Form Dr 1304 - Gross Conservation Easement Public Information Schedule
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1DR 1304 (12/06/13)
*131304==19999*
COLORADO DEPARTMENT OF REVENUE
Denver, CO 80261-0005
Gross Conservation Easement
Public Information Schedule
This form must be attached to your Colorado income
forms DR 1303 and DR 1305. A jointly filing couple should
tax return if your name is on a new gross conservation
only submit one of each form. Transferees and members
easement Tax Credit Certificate for this year. Also attach
of pass-through donors should not file this form.
Last Name or Business Name
First Name
Middle Initial
SSN
Colorado Account Number
FEIN
Tax Credit Certificate Number
(TCC-YYYY-###)
The information provided below is public information.
Pages menu and select Gross Conservation Easements at
To access the reports of this information, visit the Featured
$
1. Appraised value of the easement
$
2. Donated value of the easement
3. Tax credit you are claiming. Enter your total credit, including amounts sold to a third party.
$
Joint donors must enter their proportionate share of the total credit claimed.
4. Organization holding the easement
5. Location of property on which the easement was donated.
a. County(s)
b. Number of Acres
c. Township(s)
d. Range(s)
6. Mark the conservation purpose(s) Preserved by the easement, as defined in §170(h) of the Internal Revenue Code.
Land areas for outdoor recreation by, or the education of, the general public
Relatively natural habitat of fish, wildlife, or plants, or similar ecosystem
Open space (including farmland and forest land)
Historically important land area or a certified historic structure
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