a

dditi

onal

cop

ies

of th

is fo

rm a

nd b

e su

re to

list

how

man

y pa

ges

are

used

(Exa

mpl

e: p

age

1 of

5).

For t

ax y

ear b

egin

ning

(MM

/YY

)E

ndin

g (M

M/Y

Y)

Pag

eO

fPl

ease

roun

d to

who

le d

olla

rs.

Taxp

ayer

’s N

ame

SS

N o

r Col

orad

o A

ccou

nt N

umbe

r

(A)

Sour

ce o

f In

com

e: W

ell,

Leas

e, F

ield

or

Pay

or

(B)

API

Num

ber

(C)

Roy

alty

, W

orki

ng,

or T

ake-

in-K

ind

Inte

rest

(D)

% o

f O

wne

r-sh

ip

Prod

uctio

n(I)

Tran

spor

-ta

tion

(J)

Proc

ess-

ing

and

Man

ufac

-tu

ring

(K)

Ad

Valo

rem

Ta

x

(L)

Gro

ss

Inco

me

Bar

rels

of O

ilM

CF

Gas

(E) G

ross

(F)

Exem

pt(G

) Gro

ss(H

) Ex

empt

Tota

ls

*150021PD19999*

DR

002

1PD

(07/

28/1

5)C

OLO

RA

DO

DEP

AR

TMEN

T O

F R

EVEN

UE

Den

ver C

O 8

0261

-000

6 w

ww

.Tax

Col

orad

o.co

m

Det

ail I

nfor

mat

ion

For P

rodu

cers

(Atta

ch to

DR

002

1)

[ 254 ]

DR 0021D (06/19/15) COLORADO DEPARTMENT OF REVENUE Denver CO 80261-0006 www.TaxColorado.com

Colorado Oil And Gas Severance Tax Schedule (Attach to Form DR 0021)

For tax year beginning (MM/YY) Ending (MM/YY) Page OfPlease round to whole dollars.

Taxpayer’s Last Name First Name Middle Initial SSN or Colorado Account Number

(A)Producer Name List each 0021W

on a Separate Line

(B)Gross Income

(C)Gross IncomeAttributable

to Stripper WellProduction

(D)Net Gross

Income(Column B-C)

(E)Ad Valorem

(F)Ad Valorem

Attributable to Stripper Well Production

(G)Net Ad

Valorem(Column E-F)

Check Accounting Method cash-basis or accrual basis

1. Net gross income [total of column (D)] • 1 00

2. Tax on total net gross income (see tax rate schedule below) • 2 00

3. Net ad valorem tax [total of column (G)] • 3 00

4. Ad valorem tax credit, 87.5% of the amount on line 3 • 4 005. Net tax on oil and gas income, line 2 minus line 4. If line 4 is larger enter 0.

Enter here and on line 1 of form DR 0021 5 00

Tax Rate ScheduleIf total net gross income is: The tax is:

Under $25,000$25,000–$99,999$100,000–$299,999$300,000 and over

2% of gross income$500 plus 3% of the excess over $24,999$2,750 plus 4% of the excess over $99,999$10,750 plus 5% of the excess over $299,999

*150021D=19999*Colorado Oil and Gas Severance Tax Schedule - DR 0021D - (2015, 2016)

[ 255 ]

DR 0020C (06/19/14) COLORADO DEPARTMENT OF REVENUE Denver CO 80261-0006 www.TaxColorado.com

(7007)

Tax Period Beginning (MM/DD/YY) Tax Period Ending (MM/DD/YY)

Last Name or Business Name First Name Middle Initial Colorado Account Number

Address City FEIN

State Zip Foreign Country Phone Number( )

If this is a final return, check this box.

Round all amounts to the nearest dollar 1ST 2ND 3RD 4TH

1. Taxable Quarters

From (MM/DD/YY)

Through (MM/DD/YY)

Production 2. Underground Lignitic

Production – (tons)3. Underground Nonlignitic

Production – (tons)4. Surface Lignitic Production –

(tons)5. Surface Nonlignitic

Production – (tons)6. Total Production,

add lines 2 through 5Tax

7. Tax Exempt Tonnage 300,000 300,000 300,000 300,0008. Taxable Tonnage,

line 6 minus line 7

9. Tax Rate for Quarter % % % %10. Tax for Quarter,

line 8 times line 9 $ .00 $ .00 $ .00 $ .00Tax Credits

11. Total Underground Production, line 2 plus line 3

12. Total Lignitic Production, line 2 plus line 4

13. Average of lines 11 and 12 [(lines 11 + 12) ÷ 2]

14. Credit %, line 13 divided by line 6 % % % %

15. Credit, line 14 times line 10 $ .00 $ .00 $ .00 $ .00

16. Net Tax, line 10 minus line 15 $ .00 $ .00 $ .00 $ .00

17. Total tax, add all amounts on line 16 17 00

*140020C=19999*Colorado Coal

Severance Tax Return

Departmental Use OnlyColorado Coal Severance Tax Return - DR 0020C - (2015, 2016)

[ 256 ]

18. Impact assistance credit 18 0 0

19. Net tax, line 17 minus line 18 but not less than zero 19 0 0

20. Estimated tax and extension payments 20 0 0

21. If line 20 is larger than line 19, enter your overpayment 21 0 022. Enter the amount from line 21, if any, you want refunded.

Provide direct deposit information below 22 0 0

DirectDeposit


Account Number

23. Enter amount from line 21, if any, you want credited to estimated tax for next year 23 0 0

24. If line 19 is larger than line 20, enter the balance of tax due 24 0 0

25. Interest on balance of tax due 25 0 0

26. Penalty on balance of tax due 26 0 0

27. Estimated tax penalty due — see instructions 27 0 0

28. Payment due with this return, add lines 24 through 27 Paid by EFT 28 $ .0 0


Under penalty of perjury in the second degree, I declare that I have examined this return and to the best of my knowledge and belief it is true, correct, and complete.Signature of Taxpayer or Corporate Officer Date (MM/DD/YY)

Last Name (Preparer of return) First Name (Preparer of return) Middle Initial Phone Number( )

Address

City State Zip

Mail to and make check payable to: Colorado Department of Revenue Denver, CO 80261-0006

*140020C=29999*

[ 257 ]

DefinitionsCoal — coal which has been processed into the form in which it is sold or otherwise used. Such processing includes, but is not limited to, cleaning and washing.Taxpayer — any person engaged in the severance of coal.

Filing Requirements Every individual, corporation, business trust, partner in a partnership, association, estate, trust or any other legal entity liable for the payment of Colorado severance tax must file a severance tax return. This return must be made for the same tax year used for federal income tax purposes and is due on or before the 15th day of the fourth month following the end of the taxable year.

Controlled GroupIn case of a controlled group of corporations as defined in section 613A of the Internal Revenue Code or of a family (man, woman and minor children) where more than one member of the group or family are subject to the severance tax, the tax must be jointly computed and the severance tax return must be jointly filed under the name of the principal taxpaying corporation, the married couple or the single adult. The DR 0021AS, available upon request from the Department, must be attached in the case of a controlled group of corporations.

Taxable QuartersThe coal severance tax liability for the year is the sum of the tax computed for each of four quarters. Divide your tax year into four quarters.

ProductionReport on lines 2 through 5, your total tonnage of coal production per quarter in accordance with the classifications given. Report your total quarterly coal production on line 6.

Computation of TaxSeverance coal tax rate charts are available in the Tax Index under Severance Tax, Coal Tax Rates at www.TaxColorado.com

Instructions for Coal Severance Tax Return

DR 0020C

Impact Assistance Credit A credit against the severance tax is allowed with respect to contributions of property or money to units of local government. The amount of the credit must be certified by the executive director of the Department of Local Affairs.

Estimated TaxEvery corporation subject to Colorado severance tax must file a declaration of estimated tax (DR 0021PC) if its severance tax liability for the current tax year can reasonably be expected to exceed its Colorado severance tax credits by $5,000 or more.

Interest and penaltyIf the return is filed after the due date, interest at the current statutory rate is due on any balance of tax due until paid. A penalty of the larger of $30 or 30% of the balance of tax due is due on any delinquently filed return. A corporation that underpays its estimated tax may owe an estimated tax penalty.

Extension of Time for FilingAn automatic six-month extension of time for filing the severance tax return is allowed. This is an extension of time for filing your severance tax return, not an extension of time for paying your tax. If you owe additional tax, use the DR 0021SC to submit an extension payment.

Amended ReturnIf you find it necessary to amend your Colorado severance tax return, you are required to file the DR 0020CX.

Information Forms and additional information can be accessed on the Web site at www.TaxColorado.com or by telephone at 303-238-SERV (7378).

[ 258 ]


(7003)

Colorado Molybdenum Ore Severance Tax Return

Taxable Quarter

Jan-Mar Apr-June Jul-Sept Oct-Dec

Year (YYYY)

Colorado Account Number FEIN


Address Phone Number ( )

City State ZIP Foreign Country

Check if final return

Mine Name as it filed with CO Division of Mines County or Counties in which Mine is Located Number of Tons of Ore Mined

Round all amounts to the nearest dollar

1. Total tons mined 1

2. Exemption 2 625,000

3. Total taxable tons mined (line 1 minus line 2) 3

4. Tax (line 3 x .05) 4 $ 0 0

5. Impact assistance credit 5 $ 0 0

6. Net tax, line 4 less line 5 but not less than zero 6 $ 0 0

7. Interest on balance due 7 $ 0 0

8. Penalty on balance due 8 $ 0 0

9. Amount Owed, add lines 6, 7 and 8 Paid by EFT

9 $ .0 0The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.


*140022==19999*

Colorado Molybdenum Ore Severance Tax Return - DR 0022 - (2015, 2016)

[ 259 ]

Last Name of person preparing return First Name Middle Initial

Address of person preparing return Phone Number ( )

City State Zip

Under penalty of perjury in the second degree, I declare that I have examined this return and to the best of my knowledge and belief it is true, correct and complete. Signature of Taxpayer or Corporate Officer Date (MM/DD/YY)

Mail to and make checks payable to:Colorado Department of Revenue

Denver, CO 80261-0006 Filing Requirements: Every person engaged in the severance of molybdenum ore is liable. The return is due on or before the 15th day following the end of each calendar quarter. A paper form is not required if only the tax due on line 4 is being paid in full by an EFT payment.

Tax Rate: The rate of tax for each calendar year quarter shall be $.05/ton of molybdenum ore. The first 625,000 tons of ore shall be exempt from the tax.

Information: Forms and information are available at www.TaxColorado.com

Impact Assistance Credit: A credit against the severance is allowed with respect to contributions of property or money to units of local government for planning, deemed to be necessary because of new severance operation or the increase in production at an existing operation. You must attach a certification from the executive director of the Department of Local Affairs to claim this credit.

Interest and Penalty: If the return is filed after the due date, interest at the current statutory rate will accrue on any balance of tax due until paid. A penalty of the larger of $30 or 30% of the balance of tax due will be assessed on any delinquently filed return.

*140022==29999*

[ 260 ]

DR 0020E (06/18/14)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0006 www.TaxColorado.com

(7005)Colorado Oil Shale

Facility Severance Tax ReturnTaxable Year Beginning (MM/DD/YY) Taxable Year Ending (MM/DD/YY)

Last Name or Business Name First Name Middle Initial Colorado Account Number

Address FEIN

City State Zip Phone Number( )

Foreign Country Name of facility as identified with the Colorado Department of Natural Resources

County or counties in which operation is located

If this is a final return, check this box. •1. Total sales price of shale oil 1 0 0

Less direct and indirect expenditures for:

2. Equipment and machinery 2 0 03. Fragmenting, crushing, conveying, beneficiating, pyrolysis, retorting, refining and

transporting 3 0 0

4. Royalty payments 4 0 0

5. Total of lines 2,3, and 4 5 0 0

6. Gross Proceeds, line 1 minus line 7 6 0 07. Enter the sales price of shale oil from the production of the first 15,000 tons per

day of oil shale or 10,000 barrels per day of shale oil, whichever is greater 7 0 0

8. Taxable Gross Proceeds, line 6 minus line 7 8 0 0

9. Tax on Taxable Gross Proceeds. Use the tax rate schedule in the instructions 9 0 0




13. If line 12 is larger than line 11, enter your overpayment 13 0 0

14. Enter amount from line 13 you want refunded 14 0 0


*140020E=19999*

DirectDeposit


Account Number

Colorado Oil Shale Facility Severance Tax Return - DR 0022 - (2015, 2016)

[ 261 ]

15. Enter amount from line 13 if any, that you want credited to estimated tax for next year 15 0 0



18. Penalty balance of tax due 18 0 0

19. Estimated tax penalty due 19 0 020.

Amount Owed, add lines 16 through 19 20 0 0The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

Under penalty of perjury in the second degree, I declare that I have examined this return and to the best of my knowledge and belief it is true, correct, and complete.

Signature of Taxpayer or Corporate Officer Date (MM/DD/YY)

Last Name (Person Preparing Return) First Name (Person Preparing Return) Middle Initial

Address Phone Number( )

City State Zip

Mail to And Make Checks Payable to: Colorado Department of Revenue Denver, CO 80261-0006

*140020E=29999*

[ 262 ]

TaxpayerThe Oil Shale Facility Severance Tax is levied against every person engaged in the severance of oil shale. It is levied at the rate below on the gross proceeds from each commercial oil shale facility.

Filing RequirementsEvery individual, corporation, business trust, partner in a partnership, association, estate, trust or any other legal entity liable for the payment of Colorado severance tax must file a severance tax return. This return must be made for the same tax year used for federal income tax purposes and is due on or before the 15th day of the fourth month following the end of the taxable year.

Controlled GroupIn case of a controlled group of corporations as defined in section 613A of the Internal Revenue Code or of a family (man, woman and minor children) where more than one member of the group or family are subject to the severance tax, the tax must be jointly computed and the severance tax return must be jointly filed under the name of the principal taxpaying corporation, the married couple or the single adult. The DR 0021AS, available upon request from the Department of Revenue, must be attached in the case of a controlled group of corporations.

Tax RateThe tax is assessed on the gross proceeds from each commercial oil shale facility at the following rates:The first 180 days following the commencement of commercial production 0%The first year following 1%The second year following 2%The third year following 3%The fourth year and each succeeding year following 4%

Gross proceeds means the value of the oil shale at the point of severance. Such value shall be determined by deducting from the first sales price of the shale oil all costs, including direct and indirect expenditures, for:

(a) equipment and machinery;(b) fragmenting, crushing, conveying, beneficiating,

pyrolysis, retorting, refining and transporting; and (c) royalty payments.

Gross proceeds from the sale of oil shale severed from which shale oil has not been extracted will be computed on first sales price as determined in the paragraph above. Gross proceeds from the sale of shale oil where such is processed by a centralized facility will be determined in the same manner.Direct and indirect expenditures of processing oil shale after mining are to be applied on the basis of generally accepted accounting principles for any given period. Excess cost of one taxable year cannot be applied to another taxable year.

Instructions For Colorado Oil Shale Facility Severance

Tax Return—DR 0020E

Commercial production means production in excess of the first 15,000 tons per day of oil shale or 10,000 barrels per day of shale oil, whichever is greater. The calculation of the daily production shall be determined by dividing the total production of a calendar month by the total number of days in such month.

ExemptionThe production of the first 15,000 tons per day of oil shale or 10,000 barrels per day of oil shale, whichever is greater, shall be exempt from the tax. The calculation of the daily production subject to the tax and to the exemption shall be determined by dividing the total production of a calendar month by the total number of days in such month.

Impact Assistance Credit A credit against the severance tax is allowed with respect to contributions of property or money to units of local government. The amount of the credit must be certified by the executive director of the Department of Local Affairs.

Estimated TaxEvery corporation subject to Colorado severance tax must file a declaration of estimated tax, DR 0021PE, if its severance tax liability for the current tax year can reasonably be expected to exceed its Colorado severance tax credits by $5,000 or more.

Interest and penaltyIf the return is filed after the due date, interest at the current statutory rate is due on any balance of tax due until paid. A penalty of the larger of $30 or 30% of the balance of tax due is due on any delinquently filed return. A corporation that underpays its estimated tax may owe an estimated tax penalty.

Direct DepositThe department can deposit your refund directly into your account at a U.S. bank or other financial institution (such as a mutual fund, brokerage firm, or credit union) in the United States.

Extension of Time for FilingAn automatic six-month extension of time for filing the severance tax return is allowed. This form is an extension of time for filing your severance tax return, not an extension of time for paying your tax. If you owe additional tax, use the DR 0021SE to submit an extension payment.

Amended ReturnIf you find it necessary to amend your Colorado severance tax return, you are required to file a DR 0020EX.

InformationForms and additional information can be accessed on the Web site at www.TaxColorado.com or by telephone at 303-238-SERV (7378).

[ 263 ]

Taxable Year Beginning (MM/DD/YY) Taxable Year Ending (MM/DD/YY) Colorado Account Number FEIN


Address

Foreign Country City State Zip Phone Number( )

Name of facility as identified with the Colorado Department of Natural Resources

County or counties in which operation is located

If this is a final return, check this box Round To The Nearest Dollar

1. Gross income from mining operation 1 0 0

2. Specific exemption (see instructions) 2 19,000,000 0 0

3. Taxable income, line 1 minus line 2. If line 2 is larger, enter zero 3 0 0

4. Tax on gross income, 2.25% of amount on line 3 4 0 0

5. Ad valorem tax Accrual basis or Cash basis

5 0 0Check accounting method (Check Instructions)

6. 50% of the tax on line 4 6 0 0

7. Ad valorem tax credit, the smaller of lines 5 or 6 7 0 0

8. Tax, line 4 minus line 7 8 0 0




12. If line 11 is larger than line 10, enter your overpayment 12 0 0

13. Enter amount from line 12 you want refunded 13 0 0

*140020A=19999*

DirectDeposit


Account Number

DR 0020A (06/18/14)COLORADO DEPARTMENT OF REVENUEDenver CO 80261-0006www.TaxColorado.com

Colorado Metallic MineralsSeverance Tax Return

(7009)

Departmental Use OnlyColorado Metallic Minerals Severance Tax Return - DR 0020A - (2015, 2016)

[ 264 ]

14. Enter amount from line 12, if any you want credited to estimated tax for next year 14 0 0



17. Penalty on balance of tax due 17 0 0

18. Estimated tax penalty 18 0 0

19. Total Amount Owed. Add lines 15 through 18 Paid by EFT 19 $ .0 0


Under penalty of perjury in the second degree, I declare that I have examined this return and to the best of my knowledge and belief it is true, correct, and complete.Signature of Taxpayer or Corporate Officer Date (MM/DD/YY)

Preparer Last Name Preparer First Name Middle Initial

Address Phone Number( )

City State Zip

Mail to and make checks payable to: Colorado Department of RevenueDenver CO 80261-0006

*140020A=29999*

[ 265 ]

Filing RequirementsEvery individual, corporation, business trust, partner in a partnership, association, estate, trust or any other legal entity liable for the payment of Colorado severance tax must file a severance tax return. This return must be made for the same tax year used for federal income tax purposes and is due on or before the 15th day of the fourth month following the end of the taxable year.

Controlled Group In case of a controlled group of corporations as defined in section 613A of the Internal Revenue Code or of a family (man, woman and minor children) where more than one member of the group or family are subject to the severance tax, the tax must be jointly computed and the severance tax return must be jointly filed under the name of the principal taxpaying corporation, the married couple or the single adult. The DR 0021AS, available upon request from the Department of Revenue, must be attached in case of a controlled group of corporations.

Metallic Minerals DefinedMetallic minerals means all minerals except molybdenum, oil and gas, carbon dioxide, coal, oil shale, rock, gravel, stone products, earths, limestone, and dolomite. Minerals associated with molybdenum and oil shale production are not excluded from the definition of metallic minerals.

TaxpayerThe tax is levied against every mining operation engaged in the severance of metallic minerals.

TaxThe tax is 2.25% of the gross income from the mining operations in excess of $19,000,000 per year. The $19,000,000 exemption need not be prorated for a taxable period of less than twelve months.

Gross IncomeGross income means the value of the ore immediately after its removal from the mine, and does not include any value added subsequent to mining by any treatment processes, such as crushing, grinding or concentration, by transportation from the mine, or by marketing of such ore or any products derived therefrom.

Income from the extraction or processing of ores or minerals from mine waste or residue of previously processed ores is not subject to tax. Ores that are processed and abandoned and subsequently reclaimed by an unrelated economic interest shall be generally considered as waste or residue.

The tax applies to the value of the ore at the time it is severed, not to the sale of the ore. Ore severed during a year is taxed for that year even if it remains unsold at the end of the year.

Ad Valorem TaxThe ad valorem tax must be reported on the same basis (accrual or cash) used for filing federal income tax returns. For the accrual basis taxpayer, the accrual/assessment date is the date the actual amount of the ad valorem tax is determined based upon the mill levy set by the counties. For the cash basis filer, the ad valorem tax is paid when it is actually paid to the county assessor.

Impact Assistance CreditA credit against the severance tax is allowed with respect to contributions of property or money to units of local government for the amount of the credit must be certified by the Executive Director of the Department of Local Affairs.

Estimated TaxEvery corporation subject to Colorado severance tax must file a declaration of estimated tax, the DR 0021PA, if its severance tax liability for the current tax year can reasonably be expected to exceed its Colorado severance tax credits by $5,000 or more.

Interest and PenaltyIf the return is filed after the due date, interest at the current statutory rate is due on any balance of tax due until paid. A penalty of the larger of $30 or 30% of the balance of tax due is due on any delinquently filed return. A corporation that underpays its estimated tax may owe an estimated tax penalty.

Direct DepositThe Department can deposit your refund directly into your account at a U.S. bank or other financial institution (such as a mutual fund, brokerage firm, or credit union) in the United States.

Extension of Time for FilingAn automatic six-month extension of time for filing the severance tax return is allowed. This is an extension of time for filing your severance tax return, not an extension of time for paying your tax. If you owe additional tax, use the DR 0021SA to submit an extension payment.

Amended ReturnIf you find it necessary to amend your Colorado severance tax return, you are required to file the DR 0020AX with the Department of Revenue.

InformationForms and additional information can be accessed on the Web site at www.TaxColorado.com

Instructions for Metallic Minerals Severance Tax

Schedule DR 0020A

2018 Tax Profile & Expenditure R

eport • Colorado D

epartment of R

evenue

colorado expenditure study, for calendar years 2011, 2013 ... tp&e adde… · colorado...

Documents