Form 104 - Colorado Individual Income Tax Return - 2006 Page 2
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225 Enter the amount from federal Form 1040, line 37; or from federal Form 1040A, line 21; or
.00
from federal Form 1040EZ, line 4 (Federal Adjusted Gross Income). ................................. 25
.00
26 Amount from line 24 on front of form (Net Tax) .................................................................... 26
.00
27 COLORADO INCOME TAX WITHHELD from wages and winnings ................................... 27
28 ESTIMATED TAX payments and credits; extension payments; and amounts
.00
withheld on nonresident real estate sales and partnership/S corp/fiduciary income ........... 28
.00
29 Child care credit from line 5 or 6, Form 104CR ................................................................... 29
.00
30 Total of lines 27 through 29 .................................................................................................. 30
.00
31 If line 30 is more than line 26, subtract line 26 from line 30. This is your overpayment .. 31
.00
32 Amount you want credited to your 2007 estimated tax ........................................................ 32
ENTER THE AMOUNT, IF ANY, YOU WISH TO CONTRIBUTE TO:
.00
33 The Nongame and Endangered Wildlife Cash Fund ........................................................... 33
.00
34 The Colorado Domestic Abuse Fund .................................................................................. 34
.00
35 The Colorado Homeless Prevention Activities Fund ........................................................... 35
.00
36 The Special Olympics Colorado Fund ................................................................................. 36
.00
37 The Western Colorado State Veterans Cemetery Fund ...................................................... 37
.00
38 The Pet Overpopulation Fund ............................................................................................. 38
.00
39 The Colorado Watershed Protection Fund .......................................................................... 39
.00
40 The Family Resource Centers Fund .................................................................................... 40
.00
41 The Colorado State Fair Authority Cash Fund .................................................................... 41
.00
42 The Organ and Tissue Donation Awareness Fund ............................................................. 42
.00
43 The Alzheimer’s Association Fund ...................................................................................... 43
.00
44 The Dropout Prevention Activity Grant Fund ....................................................................... 44
.00
45 The Military Family Relief Fund ........................................................................................... 45
.00
46 The Colorado Easter Seals Fund ........................................................................................ 46
.00
47 The Multiple Sclerosis Fund ................................................................................................ 47
.00
48 Total of lines 32 through 47 .................................................................................................. 48
.00
49 Line 31 minus line 48. This is your REFUND. e-file this return. Get your refund faster! .... 49
Savings
(See page 9)
Type:
Checking
Routing number
Account number
AMOUNT YOU OWE
.00
50 Penalty, also include on line 53 if applicable ....................................................................... 50
.00
51 Interest, also include on line 53 if applicable ....................................................................... 51
.00
52 Estimated tax penalty, also include on line 53 if applicable ................................................. 52
53 If line 26 is more than line 30, subtract line 30 from line 26. This is the amount you owe.
.00
Include amounts entered as voluntary contributions on lines 32 through 47, if any ............ 53
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MAKE CHECK PAYABLE TO COLORADO DEPARTMENT OF REVENUE.
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To ensure you receive credit for your payment, write your social security number and “Form 104” on your check.
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DO NOT send cash; DO NOT staple check to return.
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.
Under penalties of perjury, I declare that to the best of my knowledge and belief, this return is true, correct, and complete.
Your Signature
Spouse's Signature. If joint return, BOTH must sign.
➧
➧
Date
Year of Birth
Date
Year of Birth
Paid Preparer’s Name, Address and Telephone Number
MAIL YOUR RETURN TO:
COLORADO DEPARTMENT OF REVENUE
DENVER, CO 80261-0005
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