2005
FORM 104CR - INDIVIDUAL CREDIT SCHEDULE
Attach this form to your completed income tax return Form 104.
Taxpayer's Name
Social Security Number
ROUND ALL DOLLAR AMOUNTS
Part I - Colorado Child Care/Child Tax Credit:
TO THE NEAREST DOLLAR
1
Federal adjusted gross income. If line 1 is larger than $60,000
.00
enter 0 on line 5. You do not qualify for this credit ....................................
1
.00
2
Federal tax. If line 2 is 0, enter 0 on line 5 .................................................
2
.00
3
The federal child care credit you claimed ..................................................
3
%
4
Your percentage from instruction 4 ............................................................ 4
5
Colorado Child Care Credit, multiply the amount on line 3 by the percentage on line 4.
.00
Enter here and on line 27 of Form 104 ................................................................................. 5
6
Part-year residents only: Enter the percentage from line 34, Form 104PN ______%
(cannot exceed 100%). Multiply this percentage by the amount on line 5 for the amount
.00
to enter here and on line 27, Form 104 ................................................................................ 6
7 List eligible child's name, date of birth and social security number if a credit is claimed on lines 5 or 6.
Social Security Number
Social Security Number
Child's Name
Child's Name
Date of Birth
Date of Birth
Part II-Other Refundable Credits
.00
8
Gross conservation easement credit, enter here and on line 28 of Form 104 ...................... 8
Part III- Enterprise Zone Credits
If credit is passed through from an S corporation or a partnership, give name, ownership percentage and Colorado
account number of the organization, and attach a copy of the corporation or partnership certification.
Ownership %
Name
Account Number
.00
9
Enterprise zone credits carried over from 2004, attach schedule and original certification ... 9
.00
10 Enterprise zone investment credit ...................................................................................... 10
.00
11 Enterprise zone new business facility employee credit ...................................................... 11
.00
12 Enhanced rural enterprise zone new business facility employee credit ............................. 12
.00
13 Enterprise zone agricultural employee processing credit ................................................... 13
.00
14 Enhanced rural enterprise zone agricultural employee processing credit .......................... 14
.00
15 Enterprise zone employee health insurance credit ............................................................. 15
.00
16 Contribution to enterprise zone administrator credit ........................................................... 16
.00
17 Other enterprise zone credits, attach explanation .............................................................. 17
18 Total enterprise zone credits, add lines 9 through 17.
.00
Enter here and on line 20, Form 104. .................................................................................... 18
Part IV - Personal Credits
Name of other state
Credit for income tax paid to another state - Compute a separate credit
19
for each state. Attach a copy of the tax return filed with the other state.
.00
20 Total of lines 14 and 15, Form 104 ............................................................. 20
.00
21 Modified Colorado adjusted gross income from sources in other state ..... 21
.00
22 Total modified Colorado adjusted gross income ....................................... 22
%
23 Amount on line 21 divided by amount on line 22 ........................................ 23
.00
24 Amount on line 20 multiplied by percentage on line 23 ............................. 24
.00
25 Tax liability to the other state ..................................................................... 25
.00
26 Allowable credit, the smaller of lines 24 or 25 .................................................................... 26